Restrictions on consultants working non-contracted hours for competing providers

The Department of Health and Monitor have asked the Cooperation and Competition Panel (CCP) to carry out a study of restrictions on NHS consultants that prevent them from working for other healthcare providers of NHS-funded services.

Concerns have been expressed that this could be preventing providers from offering new services, and as a result, restricting patient choice and competition.

In the event that such restrictions are found to be problematic, the CCP has been asked to make recommendations to assist NHS organisations in addressing the challenges posed by consultants working for multiple operators, including both NHS and independent sector providers.

For more information, please see the documents below.

Responses to possible recommendations

Anonymous No 1 [118 KB]

Anonymous No 2 [188 KB]

Anonymous No 3 [309 KB]

Anonymous No 4 [176 KB]

Anonymous No 5 [140 KB]

Anonymous No 6 [657 KB]

Barts and The London NHS Trust [213 KB]

Blackburn with Darwen PCT [127 KB]

Bradford Teaching Hospitals NHS Foundation Trust [131 KB]

British Medical Association [241 KB]

Cambridgeshire Peterborough NHS Foundation Trust [135 KB]

Central Manchester University Hospitals NHS Foundation Trust [200 KB]

Competition Panel of the East of England SHA [238 KB]

Coordinating Committee of the Circle partnership [69 KB]

Coordinating Committee of the Circle partnership pt 2 [70 KB]

David Rand [178 KB]

Dr John Hyslop [349 KB]

East of England PCT Network [16 KB]

Foundation Trust Network [95 KB]

Gloucestershire Hospitals NHS Foundation Trust [205 KB]

Havering and Redbridge Hospitals Trust [192 KB]

Hospital Consultants and Specialists Association [87 KB]

Independent Heathcare Advisory Services [301 KB]

John Cumming [249 KB]

Leicestershire Partnership NHS Trust [122 KB]

Mark Ironmonger [123 KB]

Mr Nicholas Evans [331 KB]

NHS Consultants Association [63 KB]

NHS East Midlands Strategic Health Authority [189 KB]

NHS East of England Strategic Health Authority [192 KB]

NHS London [129 KB]

NHS Partners Network [32 KB]

NHS Southampton City [193 KB]

NHS Westminster [118 KB]

Paul Conley [176 KB]

Peterborough and Stamford hospitals NHS foundation trust [128 KB]

Royal College of Physicians [238 KB]

Royal College of Psychiatrists [257 KB]

Salisbury NHS Foundation Trust [98 KB]

Somerset Partnership NHS Foundation Trust [184 KB]

South East Coast SHA [180 KB]

South Gloucestershire PCT [287 KB]

South West SHA [258 KB]

Spire Healthcare [270 KB]

Suffolk PCT [280 KB]

Taunton & Somerset NHS Foundation Trust [42 KB]

The Rotherham NHS Foundation Trust [187 KB]

Responses to letter requesting submissions

Airedale-NHS-Trust [33 KB]

Anonymous 1 [41 KB]

Anonymous 2 [23 KB]

Association Of Anaesthetists (AAGBI) [849 KB]

Barnet and Chase Farm Hospitals NHS Trust [176 KB]

Bournemouth And Poole Teaching PCT [471 KB]

Brighton and Sussex University University Hospitals response [32 KB]

British Medical Association [72 KB]

Buckinghamshire Hospitals NHS Trust [39 KB]

Burton Hospitals NHS Foundation Trust [37 KB]

Central Manchester University Hospitals.doc [627 KB]

Colchester Hospital University NHS Foundation Trust [26 KB]

County Durham and Darlington NHS FT [459 KB]

East Of England PCT Network.doc [38 KB]

Foundation Trust Network [143 KB]

Gateshead Health NHS Foundation Trust [71 KB]

Gloucestershire Hospitals NHS Foundation Trust [244 KB]

Gloucestershire Hospitals NHS Foundation Trust - Local Negotiating Committee of the Medical Staff Committee [22 KB]

Hertfordshire Partnership NHS Foundation Trust [30 KB]

Hospital Consultants And Specialists Association [137 KB]

Kings College Hospital NHS Foundation Trust [451 KB]

Mid Yorkshire Hospitals NHS Trust [84 KB]

NHS Confederation [1.4 MB]

NHS Dorset [96 KB]

NHS East Of England [37 KB]

NHS Employers [137 KB]

NHS North Of Tyne [36 KB]

NHS Partners Network [57 KB]

NHS South East Coast Annex [146 KB]

NHS South East Coast [49 KB]

NHS Wiltshire [230 KB]

Northern Lincolnshire & Goole Hospitals NHS Foundation Trust [217 KB]

Queen Victoria Hospital NHS FT [408 KB]

Royal Bromptom & Harefield NHS Trust [124 KB]

Salford Royal NHS Foundation Trust [187 KB]

Sheffeld Teaching Hospitals [160 KB]

Somerset Partnership NHS Foundation Trust [221 KB]

South Essex Partnership Trust [37 KB]

South Warwickshire General Hospitals NHS Trust [680 KB]

South West Strategic Health Authority [152 KB]

Spire Healthcare Group [107 KB]

Tameside Hospital NHS Foundation Trust [36 KB]

The Association Of Greater Manchester PCT [535 KB]

The Royal College of Physicians [182 KB]

Worcestershire Acute Hospitals NHS Trust [343 KB]

Administrative timetable

Event Date
CCP publicly announces study and calls for submissions 14 April 2009
Deadline for initial submissions 1 May 2009
Initial Assessment published for comments 5 June 2009
Deadlines for comments on Initial Assessment 26 June 2009
Final study and recommendations published September 2009

NB. This timetable will be updated as required during the course of the study.


Department of Health NHS Monitor