General practice cannot be piecework

[摘要] Piecework is a type of employment where a worker is paid a fixed rate for each task completed, regardless of the time taken. Piecework is advantageous for production where output volume is a reliable proxy for productivity, and monitoring and incentivising output volume does not compromise quality.When piecework systems are imposed in contexts where the unit of production is variable, there is a risk that workers are not fairly remunerated. The quality and sustainability of the work can become compromised as workers struggle to keep up with the pace of production.1Though this is not a perfect analogy, appointments have become perceived as a key unit of productivity in general practice. General practice activity data collected and published by NHS Digital consists mainly of appointments. Practices must offer 75 appointments per week per 1000 patients registered.GP APPOINTMENTS CANNOT BE A STANDARD UNIT OF PRODUCTION In January 2023, practices in England delivered over 50% more than this quota.

[学科分类] 卫生学