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Promotion to hospital consultant in NHS Scotland

Kostas Mavromaras (The Melbourne Institute of Applied Economic and Social Research, University of Melbourne, Melbourne, Australia)
Anthony Scott (The Melbourne Institute of Applied Economic and Social Research, University of Melbourne, Melbourne, Australia)

International Journal of Manpower

ISSN: 0143-7720

Article publication date: 1 October 2005

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Abstract

Purpose

The aim of this paper is to investigate the factors that influence promotions of medical staff from registrar to consultant in the Scottish NHS.

Design/methodology/approach

The paper addresses the question of what determines the incidence of promotion, concentrating on the impact of experience, effort and the choice of specialty in promotion outcomes. A unique panel data set is used that contains individual level information on all NHS hospital doctors in Scotland from 1991 to 2000. Probabilities of promotion are decomposed by specialty into the part attributable to the mean characteristics of the doctors in each specialty and the effect of belonging to a specialty itself.

Findings

The paper estimates a panel model of promotion and identifies specialty effects on promotion. Effort in the two years before promotion is shown to have an influence on promotion probabilities. Specialties are found to exhibit considerable differences in their rate of promotion over and above the differences explained by the characteristics of the doctors in them.

Originality/value

The paper examines the promotion of medical staff from registrar to consultant in the Scottish NHS during the 1990s. The paper concentrates on the impact of experience, effort and medical specialty on the probability of promotion.

Keywords

Citation

Mavromaras, K. and Scott, A. (2005), "Promotion to hospital consultant in NHS Scotland", International Journal of Manpower, Vol. 26 No. 7/8, pp. 660-672. https://doi.org/10.1108/01437720510628121

Publisher

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Emerald Group Publishing Limited

Copyright © 2005, Emerald Group Publishing Limited