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Primary care systems have attempted to alleviate the burden of some of these issues, and as a result different primary models have been implemented around the world, leading to an increased number of group-based practices and changes to remuneration.
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No major change to remuneration of GPs in The Netherlands has taken place between 1980 and 2005.
However depressing the changes to teacher remuneration may be, once your classroom door is closed it is still a wonderful job!
Unlike Citigroup, Barclays tried to appease at least its large institutional investors before the shareholder meeting by making some changes to the remuneration packages last week.
"Trustees would like your views on whether these arrangements require review in light of any possible future changes to the remuneration strategy for Worldwide or to the strategy and governance of Worldwide".
They are seeking changes to our remuneration policy for the future.
Locally we have had significant changes to the remuneration of General Internal Medicine specialists that reflects the complexity of the work they do.
The proposed scheme is part of a raft of changes to director earnings drawn up by the remuneration committee, which recommended short-term cash rewards should be reduced with a significant rebalancing towards long-term share incentives.
Changes to the system of remuneration and support to pursue further training were likely to impact on this.
"The changes to the structure of the remuneration policy were made in response to regulatory developments," it added.
As well as a sweeping overhaul of Sorrell's remuneration, WPP is to make wide-ranging changes to its board, replacing the chair of its remuneration committee and appointing four new non-executive directors in a bid to inject new blood and appease shareholders who accuse the company of complacency.
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