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Leaders of London Underground workers also declared a dispute yesterday after failing to reach a deal with over payment for working during the Olympic Games.
Dr Mark Porter, chair of the BMA Council, said: "An 11 per cent pay increase doesn't compensate when you take away a 31 per cent average payment for working the unsocial hours.
The extra payment for working beyond the ordinary week serves a dual purpose: it compensates workers with extra income for extra effort, and it is designed to deter employers from imposing too much work.
A nurse commented on the importance of additional payment for working morale: When one gets an extra income then certainly one becomes motivated and performs work better.
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In a damning assessment, the MPs say Lansley's reforms are built on the "hope" that GPs, hospitals and councils will respond to payments for working together.
One of the key sticking points is over the removal of overtime payments for working during the day (7am to 5pm) on Saturdays.
He has said other junior doctors would not be worse off from the changes, which involve reductions in payments for working anti-social hours by re-defining what constitutes anti-social.
Maybe we should look at returning to the principles behind the original 1911 National Insurance Act, which introduced sick-leave payments, a rudimentary health service and unemployment payments for working people.
NHS staff in England could lose their extra "unsocial hours" payments for working Saturdays and Sundays, under radical changes to shift-patterns aimed at keeping down the costs of running 24/7 health services.
The British Medical Association BMAA) has suggested halving the wage increase in return for keeping extra payments for working on Saturdays, something which has been rejected by the government.
J.R.T. has received payments for working as a consultant on the design and implementation of the clinical trial and has served as Co-Principal Investigator and Co-Chair of the Steering Committee.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com