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    One of the main issues with NHS reform is the Consultants contracts, They do not work to the same terms and conditions as other employees , its incredably complicated , I dont want to misrepresent how it works so its probably better for people to do thier own research . Basically the good ones work way over thier hours for no extra money and do privtae practice in thier own time ( which thye are totally entitled to do )and the not so good can treat private patients in NHS time and refuse to change working practices and in effect hold the system to ransom

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