This is a preview. To continue reading, register for free access now. Register now or Log in

Competency-based reward at Kingston Hospital NHS Trust

Local pay scales based on the acquisition of competency, together with multiskilling, underpin a move to patient-focused care at Kingston Hospital.

Multiskilling and teamworking are vital elements of patient-focused care, a relatively new approach to the delivery of healthcare pioneered in the USA (see box on p.10).