Nevertheless, a radical review of the standard we expect, not from most but from all nurses, and of how we properly reimburse it, is his business. The laws of economics might not be his area of expertise. But even he must know the one about peanuts and monkeys.
Very good, incentives and selection.
What, then, is the difference between a regular ward nurse and one working in an ICU? About six grand.
An ICU nurse, who has chosen to specialise, can earn up to £31,000; one who has not so chosen has a ceiling of about £25,000. And so what, you say: in every trade the more studied and trained gain seniority and higher salaries. But if it is a matter of life or death, and if it is the case that better-paid nurses are better nurses – “vocation” notwithstanding – we might revisit the thorny question of nurses’ pay in general, which is, as ever, less than is earned by teachers or police.
Ah, thus if we raise all nurses\’ pay, all will perform to the higher standard?
Not quite. It\’s the very fact of the wage differential that provides the extra incentives. Raising the general level of pay doesn\’t raise the incentive to be a better nurse at all: it might raise the incentive to be a nurse in the first place, but not to perform better once there.