The NHS review has implications for the funding of teachinghospitals and the relationship between them and the medical schools. Theringfencing of the Service Increment for Teaching and Research SIFTRand the need to develop contractual relationships for the provision ofservice facilities for teaching and research means that more informationis needed on the nature and distribution of the service costs of theseactivities. The article describes research which informed the process ofallocating SIFTR in a large teaching district. A methodology fordeveloping rational SIFTR contracts is described and the implicationsfor the future of medical education and research discussed. The localdistribution of SIFTR must be well managed if teaching and research arenot to suffer as a result of the financial pressures generated by theNHS review.
Journal of Management in Medicine – Emerald Publishing
Published: Feb 1, 1991