I’ve been anticipating and predicting for some time the demise of the Clinical Excellence Award. It seems that the death of this system is not going to be quick and clean, and that there is going to be collateral damage to the pay of Consultants who don’t even receive one. One thing I didn't see coming was a 20% cut in the rate of pay! The whole exercise for many will be the last straw and any doubts about retiring rather than suffer the abortion that is revalidation will now evaporate. It is my belief that in the next year or two there will be a mass exodus, and a shortage not only of numbers of Consultants, but of the most senior and experienced. The BMA will, as usual, prove utterly impotent and hospital doctors will be further massively demoralised. Only those employed through agencies can expect a bright future. No way to treat the profession.