A review of the employment of staff holding joint contracts with the NHS and higher education has called for integration of separate responsibilities between organisations 'which leave no doubt about the roles and responsibilities of all parties'.

The review, headed by Sir Brian Follett, was set up after the inquiry into the retention of organs at Alder Hey Hospital and has been widely welcomed.It says all senior NHS and university staff with academic and clinical duties must be 'fully and formally aware'to whom they are accountable and their appointments and appraisal subject to the same rigour and standard as NHS appointments.NHS Confederation chief executive Stephen Thornton said: 'There are already many good examples of NHS organisations and universities working well together but these proposals should assist the process throughout the country.'