Consultant England

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Consultants - how contract negotiations affect you

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Latest update - consultant contract (England) October 2018

This week, the Department of Health and Social Care (DoHSC) presented the BMA with a new pay settlement for consultants in England. We are bitterly disappointed in their latest sub-inflationary offer of a 2% uplift each year for three years. 

Read more about DoHSC's pay offer

Contact FPC if you have any queries

Background on consultant contract negotiations

  • BMA Clinical Excellence Awards Agreement

  • Consultants contract negotiations

    What were we aiming to get from a new contract that was lacking in the 2003 one? What did the Government want?

    The Government wanted:

    1. Removal of Schedule 3, paragraph 6 of the 2003 contract – the right for consultants to decline weekend elective work
    2. Removal of automatic pay progression
    3. A lower starting salary and lower final salary
    4. Increased out of hours (OOH) work to meet seven day services for no additional money
    5. Extension of premium time: Mon to Sat, 7am to 10pm
    6. A new performance pay scheme

    We wanted:

    1. Pay better suited to a career average (CARE) pension scheme 
    2. Retention of plain time
    3. Retention of starting salary
    4. Enhanced safeguards and compensatory rest to improve work/life balance and combat tiredness
    5. Improved study leave provision
    6. The choice to remain on the 2003 contract if desired


    What are the likely benefits of the proposed 2018 contract?

    The new contract would have a two-point pay scale, under which a consultant would move from the starting salary to the top of the scale in five years. This would be beneficial under the career average (CARE) pension scheme, where reaching and maintaining a higher salary earlier is more efficient. There would also be a number of safeguards, including a maximum number of weekends a year, protections for evening work and contractual compensatory rest. The contract package as a whole has not been finalised by the Government and the finer details of the new contract have been subject to change while discussions were still ongoing. In light of the BMA’s refusal to negotiate further without commitment to significant new investment, it is unclear what approach the Government plans to take regarding contract reform.


    What were the agreed heads of terms for negotiating the new consultant contract?

    You can find the original heads of terms here.

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