BMA slams ‘indefensible’ pay offer

by Ben Ireland

Association says Government offering ‘neglect dressed up as restraint’

Location: UK
Published: Friday 31 October 2025
slip of pay

The BMA has said the Government’s suggestion it can only increase doctors’ pay by 2.5 per cent in 2026 is ‘indefensible’.

In a document published on Thursday, the Department for Health and Social Care said it has ‘developed financial and delivery plans which currently allow for a pay uplift of 2.5 per cent without having to make trade-offs against headline government health commitments’.

The BMA hit back today saying that Government – given current RPI inflation is at 4.5 per cent – is suggesting a real-terms pay cut for doctors.

It calculated that newly qualified doctors, would see a rise of just 47p per hour based on these projections, with hourly pay increasing from £18.62 to £19.09.

The association has been calling for the Government to agree a multi-year pay deal to help restore doctors’ pay to 2008 levels in real terms, as well as fix the specialty-training bottlenecks that are leaving many foundation year doctors at risk of un- or under-employment.

 

Devaluation measure

Responding to the Government’s publication of evidence to the Review Body on Doctors’ and Dentists’ Remuneration, BMA council chair Tom Dolphin said: 'It is frankly indefensible that yet another Government is once again suggesting real-terms pay cut for doctors – an increase of less than 50p per hour for many newly qualified doctors.

'After more than a decade of pay erosion, spiralling workloads, and an NHS in a state of near chaos, this is a deliberate choice to devalue those who hold the health service together, a profound disregard for our doctors and the state of the profession.

'This is not responsible governance; it is a calculated decision to let a vital profession bear the cost of political failure. Each sub-inflation offer pushes more doctors to leave the NHS or the country altogether, and it is patients who ultimately pay the price for this foolishness.

 

Tom Dolphin, BMA council chair DOLPHIN: Pay offer an 'insult'

'At time when so many resident doctors are struggling to secure training posts and GPs cannot get jobs – a shocking waste of talent in a system that is chronically short of staff – we have ministers who think it is acceptable to pay the doctors we do have an insult, rather than a decent wage.

'The Government’s failure to provide fair pay, adequate positions for doctors in training, and jobs for GPs exposes a complete lack of long-term planning or respect for the profession.

'After hard-won reforms by consultants to restore the independence of the pay review body, the BMA wants to see that independence come to the fore when the DDRB makes its recommendation for doctors’ pay in 2026, we expect the DDRB to recommend an uplift that is just that and not a pay cut. 

'For this Government to even consider recommending what amounts to a pay cut isn’t prudence; it’s neglect dressed up as restraint.'