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BMA warns that doctors are being short changed by a pay body that is no longer indepenent

 The BMA says doctors have been severely let down by the independent body which advises on pay and is now questioning how truly independent the pay body really is.  

Each year the Doctors’ and Dentists’ Remuneration Body (DDRB) is supposed to consider salaries for doctors and dentists working in the NHS and recommend, to the Prime Minister and the Secretary of State for Health, and their equivalents in Scotland, Wales and Northern Ireland,  fair pay levels for doctors. In making those recommendations, the DDRB also takes evidence from the BMA

However, a decade of austerity and pay caps in the public sector have seen a major erosion of pay levels for doctors – by as much as 30%. While the one percent pay cap was lifted for nearly every other group of workers in the public sector, last year’s pay award fell short of that for many doctors.

As a result, the BMA’s confidence in the independence of the DDRB has been completely eroded. The BMA is now calling for the Body to assert its independence by recommending an uplift that is at least in line with inflation and to start addressing the real terms pay cut most doctors are experiencing.

Commenting, Dr Chaand Nagpaul, BMA Council Chair said: 

“The repeated failure of the Body to adhere to its founding principle of independence from government, and ensuring fair pay, is deeply worrying. We have advised the DDRB that it has failed in its duty and, crucially, it must rectify its failings by securing a better deal for doctors in future. However, if the DDRB continues to act in such a partisan manner, we may have no choice but to reconsider our future relationship.”    

The BMA’s strong stance comes at a time when doctors are working harder and longer than ever without adequate recognition or reward. We know our members are suffering mental health issues, stress and burnout; this was evident in the BMA’s own survey, Caring, supportive, collaborative? Doctors’ views on working in the NHS in November 2018.

Dr Nagpaul continued:

“Whilst recommended pay rises for GPs and some specialist hospital doctors, were closer to inflation, recommended rises for other doctors were significantly below inflation and all fell far short of correcting the long term pay erosion. For example, the derisory new pay settlement for hospital consultants in England gives them an average weekly increase of just £6.10 after tax - at a time when they have lost nearly a quarter of their take home pay in the last decade. The effect this has had on motivation and morale is untenable.”  

  “The DDRB and Government must act now to avert a full-blown workforce crisis, by recognising the value of doctors with a pay rise at least in line with RPI for 2019 and with a concrete commitment to start addressing the real terms pay cut doctors have experienced since 2008.”


Notes to editors

·         Details of the BMA statement, letter to the Health Secretary and social media assets can be found here  17 January 2019

·         Memorandum of Evidence to the Review Body on Doctors’ and Dentists’ Remuneration, BMA January 2019


  The BMA is the voice of doctors and medical students in the UK. It is an apolitical professional organisation and independent trade union, representing doctors and medical students from all branches of medicine across the UK and supporting them to deliver the highest standards of care.

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