Junior Doctors Protest 25072022 12 Junior Doctors Protest 25072022 12

Pay restoration for resident doctors in Northern Ireland

Resident doctors in Northern Ireland are undervalued, underpaid, overworked, and lacking in training opportunities. That’s why we’re fighting for fair pay. That’s why we’re fighting for full pay restoration.

What we're asking for

We are asking the Department of Health, the Secretary of State for Northern Ireland, and our Assembly to do the following:

Fix pay

This means:

  • Full pay restoration for junior doctors in Northern Ireland to 2008 levels. 

Read more on pay erosion to see why we're calling for it.

Fix rotas

Trusts to commit to complying with the BMA fatigue and facilities charter, with a focus on urgent introduction of safe working limits to fix rotas. 

Here's why:

  • Junior doctors in Northern Ireland do not have the same rest protections and rota design requirements as elsewhere in the UK. 49% of trainees in Northern Ireland reported working above their rostered hours – higher than the UK average of 42%. 
  • Exhausting, understaffed rotas impacts on training time required for career development. Significantly more trainees in Northern Ireland (38%) have reported that rota gaps were not being sufficiently dealt with than in the UK as a whole (29%).  
Fix training

Introduction of a trainee guarantee for access to scheduled training, including study leave for F1s. 

Here's why: 

  • Workload pressures are causing the quality of training to deteriorate significantly, particularly for foundation trainees. Almost half (46%) of trainees in Northern Ireland reported significant increase in workload intensity on dayshifts and on nightshifts (20%).  
  • Lack of training opportunities impacts trainees’ career progression, creating more staffing gaps in higher grades. 21% of trainees in Northern Ireland reported a lack of protected time for completion of all the mandatory training requirements of their post. This was higher than elsewhere in the UK (17%) 
  • Training protections will be essential to tackling our waiting list crisis. 
Fix our contract

Commitment from the Department of Health to entering contract negotiations on a reformed junior doctor contract that improves workplace protections, facilities, working hours and recognition. 

Here's why:

  • The existing contract does not match the reality of training in 2023.  
  • A new contract is needed that creates a good working environment conducive to training to incentivise junior doctors to stay in training in Northern Ireland. 

Calculating resident doctor pay erosion in Northern Ireland

Our calculations show that our pay has been eroded by 30.7% since 2008 when compared with RPI inflation. This is a huge loss to our pay and our living standards that fails to reflect the responsibility, training, and sacrifices required of our work. It’s causing a workforce crisis as fewer and fewer trainees choose to stay in Northern Ireland to train.  

We are not worth 30% less than we were in 2008 and we are not worth less than doctors in other countries. Our basic pay is one of the lowest in the UK.

Northern Ireland (2023/24)* Wales Scotland England
F1 £29,566 £30,477.26 £31,082 £32,398
F2 £36,367 £37,803.49 £38,553 £37,303
SpR (specialty registrar) £38,780 £40,396.56 £40,995 £43,923

* Payment of the 2023/24 pay uplift in Northern Ireland was delayed until June 2024. 

The effects of pay erosion

Our pay erosion isn’t just affecting us. It also has an effect on the health service in Northern Ireland. Sub-inflationary pay increases have meant it is now less attractive to work and train in Northern Ireland. We are seeing a workforce crisis emerge from our eroded pay because there are better options elsewhere. This retention and recruitment crisis facing the health service is a risk to its future in Northern Ireland.

Example

The 2024/25 GP training programme intake has posts for 121 trainees. NIMDTA has recently confirmed that only 109 trainees have been recruited to commence in August 2024.

With better pay, we will incentivise more doctors who studied in Northern Ireland to stay and doctors outside of Northern Ireland to come and work here. With more doctors, our rotas will be less intense and we will all have more time for training.

Campaign resources

Download a range of campaign materials to share on social media and in your communal work and rest areas.

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Junior doctors have changed their title to ‘resident doctors’

As of 18 September, all references to junior doctors in BMA communications have been changed to ‘resident doctors’.

 

Making up nearly 25% of all doctors in the UK, this cohort will now have a title that better reflects their huge range of skills and responsibilities. 

 

Find out more about why junior doctors are now known as 'resident doctors'.