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NHS consultants accept government pay deal to end year of strike action

Consultant doctors have accepted a pay offer from the Government, bringing an end to a year of strike action.

The British Medical Association (BMA) said its members in England voted in favour by 83 per cent, describing the offer as an improvement on one rejected earlier this year, as well as including changes to the profession’s pay review body (DDRB).

Consultants – senior doctors who have completed full medical training in a specialised area – have walked out repeatedly over the past year, adding to NHS waiting lists which have also been affected by the junior doctors’ dispute, which remains unresolved.

The BMA said the offer includes important changes to the DDRB, which represents “significant progress” in returning the pay review body to its “original purpose and independence”.

It said that from next year, there will be changes to the way the review body will appoint members, and the Government will no longer be able to constrain its remit with reference to inflation targets and economic evidence.

The BMA added: “These changes mean that the DDRB can no longer ignore the historical losses that doctors have suffered or the fact that countries abroad are competing for UK doctors with the offer of significantly higher salaries.

“The offer also improves on the previous proposal to reform the consultant pay scale.”

Medical consultant members of the British Medical Association (BMA) on the picket line outside Leeds General Infirmary as consultants in England are taking industrial action for the first time in more than a decade. Picture date: Friday July 21, 2023. PA Photo. See PA story INDUSTRY Strikes. Photo credit should read: Dave Higgens/PA Wire
Consultants on the picket line outside Leeds General Infirmary during industrial action last summer (Photo: Dave Higgens/PA)

The accepted offer includes a 2.85 per cent (ÂŁ3,000) uplift for those who have been consultants between four and seven years, who under the original offer received no additional uplift, said the BMA.

The offer is in addition to the 6 per cent awarded during the DDRB process last summer.

Dr Vishal Sharma, who chairs the BMA consultants committee, said: “After years of repeated real-terms pay cuts, caused by Government interference and a failure of the pay review process, consultants have spoken and now clearly feel that this offer is enough of a first step to address our concerns to end the current dispute.

“However, it’s now imperative that the DDRB utilises its independence to restore doctors’ pay and prevent any further disputes from arising.”

He added: “At the heart of this dispute was our concern for patients and the future sustainability of the NHS. Without valuing doctors, we lose them. Without doctors, we have no NHS and patients suffer.

“But the fight is not yet over. This is only the end of the beginning, and we have some way to go before the pay consultants have lost over the last 15 years has been restored.

“Therefore, all eyes will be on this year’s pay review round, recommendations from the DDRB and response from the Government.”

Members of the Hospital Consultants and Specialists Association (HCSA) also voted – by 83 per cent – to accept the offer.

President Dr Naru Narayanan said: “Our members’ resilience and courage has seen them secure long overdue improvements to pay.

“This is the best deal available right now and a step firmly in the right direction.

“We will continue to ensure that consultants’ enormous contribution to the NHS is properly recognised. This will include holding the Government to account on the implementation of reforms to the pay review body.

“It is now time for the Government to step up and make our junior and SAS doctor colleagues fair pay offers.”

Matthew Taylor, chief executive of the NHS Confederation, said: “NHS leaders will breathe a sigh of relief to know that there will be no further damaging industrial action from NHS consultants for the foreseeable future.

Junior doctors strike on a picket line outside the Queen Elizabeth Hospital in Birmingham, UK, on Wednesday, Dec. 20, 2023. Junior doctors in England begin a 3-day walkout as their months-long pay dispute drags on, adding pressure on the National Health Service and dealing another blow to Rishi Sunak's pledge to cut waiting lists. Photographer: Darren Staples/Bloomberg via Getty Images
Junior doctors strike on a picket line outside the Queen Elizabeth Hospital in Birmingham, UK, on Wednesday, Dec. 20, 2023. (Photo: Darren Staples/Bloomberg via Getty Images)

“The health service relies heavily on its consultant workforce and these professionals have helped to keep the most life-critical services afloat including over the difficult winter period and the recent junior doctors’ walkouts.

“But the potential for further junior doctor strikes looms large, which could lead to more operations and appointments being cancelled and place more pressure on already stretched services.

“While NHS organisations have worked tirelessly to fill rota gaps and keep patients safe, more than 1.4 million appointments and operations have been cancelled over the last year of industrial action, with even more patients joining waiting lists.

“This agreement between the BMA consultant committee and Government shows that a sensible middle ground can be reached through negotiations, and we urge the BMA junior doctors’ committee and Government to quickly re-enter negotiations to reach a similar agreement to stop further damaging strike action by junior doctors.”

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