Posts Tagged ‘Pay’

CEAs are slashed for the highest performers

By Mike Broad - 11th August 2010 4:47 pm

The number of clinical excellence awards handed out nationally has been halved in the 2010 round.

Only 317 national awards have been given to senior doctors in England and Wales in 2010 in comparison to 601 in 2009.

The ACCEA, which runs the awards scheme, has blamed reduced affordability.

There are 12 levels of CEA with the highest three levels - silver, gold and platinum - being awarded nationally. Level 9, or bronze, can be awarded locally or nationally. A bronze recipient is paid £35,484 a year, silver £46,644, gold £58,305 and platinum £75,796.

CEAs are intended to financially reward consultants who perform over and above the standard expected of their NHS role.

In the 2010 round, the Advisory Committee on Clinical Excellence Awards received 1065 applications for bronze, 820 applications for silver, 183 applications for gold and 138 applications for platinum awards. Of these 317 were given awards, with 189 receiving bronze, 84 silver, 23 gold and 21 platinum.

The highest profile doctor to receive platinum in this round was Lord Ara Darzi, author of the former government’s influential High quality care for all: NHS Next Stage Review Final Report. Another well-known doctor was Jonathan Fielden, the former chair of the BMA’s consultants committee, who received a silver award.

A spokesperson for ACCEA said: “There are fewer awards this year than in the past few years. This is a result of reduced affordability in the light of the fact that fewer consultants have left the scheme - through retirement or for other reasons - than anticipated, reducing the funds for reinvestment as well as wider financial constraints.”

The level of CEA awards were frozen for 2010-2011.

Dr Mark Porter, chairman of the BMA’s consultants committee, said: “This is a matter for regret - it’s highly disappointing that so many talented and dedicated consultants have missed out on awards because of factors entirely beyond their control. The scheme exists to ensure that quality care is promoted across the NHS, not just in a few centres of excellence.

“We have strongly protested on behalf of individual applicants, and will continue to express our belief in the value of CEAs.”

Some trusts have also put pressure on their consultants to forgo their CEAs in order to help local finances. And, in Scotland, there has been a strong campaign to scrap the scheme.

Stephen Campion, chief executive of the HCSA, commented: “CEAs, and their predecessor merit and discretionary points, are an integral and long-standing element of hospital consultants’ salaries and terms and conditions of service.

“They are not ‘performance bonuses’ as some uninformed critics have argued. But we know from the leaked document prepared by the Foundation Trust Network earlier this year that they are seen as a target to cut consultants’ pay in order to save money. That the number of national awards has been slashed by 50% this year on the grounds of affordability raises a number of questions about the integrity of the scheme itself.”

The 2011 round of CEAs will open in September and close on 10 December 2010. The ACCEA says that all consultants currently holding an award who received it in the 2007, 2002, 1997 or 1992 rounds should be ‘reviewing’ in the coming round.

Read a full listing of the 317 doctors who received national awards in 2010.

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Clinical Excellence Awards: a full listing of recipient doctors

By Mike Broad - 10th August 2010 3:25 pm

The ACCEA has halved the number of clinical excellence awards handed out nationally in 2010. Only 317 national awards have been given to senior doctors in England and Wales.

There are 12 levels of CEA with the highest three levels - silver, gold and platinum - being awarded nationally. Level 9, or bronze, can be awarded locally or nationally. A bronze recipient is paid £35,484 a year, silver £46,644, gold £58,305 and platinum £75,796.

Here’s the full listing of doctors receiving national CEAs (alphabetically by region):

Cheshire & Mersey

Bronze

Arpan GUHA, anaesthetics

Veronica ABERNETHY, medicine

Helen SCHOLEFIELD, obs and gynaecology

Omnia MARZOUK, paediatrics

Sarah COUPLAND, pathology

Imelda BATES, pathology

Terence JONES, surgery

Silver

Robert MOOTS, medicine

James BARRETT, medicine

NJ SHAW, paediatrics

Cheng Hock TOH, pathology

Gold

DN ANDERSON, psychiatry

Platinum

Jonathan RHODES, medicine

East Midlands

Bronze

Janusz JANKOWSKI, medicine

Martin CULSHAW, medicine

Opinder SAHOTA, medicine

Andrew GODDARD, medicine

Guy RUTTY, pathology

Christopher EVANS, psychiatry

Paul BURTON, public health

Richard RICHARDS, public health

John James ENTWISLE, radiology

Mark SIBBERING, surgery

Silver

Mark BATT, medicine

Susan CARR, medicine

Justin KONJE, obs and gynaecology

Irene GOTTLOB, ophthalmology

Christopher HOLLIS, psychiatry

Gold

Christopher O’CALLAGHAN, paediatrics

Platinum

Nilesh Jayantilal SAMANI, medicine

Nicholas JONES, surgery

East of England

Bronze

Aimen Al-Hassani HASSANI, anaesthetics

Alexander MACGREGOR, medicine

Miles PARKES, medicine

Sarah CLARKE, medicine

Roger BARKER, medicine

Jeremy BROWN, medicine

Pawel WARWICKER, medicine

GP CLUNIE, medicine

Ian BEALES, medicine

Vasanti NANDURI, paediatrics

Suzannah LISHMAN, pathology

Christopher HAWLEY, psychiatry

Li Tee TAN, radiology

Elaine SASSOON, surgery

Matthew PORTEOUS, surgery

David JENKINS, surgery

Silver

Kathleen Ann WILKINSON, anaesthetics

Kenneth SMITH, medicine

Robert TASKER, paediatrics

Nicholas WAREHAM, public health

David LOMAS, radiology

Jerome PEREIRA, surgery

Gold

Andrew LEVER, medicine

Clare MARX, surgery

Platinum

Anthony GREEN, pathology

London North East

Bronze

Andranick PETROS, anaesthetics

Susan WRIGHT, anaesthetics

Susan CUNNINGHAM, dental

William ROSENBERG, medicine

Daniel HOCHHAUSER, medicine

Richard SCHILLING, medicine

Perry ELLIOTT, medicine

Anthony MATHUR, medicine

P AURORA, paediatrics

Michael BURCH, paediatrics

GJ LAING, paediatrics

Marco NOVELLI, pathology

PJ SANTOSH, psychiatry

Peter LUNNISS, surgery

Colin HOPPER, surgery

Silver

Alejandro MADRIGAL, medicine

PH MAXWELL, medicine

Chris BOSHOFF, medicine

Nicholas WOOD, medicine

R VINER, paediatrics

Timothy BRIGGS, surgery

Martin BIRCHALL, surgery

Gold

Chris GRIFFITHS, academic GP

Jane Dacre, medicine

London North West

Bronze

J CORDINGLEY, anaesthetics

Marcus FLATHER, medicine

Kevin FOX, medicine

Theresa MCDONAGH, medicine

Melanie CORBETT, ophthalmology

Michael GATZOULIS, paediatrics

Gwen ADSHEAD, psychiatry

N CHATURVEDI, public health

Vassilios PAPALOIS, surgery

Susan CLARK, surgery

Peter CLARKE, surgery

Silver

Duncan MACRAE, anaesthetics

Alison HOLMES, medicine

Timothy AITMAN, medicine

Guduru GOPAL-RAO, pathology

Nicola STRICKLAND, radiology

Gold

Neil POULTER, medicine

Platinum

David WOOD, medicine

AD EDWARDS, paediatrics

Ara DARZI, surgery

London South

Bronze

Platon RAZIS, anaesthetics

Jackie BROWN, dental

Johann Sebastian DE BONO, medicine

S SHARMA, medicine

Jaswinder GILL, medicine

Desmond BARTON, obs and gynaecology

Baskaran THILAGANATHAN, obs and gynaecology

David O’BRART, ophthalmology

David LAIDLAW, ophthalmology

P GRINGRAS, paediatrics

Mark PEAKMAN, pathology

Anthony WIERZBICKI, pathology

Jonathan EDGEWORTH, pathology

Ann YORK, psychiatry

Allison STREETLY, public health

Sujal DESAI, radiology

Barry POWELL, surgery

Silver

Fraser MCDONALD, dental

Martyn THOMAS, medicine

Andrew SHENNAN, obs and gynaecology

AH SULTAN, obs and gynaecology

Anil DHAWAN, paediatrics

JCW MARSH, pathology

Antonio PAGLIUCA, pathology

Philip MCGUIRE, psychiatry

Anthony BOARDMAN, psychiatry

Sube BANERJEE, psychiatry

Gold

Edward BAKER, paediatrics

Paul LELLIOTT, psychiatry

Charles WOLFE, public health

Platinum

PG KOPELMAN, medicine

Stephanie AMIEL, medicine

Anthony DAVID, psychiatry

North East

Bronze

Gerard DANJOUX, anaesthetics

Patrick CHINNERY, medicine

Alison BROWN, medicine

Julia NEWTON, medicine

Mark ROBERTS, obs and gynaecology

Jason WAUGH, obs and gynaecology

Raj NAIK, obs and gynaecology

HJ VORMOOR, paediatrics

Robert PICKARD, surgery

David DEEHAN, surgery

William OWENS, surgery

Silver

Simon THOMAS, medicine

Hock Kim Stephen HINSHAW, obs and gynaecology

Helen FOSTER, paediatrics

Richard MONTGOMERY, surgery

Simon KENDALL, surgery

Gold

Brian MARTINDALE, psychiatry

Platinum

Chandra Mohan KUMAR, anaesthetics

North West

Bronze

Carolyn CHEW-GRAHAM, academic GP

Chris TILL, anaesthetics

Michael PEMBERTON, dental

Paul LORIGAN, medicine

Edward JUDE, medicine

Terence O’NEILL, medicine

Corinne FAIVRE-FINN, medicine

Anthony JONES, medicine

Dorothy TRUMP, medicine

Ludwig NEYSES, medicine

Rhidian BRAMLEY, radiology

Timothy WOOLFORD, surgery

Silver

Peter TRAINER, medicine

Mark WOODHEAD, medicine

Cynthia PINE, public health dentistry

Kieran O’FLYNN, surgery

B BRIDGEWATER, surgery

Nigel James BUNDRED, surgery

Gold

Alan JACKSON, radiology

Platinum

Christopher GRIFFITHS, medicine

James Edmond WRAITH, paediatrics

South East

Bronze

Colin SPRING, anaesthetics

Andrew DIBIASE, dental

Lawrence GOLDBERG, medicine

Mark HILL, medicine

David HILDICK-SMITH, medicine

Adam Julian DE BELDER, medicine

Jonathan DUCKETT, obs and gynaecology

FG AH-FAT, ophthalmology

Andrew LAURIE, pathology

Peter RIMINGTON, surgery

HD APTHORP, surgery

Clive PRATT, surgery

Silver

Martin FISHER, medicine

David HOWLETT, radiology

Gold

Kevin DAVIES, medicine

Graham LAYER, surgery

South

Bronze

Andrew Oliver Mungo WILKIE, medicine

David OLIVER, medicine

Anoop CHAUHAN, medicine

Bernard PRENDERGAST, medicine

Robert LEWIS, medicine

Avan AIHIE SAYER, medicine

Mark MIDDLETON, medicine

Ashwani MONGA, obs and gynaecology

Vicky OSGOOD, obs and gynaecology

Robert MACLAREN, ophthalmology

Julie EDGE, paediatrics

Rupert MCSHANE, psychiatry

William GRAY, surgery

Henrik STEINBRECHER, surgery

Paul JOHNSON, surgery

Sunil OHRI, surgery

Silver

Timothy LANCASTER, academic GP

Jonathan FIELDEN, anaesthetics

Diana ECCLES, medicine

Christopher CONLON, medicine

Michael CUMMINGS, medicine

Peter SULLIVAN, paediatrics

Robert Mark BEATTIE, paediatrics

Gold

Peter JOHNSON, medicine

Keith WILLETT, surgery

Peter FRIEND, surgery

Platinum

Iain CAMERON, obs and gynaecology

South West

Bronze

Alastair HAY, academic GP

Frederick ROBERTS, anaesthetics

Jane LUKER, dental

Nabil JARAD, medicine

Wai TSE, medicine

Daniel FLANAGAN, medicine

Elizabeth PRICE, medicine

Julian ABEL, medicine

John FERRIS, ophthalmology

Sarah SMITHSON, paediatrics

Jennifer TYRRELL, paediatrics

Andrew MUMFORD, pathology

David PHILLIPS, public health

Amit BAHL, radiology

Raimondo ASCIONE, surgery

Francis Xavier KEELEY, surgery

Richard WELBOURN, surgery

Silver

J CAMPBELL, academic GP

Timothy COOK, anaesthetics

Elizabeth Anne THORNBERRY, anaesthetics

Andrew LEVY, medicine

David WYNICK, medicine

Tanzeem RAZA, medicine

David MARKS, pathology

Anne MOORE, surgery

Alan BRYAN, surgery

Gold

Jerry NOLAN, anaesthetics

Michael DURKIN, anaesthetics

Platinum

Jonathan SANDY, dental

Neil SHEPHERD, pathology

Wales

Bronze

G FINDLAY, anaesthetics

K BISHOP, restorative dentistry

S ALLEN, paediatrics

G ROBINSON, pathology

L FLIGELSTONE, surgery

B CHADWICK, paediatric dentistry

S HUDDART, surgery

A MOTT, paediatrics

P DUMMER, restorative dentistry

CL HANNA, radiology

N MASANI, medicine

A EDWARDS, GP

Silver

E TREASURE, dental public health

A KEMP, paediatrics

P DURNING, orthodontics

PH JEWELL, medicine

Gold

JAE REES, medicine

West Midlands

Bronze

Robert MCKINLEY, academic GP

Anne-Marie SLOWTHER, academic GP

Paramjit GILL, academic GP

Shashi Bala VOHRA, anaesthetics

Andrew VEITCH, medicine

Sara THORNE, medicine

Philip TOOZS-HOBSON, obs and gynaecology

Khalid KHAN, obs and gynaecology

S SHAH, ophthalmology

Pamela KEARNS, paediatrics

Giridharan RAJARATNAM, public health

Simon BRAMHALL, surgery

Isaac NYAMEKYE, surgery

Paolo MUIESAN, surgery

Silver

David MUTIMER, medicine

George KITAS, medicine

Jeremy KIRK, paediatrics

Helen GOODYEAR, paediatrics

Andrew BRADBURY, surgery

Darius MIRZA, surgery

Gold

Paul DODSON, medicine

Platinum

Frederick HOBBS, academic GP

David ADAMS, medicine

Yorkshire & Humber

Bronze

Alison PITTARD, anaesthetics

Robert CRUICKSHANK, anaesthetics

Martin THORNHILL, dental

Simon LITTLEWOOD, dental

Dennis MCGONAGLE, medicine

Helen FORD, medicine

Basil SHARRACK, medicine

John PUNTIS, paediatrics

Michael THOMSON, paediatrics

Simon CROSS, pathology

JF MORGAN, psychiatry

Wendy BURN, psychiatry

William RAMSDEN, radiology

Andrew GRAINGER, radiology

Timothy HODGSON, radiology

John Gavin MILLER, surgery

Muhammad QURAISHI, surgery

Silver

James MCLENACHAN, medicine

Janette CLARKE, medicine

Christopher HOBBS, paediatrics

Eric KILPATRICK, pathology

Timothy KENDALL, psychiatry

David SEBAG-MONTEFIORE, radiology

Adrian JOYCE, surgery

Christopher MUNSCH, surgery

Gold

Peter BELFIELD, medicine

Platinum

Ian GREER, obs and gynaecology

David John COTTRELL, psychiatry

ACCEA

Bronze

Heidi Ann DOUGHTY, pathology

Gillian LENG, public health

Platinum

SR PALMER, public health

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What’s happening to consultant pay in your trust?

By Mike Broad - 6th July 2010 10:03 am

I like my local hospital in Norwich. When I’ve accessed its services, I’ve been happy with the results.

However, I was disappointed by a recent communication. I received a letter and a glossy brochure asking me to become ‘a member’ of the trust.

By being a member I would receive regular updates about the work of the trust, be invited to events and be able to vote in governors.

Public engagement with health services is important, but there are ways and means. In this digital age, they shouldn’t be spending a fortune on paper-based communication with thousands of patients.

A different department in the hospital is currently leaning on consultants to compromise their pay. Consultants are being asked to drop half a PA in pay, while still doing the same work, or accept a 5% pay cut for a year.

They’re just proposals at the moment but it’s surprising how many consultants appear willing to consider it.

I’d tell the management to get stuffed until they stop wasting money on recruiting ‘members’ and the like. I’m sure potential members would agree.

Elsewhere news is filtering through of other tough measures. The level of Clinical Excellence Awards is to be frozen until 2013. As they’re pensionable, this is another blow to consultants’ long-term financial security.

And there’s lots of conjecture around pension reform and whether consultants will have to pay a one-off levy to maintain their current benefits.

Is it fair that while consultant pay is frozen for three years local trusts try to guilt their doctors into accepting additional arbitrary cuts? Surely the answers lie in more efficient services.

And it’s so self-defeating when it comes to productivity. One imagines that many consultants, who may never have done any private practice, are considering it now.

Depressing times. If it is to be resisted, we need to start collating what is happening around the country to consultant pay and benefits.

If your trust has made controversial proposals take the opportunity to name and shame them below - you can post anonymously.

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Pay and pensions compromised by the Budget

By Francesca Robinson - 24th June 2010 8:10 am

Salaried NHS doctors face a two year pay freeze and a pensions shake-up as part of a raft of austerity measures announced in this week’s Emergency Budget.

But higher earning doctors who provide private health services through their own companies will benefit from a reduction in corporation tax.

There will be a review of the public sector pension system to report in time for next year’s Budget. One immediate cost saving measure however announced by chancellor George Osborne is that public service pensions will rise in line with the consumer prices index rather than the, generally higher, retail price index.

Doctors’ leaders delivered muted condemnation of the pay freeze, aware that this will hit four million other lower paid public sector workers much harder than medics. The move will save taxpayers £3.3 billion a year.

BMA council chairman Dr Hamish Meldrum, said: “Doctors understand that these are difficult times and we accept the need to be reasonable and responsible about future pay rises. However, we are seriously concerned that the chancellor has overridden the whole negotiation process between the BMA and the independent review body.”

He pledged that the BMA would fight to protect the value of current and future pensions, pointing out that the NHS scheme had already undergone a major review in 2008.

Stephen Campion, chief executive of the Hospital Consultants and Specialists Association, said: “The two year pay freeze will be disappointing for those affected by it including hospital consultants who in the last three years have been hit by ever increasing national insurance hikes as well as a pay freeze last year. But one has to be pragmatic and say that this comes as no great surprise.”

He also criticised the lack of clarity on the state pension and the announcement that the government would accelerate the date when the state pension age will be raised to 66. This could be as early as 2016.

“The chancellor left a lot of ifs and buts about pensions hanging in the air. The budget was disappointing more for what was not said than was said,” said Campion.

Vanessa Sanders, a director at the accountancy firm Stanbridge Associates said the budget had not made things worse for higher earning medics who have already taken a big hit this financial year losing their personal allowance and being required to pay a 50% rate of income tax.

She advised any doctors with a lucrative private practice to incorporate if they have not already done so to take advantage of the lowest ever rates of corporation tax.

The good news for higher earners includes:

• Corporation tax: for consultants who have incorporated - from 1 April 2011 corporation tax for small companies will be cut from 21% to 20%. Corporation tax for large companies (with profits in excess of £300,000) will be cut from 28% to 27% next year and by 1% for the next three years to 24%.

• Entrepreneurs’ Relief: has been protected - from 23 June 2010, the lifetime limit of gains, which can benefit from ER, and are therefore taxed at 10%, is increased from £2m to £5m. This will benefit doctors who have a private practice or are sole traders who are thinking of disposing of their business or assets following the cessation of a business.

• For consultants who have furnished holiday lettings: the FHL rules will not be withdrawn from April 2010 as previously planned. The government will consult over the summer about plans to change the regime from April 2011. FHL remains a potential alternative tax advantageous investment.

• Higher earners’ pensions: the government will look at alternatives to pension tax relief restrictions for high earners. The current administration believes that reducing pensions tax relief for those that earn £150,000 or more (which was proposed by Labour) would bring “significant” complications to the system. Reducing the annual allowance might be a more preferable option.

Check out your pay scales.

Read more on what the City thought of the Budget.

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NHS chief executive pockets second highest salary

Healthcare Republic - 1st June 2010 11:56 am

The chief executive of the NHS has the second highest salary in the public sector and earns almost twice as much as the prime minister, a list of top earning public sector staff reveals.

The list of 171 public workers earning more than £150,000 places David Nicholson, who earns between £255,000 and £259,999, in second place - just behind top earner John Fingelton, chief executive of the Office of Fair Trading.

Ten other DoH workers were also in the list, including: Sir Liam Donaldson, former chief medical officer (£205,000 - £209,999); Gabriel Scally, regional director of public health (£200,000 - £204,999); and, David Salisbury, director of immunisation (£175,000 - £179,999).

David Cameron recently announced he would take a pay packet of £142,500.

Read more at Healthcare Republic.

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CBI urges public sector pay freeze

HSJ - 19th May 2010 9:22 am

Business leaders have called for an immediate freeze in the public sector pay bill under moves to control public finances.

The Confederation of British Industry said increases for frontline staff and the lowest paid would still be justifiable, but argued the total pay bill should not increase for the next two years.

The business group said pay freezes had been commonplace in private firms during the recession, leading to a 0.9% fall in average pay last year, but wages had grown by 2.8% in the public sector.

Setting out its priorities for the new government, the CBI said selected public sector pay and recruitment freezes could save £18 billion over the next two years.

The move should be coupled with measures to allow businesses to create jobs and drive economic growth, it was argued.

Ministers were also told that a further £8 billion could be saved by 2015-16 through increasing the involvement of private firms and the third sector in re-shaping service provision.

Other suggestions included opening up public services to greater competition, reducing sickness rates and allowing private firms to run non-core activities.

Read more at HSJ.

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Public sector pay curbs more difficult in future

By Mike Broad - 10th May 2010 9:28 am

A new government will struggle to sustain public sector pay freezes, analysis of pay data reveals.

The Labour Research Department study indicates that pay restraint in the private sector is declining.

An uplift in median pay levels and a reduction in the number of pay freezes for the three months to April 2010 suggest that it will be increasingly difficult to impose a pay freeze in the public sector, as all measures of inflation and private sector pay are now rising following the recession.

In the private sector, the median pay increase according to LRD’s database of negotiated agreements was 2% in the three months to April, with pay freezes forming 17% of settlements. One quarter of private sector deals are now being agreed at 3% or more.

The Retail Prices Index inflation measure currently stands at 4.4%.

Lewis Emery, pay and conditions researcher at LRD, said: “While we may not have seen the back of pay freezes just yet, there is likely to be greater pressure on all employers to settle for a positive increase as pay medians begin to rise.

“Public sector unions are already very unhappy about plans to hold down wages. With the rise in inflation, and pressure from comparisons with the private sector, it may be hard for whichever party is in government after the election to keep the lid on public sector pay.”

Consultants suffered a pay freeze in 2010/2011, while juniors received 1%.

Read the full report.

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Chief execs earn sizable bonuses on top of salary

The Observer - 27th April 2010 11:20 am

NHS bosses are earning annual bonuses of tens of thousands of pounds on top of their six-figure salaries.

Hundreds of chief executives, departmental directors and board members of hospitals and other NHS organisations have received extra payments of as much as £32,000 - the largest single year’s bonus unearthed by freedom of information requests submitted by the Liberal Democrats.

The £32,000 bonus went in 2008-09 to Beccy Fenton, deputy chief executive of the Heart of England hospital trust, who already earns £170,000 a year.

Anna Walker, who was chief executive of the Healthcare Commission until it was disbanded last year, earned the largest combined amount in the past three years - £68,150 on top of her six-figure salary. She received £22,375 in 2006-07, £23,000 in 2007-08 and £22,775 in 2008-09 for running the then NHS watchdog in England.

Norman Lamb, the Lib Dems’ health spokesman, condemned the payments as shocking. “These bonuses are utterly scandalous. People will be disgusted by the extent to which fat cats in the public sector have been enriched at a time when the NHS has denied people drugs that they need and access to treatments such as in mental health,” he said.

Read more at The Observer.

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Pay rises for chief execs outstrip consultants

BBC Health - 12th April 2010 12:16 pm

Top managers in England’s NHS trusts received average pay rises of nearly 7% in 2008-09, a report says.

An Incomes Data Services report into boardroom pay at more than 380 trusts found chief executives earned seven times more than the average nurse.

Senior managers in NHS trusts typically earned £147,500, the report says.

The NHS Confederation said trusts needed top managers to help them through financial challenges.

Unions have questioned why bosses have had above-inflation rises when ordinary workers have had much lower rises, but senior managers have responded by saying that NHS trusts are immensely complicated organisations to run, with budgets of many millions of pounds.

Read more at BBC Health.

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Hospital doctors’ pay scales for 2010/2011

By Mike Broad - 10th April 2010 4:12 pm

Consultants did not receive a pay rise for 2010/2011. The government also froze the value of clinical excellence awards.

Foundation year doctors, house officers, senior house officers, specialty registrars, specialty doctors, associate specialists and salaried GPs in England received a 1% pay rise from 1 April 2010.

The government turned down a recommendation from the Doctors’ and Dentists’ Review Body that juniors’ pay should increase by 1.5%. Wales adopted the same pay awards to doctors, but juniors in Scotland received the 1.5% pay uplift.

In 2009/2010, all doctors received a 1.5% pay rise.

Consultant salaries 2010/2011

Threshold 1, years completed as a consultant 0, £74,504, period before eligibility for next threshold one year

Threshold 2, years completed as a consultant 1, £76,837, period before eligibility for next threshold one year

Threshold 3, years completed as a consultant 2, £79,170, period before eligibility for next threshold one year

Threshold 4, years completed as a consultant 3, £81,502, period before eligibility for next threshold one year

Threshold 5, years completed as a consultant 4, £83,829, period before eligibility for next threshold five years

Threshold 6, years completed as a consultant 9, £89,370, period before eligibility for next threshold five years

Threshold 7, years completed as a consultant 14, £94,911, period before eligibility for next threshold five years

Threshold 8, years completed as a consultant 19, £100,446

Clinical excellence awards for consultants

Level 1 £2,957

Level 2 £5,914

Level 3 £8,871

Level 4 £11,828

Level 5 £14,785

Level 6 £17,742

Level 7 £23,656

Level 8 £29,570

Bronze/Level 9 £35,484

Silver/Level 10 £46,644

Gold/Level 11 £58,305

Platinum/Level 12 £75,796

More on Clinical Excellence Awards

Trainee salaries 2010/2011

Grade FHO1

Point minimum, no band £23,533, 1C band (20%) £26,895, 1B band (40%) £31,377

Point 1, no band £25,002, 1C band (20%) £28,574, 1B band (40%) £33,336

Point 2, no band £26,470, 1C band (20%) £30,251, 1B band (40%) £35,293

Grade FHO2

Point minimum, no band £27,798, 1C band (20%) £33,358, 1B band (40%) £38,918

Point 1, no band £29,616, 1C band (20%) £35,540, 1B band (40%) £41,463

Point 2, no band £31,434, 1C band (20%) £37,721, 1B band (40%) £44,008

Grade StR

Point minimum, no band £29,705, 1C band (20%) £35,646, 1B band (40%) £41,587

Point 1, no band £31,523, 1C band (20%) £37,828, 1B band (40%) £41,133

Point 2, no band £34,061, 1C band (20%) £40,874, 1B band (40%) £47,686

Point 3, no band £35,596, 1C band (20%) £42,716, 1B band (40%) £49,835

Point 4, no band £37,448, 1C band (20%) £44,938, 1B band (40%) £52,428

Point 5, no band £39,300, 1C band (20%) £47,160, 1B band (40%) £55,020

Point 6, no band £41,152, 1C band (20%) £49,383 1B band (40%) £57,613

Point 7, no band £43,003, 1C band (20%) £51,604, 1B band (40%) £60,205

Point 8, no band £44,856, 1C band (20%) £53,828, 1B band (40%) £62,799

Point 9, no band £46,708, 1C band (20%) £56,050, 1B band (40%) £65,392

Specilty doctor salaries 2010/2011

Scale value minimum, £36,807, period before eligibility for next pay point one year

Scale value 1, £39,955, period before eligibility for next pay point one year

Scale value 2, £44,046, period before eligibility for next pay point one year

Scale value 3, £46,239, period before eligibility for next pay point one year

Scale value 4, £49,398, period before eligibility for next pay point one year

Scale value 5, £52,546, period before eligibility for next pay point two years

Scale value 6, £55,764, period before eligibility for next pay point two years

Scale value 7, £58,983, period before eligibility for next pay point two years

Scale value 8, £62,201, period before eligibility for next pay point three years

Scale value 9, £65,419, period before eligibility for next pay point three years

Scale value 10, £68,638

Associate specialist salaries 2010/2011

Scale value minimum, £51,606, period before eligibility for next pay point one year

Scale value 1, £55,754, period before eligibility for next pay point one year

Scale value 2, £59,901, period before eligibility for next pay point one year

Scale value 3, £65,378, period before eligibility for next pay point one year

Scale value 4, £70,126, period before eligibility for next pay point one year

Scale value 5, £72,095, period before eligibility for next pay point two years

Scale value 6, £74,665, period before eligibility for next pay point two years

Scale value 7, £77,235, period before eligibility for next pay point two years

Scale value 8, £79,805, period before eligibility for next pay point three years

Scale value 9, £82,375, period before eligibility for next pay point three years

Scale value 10, £84,948

Read the full pay scales.

Dispute over pay awards for hospital doctors

The government takes pay advice from the Doctors’ and Dentists’ Review Body (DDRB) before announcing the pay awards in April. The pay body was set up in 1971 and its reviews are supposedly independent. It has, however, been repeatedly criticised for favoring the government’s position over that of the profession.

The pay body considers the need to recruit, retain and motivate doctors; regional variations in labour markets; the funds available to the health departments in the UK; the government’s inflation target, and the overall strategy that the NHS should place patients at the heart of all it does. It also takes account of the economic and other evidence submitted by the government, staff and professional representatives.

In 2008/2009, the pay increase to doctors’ national pay scales was 2.2%, as recommended by the review body. In contrast, in January 2008, the Retail Price Index - an accurate measure of inflation - stood at 4.1%. The BMA advised pay increases of between 3.6% and 4.3% for the different groups it represents.

In recent years, the media have been less than sympathetic to the pay claims of the medical profession, and the value of GP pay rises in particular have come under scrutiny.

In 2009/2010, the pay increase to doctors’ national pay scales was 1.5%, as recommended by the review body. The BMA criticised the pay body report for lacking clarity on how the figure was arrived at, given that both the NHS Employers’ and Health Department’s evidence suggested a 2% pay rise for doctors was affordable.

The BMA claimed that the evidence appeared to have been discounted and the pay body drew its own conclusions on the affordability of the doctors’ pay round.

In 2010/2011, health secretary Andy Burnham overruled advice from the pay body, which recommended a pay rise for trainees of 1.5%, instead offering 1%. He called on consultants to show leadership over pay restraint.

Burnham said: “These pay uplifts are a good deal for the government and the NHS. In tough times, this package targets the pay rises we can afford to make where they can do most good for patients.”

The BMA had urged the review body to remain independent of government and recommend a 2% pay uplift for 2010/2011.

BMA chairman Dr Hamish Meldrum said: “Many doctors have already undergone pay freezes or sub-inflation pay rises in recent years and today’s announcement will mean a pay freeze for the most highly experienced senior doctors.

“We are particularly disappointed that the Government, in choosing to interfere with the pay review body’s recommendations, has not fully taken into account the financial pressures on junior doctors in their first years of postgraduate training - who have average debts of £22,000.

“It is interesting that the government accepted in full the salary increases recommended for MPs, yet chose to penalise dedicated and hard-working doctors who strive to lead and deliver improvements in care whilst working in exceptionally challenging circumstances.”

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