Hospital doctor pay scales for 2018/2019

The Conservative Government awarded a pay rise of 1.5% for 2018/2019 in England for consultants.

However, the uplift for the 2003 consultant contract was only effective from 1 October 2018 and has not been backdated to 1 April 2018.

This means that the effective value of the uplift for this year is 0.75%.

NHS pay was frozen in 2012 and 2013, and since 2014 rises have been limited to 1%.

Consultant pay scales and CEAs are set to change with the launch of a much-delayed new contract in 2019, after years of negotiation between the Government and the BMA.

The Government has been committed to introducing ‘seven-day services’ among medical staff – without increasing the pay envelope.

Consultant (2003 contract) basic salary

Threshold            Years completed  Basic salary (£)  Next threshold

1                             0                               77,913                  1 year

2                             1                                80,352                 1 year

3                             2                                82,792                 1 year

4                             3                                85,232                  1 year

5                             4                                 87,655                 5 years

6                             9                                 93,459                 5 years

7                             14                               99,254                 5 years

8                             19                               105,042                 –

Clinical Excellence Awards

Awarded by local committees

Level 1                  3,016

Level 2                  6,032

Level 3                  9,048

Level 4                  12,064

Level 5                  15,080

Level 6                  18,096

Level 7                  24,124

Level 8                  30,160

Level 9                  36,192

Awarded by ACCEA

Level 9 (Bronze)               36,192

Level 10 (Silver)                47,582

Level 11 (Gold)                  59,477

Level 12 (Platinum)           77,320

Specialty Doctor Pay Scale

Scale value          Basic salary (£)   Period before next pay point

Min                        39,060                  1 year

1                             42,400                 1 year

2                             46,742                 1 year

3                             49,069                 1 year

4                             52,422                 1 year

Threshold 1

5                             55,762                  2 years

6                             59,177                  2 years

7                             62,593                  2 years

Threshold 2

8                             66,009                  3 years

9                             69,424                  3 years

10                           72,840                   –

Trainee Doctors Basic Pay Scales (2016 Contract)


Nodal Point 1             27,146


Nodal Point 2             31,422


Nodal Point 3             37,191


Nodal Point 4             47,132


Nodal Point 3             37,191


Nodal Point 4            47,132

Read the full pay scales, including Weekend Allowances and On-call Availability Allowance.

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186 Responses to “Hospital doctor pay scales for 2018/2019”

  1. Jamie says:

    So 3 years undergrad + 1-2 years experience + phd for clinical psychologist. So 8 years
    5-6 years med school, 2 years foundation, 2 years core, 5 years speciality and potentially 2-3 years doing MD/PhD if competitive. 14- 18 years for hospital consultant.

    Also, it gets me when people say they have the same responsibility. You don’t. I’m sorry, but offering a diagnosis does not make you the responsible clinician in charge of the patients care. The trouble is when things go tits up, its the psychiatrist that has ultimate responsibility for the patient and they will be the ones dragged through the coroners court, not you.
    That’s why consultants get so pissed that everything has to be MDT lead, as when it goes wrong its the physician in the coroners court. Not the MDT members.

  2. Fuzzydoc says:

    In response to Jamies query – its actually the GP who is ultimately responsible. Remember that you borrow our patients and then give them back to us, especially when your limits are reached (which is more common than you think!).

  3. Bilbo says:

    @Jamie: actually, pal, you’re talking about two different things. You’re confusing the career-development of a physician, during which you are paid, with ‘training’. A physician’s unpaid training ends after 6 years. For a clinical psychologist — a proper ‘doctor’ who is actually qualified as a clinician and a scientist, not just a clinician — it’s also 6 years (if you’re lucky), and sometimes several years of often unpaid clinical experience in order to have the ‘privilege’ of being able to train as a clinical psychologist. And you’re also confusing competence with the institutional power of physicians’ claiming responsibility for and ‘ownership’ of patients. As a patient, I really hope I never have you providing a ‘service’ to me because of your overvalued belief about your specialness.

  4. Clinical Commissioner says:

    Dear Bilbo,

    I can undrstand your frustration.
    Drs till they become registrars are not paid salaries by the NHS. The Treasury allocates funds via the Medical and Dental Education Levy to ensure that training post are supported. many medics take time out to do either a PhD (if they want to work in a teaching hospital), a PhD in medical Education or MD (not so common now but was common in the 80s) or a MBA (if they want to do medical management)Clearly if you feel that psychology requires MADEL funding and if the general public, commissioners and the DoH agree with your professional council you will be able to apply for funding.

  5. doctorwho says:

    Why do GP partners get paid more than hospital doctors? The average GP partner takes around £104,000. It takes nearly half the time to become a gp and becoming a partner these days isn’t difficult. In comparison breaking the 6 figure mark as a consultant would take 19 years! And then the training before becoming a consultant takes much longer.
    In emergency medicine work hours are terrible, work is very intensive and there are less available private opportunities. There is a recruitment crisis and problems in A and E departments. I could see financial incentives being a possible solution to its recruitment crisis.

  6. Doc says:

    It fascinate me when I see someone describing doctors’ work as ‘service’, and more when this comes in conjunction with doctors’ pay. When the ‘service’ results in improving or saving your life, don’t you think the pay the ‘service providers’ receives is not a fraction of the value of the ‘service’ they receive?

  7. Jamie says:

    Fuzzy – In my experience if a problem is outside of the remit of the specialist then yes patient would be handed back but either with a referral to an alternative specialist or advise where the GP should refer.

    Bilbo – Firstly “pal”, Doctors post graduate from foundation training, to core training, to specialist training is very much training in the very real sense. Not professional development as you state. Professional exams must be sat to progress, yearly assessments of progress, assessments by colleagues. I don’t understand how you would not consider this to not be formal training as it fulfil in my mind all the prerequisites.

    With regards to competence vs power of doctors, I really don’t feel that is the case at all….my point is that the MDM as all the power but the consultant holds all the responsibility for when it goes wrong.

  8. Fiona says:

    GP’s are independent practitioners who are not ’employed’ by the NHS like hospital medics are. They have to set their own wages, based on how well they manage their ‘business’. They ‘contract’ their services to the NHS . The hospital consultant does not have to organise staff, employ and pay the wages of clinical and non-clinical staff, upkeep the hospital building, buy their own provisions (paper, computers, carpets, chairs, heating bills). That’s why the pay is different. It is like comparing a chef to a restaurant owner. Different job.

  9. Dr Rufus says:

    No Fiona, It’s why you have practice managers. Being a GP is more like a diner at a posh restaurant ordering delicacies produced by the head chef and armies of staff working with her/him. This is why I believe that the dinosaurish situation of GPs owing their own practices should be replaced by one where all GPs are salaried and their practices/staff managed by a special trust.

  10. Hospital doc says:

    Sorry to post this on here but I am not having much luck with my new employer or the BMA. I’m hoping someone can answer this question.

    I qualified in 2004, did a 1 year pre registration house officer job then a 2 year basic surgical training rotation. I then commenced st training at ST2. I was placed on pay point 2. I have just completed ST8 and finished on pay point 7 in Scotland. I recently started a fellowship in England and my new employers are adamant that I should be on pay point 7 rather than 8. Which I would have been placed on if I had stayed in my previous job.

    Can someone advise me what scale I should be on?

  11. J says:

    Dr Rufus,

    Fantastic idea. After all, hospital trusts work so brilliantly… 🙂 clearly you have no insight into what it’s like being part of one…


  12. Sri says:

    I completed 4 Reg LATs and on point 7 Str scale(£43,434)

    I am moving on to specialty doctor post. What point on the specialty doctor pay should I be? My medical staffing is trying to put me on point 2 on specialty doctor pay?

    Please someone advice. Thanks a lot for your help?

  13. LionelStrachan67 says:

    @ Jamie

    Since the revised MHA in 2008, clinical psychologists can have full responsibility for patients. See this article: Plus, when coroner’s are involved, psychologists often have to write reports to the coroner’s office or attend court.

    They are a skilled profession on par with physicians. Entry to clinical psychology training courses is one of the most competitive and rigorous application procedures within UK professions. Only the exceptional get through. However, the long tradition of physicians within western culture has meant that relatively newer professions like clinical psychology are less ‘financially appreciated’. Physicians receive the privilege currently.

    I understand the frustrations of psychologists with the current pay discrepancy. Within the MDT, often psychiatrists clearly need their psychologist colleagues but at the same time, often try to subtly denigrate them. This is most evident when the formally earned ‘doctor’ title of clinical psychologists gets dropped by a few psychiatrists (many of whom, are bachelors of medicine and surgery – without a PhD or MD) who carry their title of doctor in an ”honorary’ / customary capacity.

    In recent years, the NHS has been moving towards individuals being paid according to their skill and responsibility (rather than traditional job titles). This will hopefully be a continued trend – bringing fairness and equity to the NHS professions.

  14. nafe says:

    I got a post of speciality doctor in gastro for basic salary of 57.500£ annually before tax
    It includes 48 h a week..(including 3-4 oncalls/ month)
    Is this ok or i was foold by the recruter ?
    It will be my first long term job in uk…
    I need your help please
    Thanks in advance..

  15. Tony says:

    The Answer: Move to Ireland.
    The rates of pay for consultants in the national health system are VERY high (even excluding the private practice on the side)

  16. Jamie says:

    @ Lionel.

    I have never seen a psychiatrist try to denigrate a psychologist. The most likely reason why the term Doctor is dropped in a clinical setting is that within a healthcare environment the use of the term “Doctor” implies to a patient that the patient is medically qualified. Nurses, pharmacists can all gain doctorates but are not medically qualified. I think it isn’t unreasonable that within hospitals the term “Doctor” should be reserved for those that are medically trained, as that is what a patient expects when the term “Doctor” is used.

    It would be nice Lionel if that was the case wouldn’t it? Then they would put Junior Doctors on a similar pay bracket as everyone else, as currently a newly qualified doctor is paid 22k basic whereas based on Agenda for change banding they should be on 31k for 38 hours.

  17. Jamie says:

    Also, I wouldn’t call it a privilege my friend. The salary is earned after years of being a rotas bitch, reorganising your entire life around work, and working probably hundreds of hours of night shifts and antisocial hours.

  18. Carl says:

    SOOO glad im a locum. These rates are horrible

  19. stacy says:

    For Hospital Dr :
    If you do not know your correct salary scale then ask the BMA. If the BMA cannot calculate your salary then you may need to spend some money and contact someone good like medicalfamily finance or Cavendish Medical and that money is well spent. All trade unions will collect your subscriptions and then do little living as they do off your moneys!!

  20. CP says:

    Actually Jamie, for Clinical Psychology it is more commonly the case 1-3 undergrad, 1 yr MSc (if you did not get a 1st class degree), minimum 1-2 yrs gaining experience (can be a lot more than this average age of training 27-29 yrs old). Then the 3 years doctorate. To then be able to access an 8a post you are required to have successfully completed an accreditation PG qualification in a therapy (most commonly self-funded) and to have completed a course in clinical supervision which again is assessed. Then to access 8b plus there is the requirement to have successfully completed another accredited PG qualification in an additional therapy.

    Therefore, the number of years you have identified appears to be incorrect in you were intending to calculate the time it takes to become a consultant in clinical psychology. I would suggest at an absolute minimum that it would be 11-12 years. Furthermore, there is no guarantee after all that that one would actually become a consultant as there are less and less jobs as we have been identified as an expensive profession! Also just to clarify we do not offer diagnosis that is the role of a psychiatrist we offer formulation.

  21. Rihanna says:

    Jamie I agree with you on all of the points you make. You’re right consultants do hold the responsibility and as an MDT member myself I have often been glad that doesn’t lie with me. Fortunately I’ve never experienced their frustrations about working with me on decisions 🙂 only courtesy and respect.

    Your words were twisted, I find people often selectively attend to certain words they read and miss the bloody point entirely! Pal!!
    Rihanna mental health nurse

  22. inthevale says:

    Good luck getting a consultant post in Ireland. There are SpR’s waiting for years for a position to become available (consultant retires), but eventually they tire and become a GP. And now the consultant rates have been dropped anyway. Yes, whilst the grass is enviable green here, that is only in the fields of kerry, cork and kildare to name a few. The grass is definitely not greener in the HSE than the NHS, I assure you!

  23. tricycle says:

    To my psychiatry and psychology colleagues.
    Dear oh dear. Pay does expose some raw nerves, isn’t it. Perhaps a few facts that can clarify the differential.
    1. The psychologist above seems to believe that their medically qualified psychiatrist has no grounding in science, but is merely a ‘clinician’. Instead, psychology is the purveyor of science, by inferrance. Perhaps my psychology colleagues would be advised to inform himself of what is involved in medical science in the first place. Commonly called the medical course , which all doctors including psychiatrists do, there is a particularly strong leaning towards sciences (physiology, biochemistry, pathology, pharmacology, statistics, biology, chemistry, physics, etc) and then its application to the human. It’s perhaps a tad insulting not to be aware of this)
    2. Psychiatric training includes training in psychological principles, psychological therapies (psychodynamic, group and shorter therapies such as CBT), as well as medical and pharmacological treatments. Whilst the depth to which a standard psychiatrist trains in therapies is not as great as psychologists, the psychiatrist’s roles are wider than psychological therapies. Psychiatric training is more multidimensional as it incorporates medicine ie it more holistic as it does not deny the importance of medical principles in psychiatry.
    3. The snide comment questioning the competency of the psychiatrist says more about the author’s prejudice against a particular professional group. This is very sad, and merely denigrates mental health professionals as a whole, and helps to confirm a particular stereotype about mental health services. Really shameful.

  24. Jamie says:

    Entirely agreed with point 1 Tricycle. Medicine has much more strong scientific theory than the vast majority of psychology.

    CP – I am stating the MINIMUM based on training period that it takes, and my colleague completed it within 8 years time. Of course this maybe rare, but often medically trained consultants take longer than the scheduled time also.

    Rihanna – Of course all members of the MDT should be respected and their specialist skills appreciated. And mostly compromises are made and that is for the best of the patient. But the ultimate responsibility does rest on the Consultant and I think its unfair for anyone in an MDT to not recognise that.

  25. […] Hospital doctor pay scales for 2016/2017 – a 1% rise After years of no increase, the conservative government awarded a pay rise of 1% for 2016/2017 in england to the hospital doctor pay scales. the freeze in the value. […]

  26. […] Hospital doctor pay scales for 2016/2017 – a 1% rise After years of little or no increase, the conservative government awarded a pay rise of 1% for 2016/2017 in england to the hospital doctor pay scales.. […]

  27. John jones says:

    Ive read a few comments and i encouter this often in health care. A lot of allied health professionals complaining about doctors and their salary.

    I have one suggestion to you….go back and do what you couldnt manage when you were 18/19…ie. get into medical school and become a medical doctor. This may be a honorary title but its certainly more useful and rewarded than most, if not all phd titles.

    Rant over. Check your local university website for entrance requirements to a Mb chb bao course and don’t be surprised if you dont make the cut, again.

    Its a tough life ☺

  28. Ray66f says:

    I am a nurse anesthetist in the US and do better than those rates for doctors and lower taxes.

  29. pa says:

    I worked as a trust registrar for 15-16 years and now last year I joined as a specialty doctor, medical staffing adamant and put me on point4 scale i.e £ 50000 per it fair?
    any help in this.

  30. sijith says:

    for specialty doctors there are min to 10 pay scales. How the scales are calculated? Does it depends on the year of experience? If so do they consider overseas experience as well? Please help

  31. Baba Bank says:

    Hi. Wasjust surfing for Consultant’s pay as my offspring hopes to take up a post soon. Am disappointed at the pay scale. I thought it would be a quantum jump in monetary term, but it is not so. My wife and I are both retired from mid-level public sector jobs, and I calculate that our nett pensions would still be more than a Consultant’s starting take-home pay! It is not fair, I mean for the Consultants. Wonder how they manage in a city like London.

  32. marka says:

    Come off it Baba Bank! That is basic pay!!!! It doesn’t include oncall weekends unsociable hours etc. If they work weekends they make loads. As a consultant they can now start private work. Maybe your offspring are unsuitable for the role if they are after money.

  33. Ar says:

    This is incredible.

    We should open medicine courses for more people.
    This is a academic dynasty.
    This idea of mono professionals in 2017 is excellent to dominate people and create a work class fund.
    Doctors should show their vulnerabilities. Be honest!

    Open education for medicine courses. An alternative way to verify trust, skills, knowledges!

  34. Salomone says:

    Are these salary scales before or after taxes? I will be starting a Consultant Post in January in the UK (I am an EU citizen) and I’d like to know what will be my exct salary. How much is the Tax percentage in the UK for a Consultant Salary? Thx

  35. Ed says:

    Reading above comments rather depressing

    mostly about pay , when average wages are

    around £25k it would seem to me that anyone

    in any profession earning more than £50k should

    be pleased

    Doctors earning more than £200k is a scandal and the

    politicians should end this gravy train ,thanks

    Tony Blair

  36. Balgeath says:

    I got registrar post offer from a U.K. Hospital but I believes it’s much less that what should be.
    I was graduated 2003
    My warm experience since then that’s means more than 15 years.
    I completed my MRCP 3013
    I have oncology experience for 6 years
    How I can calculate the expected salary scale?


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