NHS consultants end pay dispute after accepting fresh government pay offer

5 April 2024, 11:14 | Updated: 5 April 2024, 13:22

NHS consultants have agreed a deal to end long-running pay dispute
NHS consultants have agreed a deal to end long-running pay dispute. Picture: alamy

By StephenRigley

Consultants in England have voted to accept a government pay deal - bringing to an end the dispute which had led to strike action.

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The British Medical Association (BMA), a trade union which has been representing senior doctors during the year-long pay dispute - put the offer to its members, with 83 per cent voting in favour.

Consultants who are members of the British Medical Association (BMA) and the Hospital Consultants and Specialists Association (HCSA) have backed a fresh pay deal.

The offer will mean some consultants will receive a pay increase of nearly 20% for the financial year 2023-24.

Junior doctors in England remain in dispute with ministers over pay, and have a fresh mandate to strike.

The offer will mean some consultants will receive a pay increase of nearly 20 per cent for the financial year 2023-24.
The offer will mean some consultants will receive a pay increase of nearly 20 per cent for the financial year 2023-24. Picture: Alamy

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The BMA said the offer includes important changes 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 that the changes mean the doctors' pay review body 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."

The deal includes a 2.85 per cent (£3,000) 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 six per cent awarded last summer.

Dr Vishal Sharma, chairman of the BMA consultants committee, said: "The last year has seen consultants take unprecedented strike action in our fight to address our concerns about pay and how the supposedly independent pay review process was operating.

"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 (pay review body) utilises its independence to restore doctors' pay and prevent any further disputes from arising.

"We've reached this point not just through our tough negotiations with the Government, but thanks to the resolve of consultants, who took the difficult decision to strike, and did so safely and effectively, on multiple occasions, sending a clear message that they would not back down.

"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% - 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.

Members of the BMA on the picket line last year
Members of the BMA on the picket line last year. Picture: Alamy

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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.

"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."

Despite this breakthrough, the government and BMA remain a long way from solving the junior doctors' pay dispute.

The BMA has a fresh six-month strike mandate after talks collapsed late last year. However, no new strike dates have been announced yet.

Junior doctors in Northern Ireland and Wales remain in dispute with the government over pay and have taken