Pret coffee baristas can now earn up to ยฃ14.10 per hour based on location.
After a 5 year medical degree, a doctor is paid ยฃ14.09 per hour.
When baristas are earning more than physicians, something has to give.
It's time for doctors' pay to be brought to sensible levels.
I submitted an FOI request to the GMC asking them about the tax they pay.
Turns out, the GMC do not pay tax. They class doctors' fees as charity.
They take ยฃ500/yr from doctors, pay zero tax on it, and use it to give their staff ยฃ250k salaries and private healthcare.
Physician Associates will now outearn F1s, the actual Physicians, to the tune of ~ยฃ4.5k.
2nd year PAs will outearn F2s by ~ยฃ7k.
Something is wrong when the PAs are outearning the actual Drs.
Good on PAs, they deserve their salaries. It's Drs that are being laughably underpaid
President of Royal College of Physicians,
@DrSarahClarke
, discourages Drs from striking.
She does two clinics worth ยฃ3k a week privately. I think her main concern is that she'd have less time to do private clinics if she had to cover for her striking juniors...
Ladder-pulling.
The GMC offers its workers private healthcare as a perk.
The GMC is funded by
#NHS
doctors. In turn, we're funding their private healthcare.
Doctor pay has been cut, NHS is desperate for money, yet our cash is going to the hands of private insurers. The whole thing is absurd.
An update: I submitted a Freedom of Information request to the GMC regarding their spending on private health insurance.
In 2021, they spent ยฃ450k on it.
That's half a million pounds of doctors' money going to private insurers.
We're funding this nonsense. We need reform.
The GMC offers its workers private healthcare as a perk.
The GMC is funded by
#NHS
doctors. In turn, we're funding their private healthcare.
Doctor pay has been cut, NHS is desperate for money, yet our cash is going to the hands of private insurers. The whole thing is absurd.
What a fantastic employer the NHS is...
Some Trusts have admin staff offices equipped with ยฃ1000 coffee machines.
Doctors & nurses have to fund their own teabags to make a cuppa on top of a fridge.
F1 Doctors are now paid LESS per hour than upper-point Band 4 workers.
Band 4 workers do not accrue ยฃ100k of debt & endure 5 years of med school. They do not make life-death decisions on a daily basis.
Unjustifiable. 35,000+ doctors will continue to strike until this is fixed.
The 4:1 competition ratio for IMT has been deliberately manufactured.
The market is now flooded with SHO-level doctors who have no choice but to work cheap Trust grade contracts while they wait for a place to open up.
We have a doctor shortage, but they won't let us train.
To consultants currently voting on their pay offer:
There are 23 year old newly-qualified solicitors in London earning ยฃ185k. Double your starting salary.
Just a reminder to reflect on your value.
One of the big problems with the NHS is lack of incentive for good performance.
If the rota coordinator doesn't fill the shift, the other doctor will just have to deal with it and pick up the slack.
If rota coordinators received an annual bonus for 95%+ rota gaps filled, thoseโฆ
Fascinating article from
@DailyMailUK
today.
To make it clear - doctors are highly qualified professionals, exist within a global market, and have every right to take their vast skillset elsewhere.
Security guards chasing a specialist doctor through a hospital for wearing scrubs, before physically assaulting him, and then reporting him to the GMC.
Who allowed this to even reach tribunal? Why are we working for an employer that allows this to happen to doctors?
Orthopods in the US are being paid 5x more than their British counterparts.
And it isn't just surgeons. We're working with a Canadian GP practice who are looking to employ British doctors. Estimated salary? Circa ยฃ300k.
The NHS is rinsing us. Plan your exit.
Iโm just going to say it: orthopaedic surgeons; donโt sign a contract for less than 700k a year with a hospital. DO NOT DO IT. You are worth more than you think.
PAs will never have equivalency to F1s, let alone registrars. Simply because they don't have medical degrees and are not doctors. That simple.
Familiarity with the logistics of a specialty and the ability execute guidelines does not make one a clinically competent physician.
The GMC is using tax-free money to line the pockets of private healthcare companies. You couldn't write it.
This is an organisation that turns over ยฃ135m a year and spends half of that on harassing doctors via overzealous, discriminatory FTP tribunals. All while paying no tax.
Rather than cutting the length of medical degrees, it would be far more pertinent to cut the length of postgraduate medical training.
Anaesthetic training in the US takes 4 postgraduate years, vs 10+ in the UK.
The issue is, you can't use doctors as service provision wardโฆ
One thing Medics need to understand - the price of work isn't based on your degree, experience, competence, title
Pay is based purely on what the seller of work is willing to accept
Drs have simply proven we're willing to work for less
That has to change. Demand your worth.
@veggieequallife
@theCFOM
@gmcuk
@riaagarwal19
Yes. And No. we need a discussion on how healthcare is best delivered in the future and what the role of the doctor is within truly MDT care. So maybe ask: โWhat is the role of the doctor in the future?โ And there absolutely is a role.
@theCFOM
#MedEd
@AoMRC
It is a disgrace that UKFPO have released SJT scores with zero context.
In a career where we're scrutinised for our professionalism, it is incredible that the bodies that govern us consistently lack it.
Treating skilled professionals with such disrespect is unacceptable.
The British health system disincentivises excellence. It wants you to be mediocre. It wants to turn you into a performative robot.
Make no mistake - these are insidious strategies that have been implemented at the highest level.
They're going to 'level the playing field' untilโฆ
We fundamentally disagree with the decision by the UK Health bodies to move the Specialised Foundation Programme into the PIA system from 2025 and will fight for students by resisting this change in any way that we can.
Read the full statement ๐
Medicine can be done in 4 years. GEM demonstrates that.
But the issue with apprenticeships is that they're cutting the important stuff in lieu of irrelevant 'clinical experience'.
Deprioritising academia in medicine is an irredeemable error. Instead of scholars you'll haveโฆ
Iโm putting it out there: I donโt believe it takes 5 years to get a medical degree. And I do believe that you can learn on the job if you already have a clinical role. Doctors should be honest with themselves.
Was every minute of your degree spent in learning/working? Wasโฆ
Doctors have suffered at the hands of monopsony employment for too long. It's time for change.
I'm launching a new project very soon that's going to directly connect doctors with employers in sectors such as consulting, investment banking, and MedTech.
Watch this space.
Increasing medical student places without increasing speciality training places is completely deliberate.
The bottleneck floods the market with Drs stuck at SHO level to fill cheap service provision jobs. This supply drives the SHO locum rate down.
It's entirely engineered.
As an F1 doctor who's worked in the NHS for 6 months now, I couldn't agree more.
If you're an ambitious individual - make plans to leave. Whether that be before or after CCT.
The NHS will turn you into a performative robot. The organisation demands that you sell yourโฆ
Sat on the floor like schoolchildren. The way doctors are treated in the NHS is a joke.
Can you imagine lawyers, bankers or pretty much anyone else, tolerating this on their first day of work?
We need to start demanding the correct level of respect from our employer.
Doctors have suffered at the hands of monopsony employment for too long. It's time for change.
I'm very excited to launch ๐ฝ๐๐ฎ๐ค๐ฃ๐ ๐๐๐๐๐๐๐ฃ๐
Beyond Medicine is a new project that aims to revolutionise employment for doctors in this country.๐งต
Doctors have suffered at the hands of monopsony employment for too long. It's time for change.
I'm launching a new project very soon that's going to directly connect doctors with employers in sectors such as consulting, investment banking, and MedTech.
Watch this space.
ยฃ2k for an anaesthetist - a professional with 20yrs training who's responsible for controlling your consciousness during surgery. Bargain.
This Govt is so idiotically inept its MPs don't even understand how strikes work
Stop waffling on twitter and get to the negotiating table.
The biggest problem I see for doctors trying to escape the NHS now is that literally everyone is doing it.
The market is so saturated that being a doctor trying to break into industry is normal. It's becoming harder to stand out as time goes on.
If you don't do somethingโฆ
Doctors have faced a pay cut of 35%, are underpaid in comparison to colleagues abroad, are sent all over the country with little say and notice, have no control over their understaffed rotas, and work up to 72hrs a week.
In exactly which way is the NHS run for doctors?
This is a consultant, making sarcastic remarks about his juniors fighting for better conditions.
Once again, the ladder-pulling from some of our seniors is absolutely disgraceful.
If our own profession can't show unity, it's no wonder we've all lost 30%+ of our pay in 15 years.
The term 'junior doctor' needs to be archived. It's a deliberately infantilising term designed to reduce the professional integrity of experienced doctors. There is nothing 'junior' about a 38yo neurosurgical registrar who does your craniotomy and runs the nsg service at night.
Doctors - stop trying to convince people (the public, the Govt) that you should be paid more.
Only you can change your pay by not working for a penny less than you're worth.
It's that simple. That's what industrial action is about and that's how you solve the problem.
The SJT is not a test. It's an indoctrination tool.
It repeatedly forces you to pick options which deprioritise your life, reduce your autonomy and strip your dignity.
The sole reason it is used is to brainwash doctors into adhering to the toxic dogma that plagues the NHS.
This is how much a first-year consultant doctor makes in New Zealand.
A British consultant wouldn't even take home this much after 20+ years of service and the highest level of national clincal excellence award...
We're being completely rinsed.
So with all this taken into account, take-home income is NZ$170,334 p.a. or GBP88,982 for a year 1 specialist. Each year, on the anniversary of employment, your pay progresses up one step unless your performance is inadequate. Within 5 years it is NZ$187,503. At 10, NZ$210,097
We're funding an organisation that lines the pockets of private insurers and spent ยฃ56 million last year harassing doctors with cases like laptop-gate.
The GMC is an overzealous, discriminatory organisation that needs urgent reform.
They have specialty knowledge of an ST2 after 2 years of PA training?
Makes you wonder why the hell us lot are bothering with 9 years of medical school, foundation training and core training then...
The erosion of the UK medical profession has been strategically manufactured by DHSC. How?
1. Cutting consultant numbers.
2. Eradicating GP partnership.
3. Deliberate training bottlenecks with no pay progression.
4. Prioritisation of ACPs.
@PJWang12
@Doctors_Vote
please read, reflect, discuss and disseminate.
Declassified warning to the doctor profession ahead of the NHS workforce plans being released next week ๐จ๐จ๐จ
@Doctors_Vote
@BMA_JuniorDocs
@TheBMA
F1 doctors currently unpaid for their first month working.
Abysmal treatment and a contractual violation which would be unacceptable in any other sector.
The martyr-complex of
#NHS
doctors has allowed this to happen. We need to stop tolerating this & start demanding better.
Have you
@UHSussex
paid your doctors their wages as per their contract on 24th August? Reports from doctors having not been paid at all!
CFO on AL 31st
Divisional Finance Manager AL 1st Sept
Divisional Head of Finance AL 30th Aug
1/3
I'm absolutely delighted to finally announce the ๐ฝ๐๐ฎ๐ค๐ฃ๐ ๐๐๐๐๐๐๐ฃ๐ ๐พ๐ค๐ฃ๐๐๐ง๐๐ฃ๐๐ 2023.
An exceptionally unique opportunity featuring talks from an MBB Management Consultant, a US Attending & private doctors.
Our Keynote Speakers: ๐งตโฌ๏ธ
There is nothing remotely wrong or racist in saying that brain-draining other countries in order to prop up our own failing system is short-sighted and unsustainable.
Our system should produce enough highly-trained staff so that we have little need to recruit from abroad.
Imagine being a migrant doctor and hearing Keir Starmer say thereโs too many of you
After Covid. After austerity. After everything
NHS workers deserve our gratitude, not dogwhistles
If anyone thinks the Government are going to turn around and say 'You know what, you're right, here's a 30% pay rise', they have another thing coming.
They know how much pay has been eroded and they don't care because we're still working.
Rhetoric without action is useless.
Top drawer stuff from the BMA. It's on consultants now to enforce these rates by not doing any extra-contractual work for a penny less.
The price of work in this market is set by the seller, not the buyer.
Consultants deserve fair pay for non-contractual work.
So we've produced rate cards to help you consider the value of your work.
#FairnessForTheFrontline
Increasing medical student places without increasing speciality training places is completely deliberate.
The bottleneck floods the market with Drs stuck at SHO level to fill cheap service provision jobs. This supply drives the SHO locum rate down.
It's entirely engineered.
This government doesn't care about retaining its doctors, and would rather plug gaps using shortcuts than pay us properly. This is only going to get worse.
It is not worth it. All of you need to be looking for exits. Whether that be abroad, or to another sector entirely.
Re consultant pay offer from govt - taking a step back, even at the top end, there is absolutely no way the pay and conditions justify the training and sacrifice. Doctors now should all be aiming for side ventures or other things that interest them.
Many 'IA skeptics' are sniping from the sidelines & achieving nothing. Spreading doubt is only obstructive.
If you're not going to be actively supportive, at least don't impede the cause by demoralising others.
We need a galvanised & inspired workforce if we are to win
#FPR
.
@pandamonidad
Or even better, paying the locum fee + 10% to the doctor who has to pick up the slack and do two jobs at once.
Very little appetite for this obviously.
Instead, they're incentivised to leave rota gaps and put patients in danger. Mindless organisation.
@Andrew_Jordan_
It is not currently financially sensible to go into training. I'll be tolerating F1/2 in order to locum, if I've not left the profession altogether by then.
To make it clear, I love medicine. But our employers are driving us away in droves.
The worst thing about this is that despite the Tory party destroying the NHS over the last 15 years, our current alternative is almost equally clueless, inept and out of touch.
No one else is going to advocate for our profession - we have no choice but to do it ourselves.
Those who think this is about admin staff are being obtuse.
I'm glad certain staff have good working conditions. They deserve them.
This is directed at those who control the budget for poor and unequal allocation of resources. Clinical working conditions are abysmal.
Another win for striking workers. One of many wins we've seen this year.
The only people who can stop a similar outcome for us are doctors themselves.
Strike action works. We need everyone to get behind this cause. Have belief and inspire your colleagues.
@TheBMA
#JoinVoteWin
Last weekend, we hosted the inaugural ๐ฝ๐๐ฎ๐ค๐ฃ๐ ๐๐๐๐๐๐๐ฃ๐ ๐พ๐ค๐ฃ๐๐๐ง๐๐ฃ๐๐.
It was an incredible success, as we brought together around 100 doctors & medical students who described the conference as 'exceptional', 'unique' & 'eye-opening'.
๐จAre you a doctor/medical student intrigued by a potential career in finance?
In collaboration with
@AT_AmplifyME
& their partner
@MorganStanley
, Beyond Medicine is hosting the free, virtual ๐ผ๐ข๐ฅ๐ก๐๐๐ฎ๐๐ ๐๐๐ฃ๐๐ฃ๐๐ ๐ผ๐๐๐๐ก๐๐ง๐๐ฉ๐ค๐ง simulation.
@DrWillWatson
@DrSarahClarke
It's fantastic she does private work in order to improve her financial situation, and I would encourage all doctors to do so.
She should, however, support her juniors to improve their financial situations which can only be done via IA, instead of being hypocritical.
Junior doctors' exclusion from today's 4.5% pay 'award' isn't just unacceptable, it's an insult.
It once again signals disrespect & disregard for us. We cannot tolerate this treatment any longer. The fight for
#FullPayRestoration
has never been more important.
@Doctors_Vote
A 2% pay rise for Junior Doctors - an enormous real terms pay cut of 8%, or maybe even 9%, at the peak of inflation this year. Either the govt immediately reverse this continued suppression of pay and engage in full
#payrestoration
or the BMA will ballot for Industrial Action.
๐ฏ. ๐๐ฟ. ๐๐ฎ๐๐น๐ฒ๐ ๐ ๐ฎ๐ด๐ถ๐น๐น - ๐๐ฒ๐๐๐ต๐ฒ๐๐ถ๐ฐ ๐๐ผ๐ฐ๐๐ผ๐ฟ
Dr. Magill transitioned from NHS training to a successful career as an Aesthetic Doctor.
She'll be speaking about aesthetic medicine, the career potential, and the qualifications you'll need.
@hayleymagill
๐จ I'm delighted to announce the next Beyond Medicine Conference, held virtually on 20th Jan 2024.
The Beyond Medicine Virtual Conference will feature blueprints on pivoting into consulting & start-ups, as well as how you can take your MBBS to Australia.
@DrWillWatson
@DrSarahClarke
Who are you speaking for? The goal of the upcoming industrial action is Full Pay Restoration for doctors. I say this as a BMA Executive Council Member. That is our mandate. Nothing less.
๐๐๐๐๐ง๐๐๐๐ฅ๐ ๐ฅ๐๐๐ฅ๐จ๐๐ง๐ ๐๐ก๐ง
As many of you know,
@BeyondMedUK
is on a mission to match doctors with incredible opportunities at our partner companies who are currently looking to hire. To make this happen, we need a little help from you.
If you're a doctor, aโฆ
๐ฃ๐๐ฅ๐ง๐ก๐๐ฅ๐ฆ๐๐๐ฃ ๐๐ก๐ก๐ข๐จ๐ก๐๐๐ ๐๐ก๐ง
Weโre exceptionally excited to announce that
@BeyondMedUK
is partnering with
@BiteLabsHealth
to provide comprehensive recruitment solutions within the healthcare space.
๐๐ถ๐๐ฒ๐๐ฎ๐ฏ๐, a leading healthcare education start-up,โฆ
Have some faith.
@Doctors_Vote
are doing good work behind the scenes. I believe the BMA has failed in its purpose over the last 15 years. We're not going to allow our union to be spineless any longer.
@medic_cd
@PJWang12
What do you mean 'if this happens'? The majority of this has already happened/is happening as we speak. Everyone has just been blind to it for years.
Doctors work long, unhealthy, unsociable hours. Your pay has been cut 26%+ while your school peers are outearning you, and have a variety of employers vying for their talent. You feel undervalued and trapped. You want more from your career, but your ways out are unclear.
@DrEilidhMaria
If I remember correctly a motion was passed at ARM advocating for precisely this (proposed by
@talthegooner
I think), but of course the policy hasn't been integrated as of yet.
Very true.
In the private market, salaries are determined by market forces i.e. if a law firm pays less than their competitors, they will lose the best talent.
But the NHS has a monopoly on our training. And if they're unwilling to pay us properly, we have to force their hand.
๐จ๐ฅ๐๐๐ก๐ง: ๐๐๐ก๐๐๐ ๐ข๐ฃ๐ฃ๐ข๐ฅ๐ง๐จ๐ก๐๐ง๐ฌ ๐๐ข๐ฅ ๐๐ฃ๐
@BeyondMedUK
is recruiting for a Family Medicine practice in ๐๐ค๐ง๐ค๐ฃ๐ฉ๐ค, ๐พ๐๐ฃ๐๐๐.
We're looking for highly-motivated GPs who are looking to make the move ASAP. The remuneration is, of course, veryโฆ
@timricketts_
@Davidmarkpye
@jfdwolff
Not to mention the opportunity cost of going into training for a relatively poor salary. Locumming as an SHO on ยฃ100k+ and investing a healthy amount over X years potentially yields greater returns than waiting until 40yo to make those numbers as a consultant.
At
@BeyondMedUK
, we're helping companies in the healthcare space hire talented individuals. We're looking for clinicians with the following backgrounds/skillsets:
- Sales experience
- Experience in optometry/ophthalmology
- Speakers of other languages at a professional levelโฆ
Many of you will remember the now inactive Facebook page 'Alternative Careers For Doctors', which had 35k members.
@BeyondMedUK
is going to be the new hub for doctors pursuing alternative careers.
Join our page on Facebook where we're creating a new thriving community.
The comparison to PA pay isn't to degrade PAs or to attempt to lower their worth.
It's a benchmark comparator to show how undervalued we are & to demonstrate that the system is broken - how can the physician associate be paid more than the physician?
As much sense as this makes, there's no appetite to create more registrars because you'd have to pay them more and train them faster.
Who's going to do your service provision if doctors are trained too quickly?
And there is scope to increase this senior support by increasing training numbers and getting more registrars on the wards rather than have them act as perma-SHOs without the confidence or training to safely discharge some people
@DrEilidhMaria
@RhonddaBryant
'Doctor in training' is a misnomer because it can read as both a doctor undergoing additional training, as well as an individual training to be a doctor. Describing a medical student as a 'doctor in training' wouldn't be inaccurate. 'Doctor undergoing specialisation' is better.
@pageviator_geek
I don't doubt that. The rota coordinator I work with currently is equally great.
But I guarantee you you'd try harder if you got a bonus for doing so. It's human nature.
Doctors - you need to be actively exploring your options.
@BeyondMedUK
connects you to alternative career pathways such as Investment Banking, Management Consulting & MedTech. Join our mailing list below.
Investment Banking, Venture Capital, Management Consulting, Law, MedTech and more. It contains case studies of doctors who have successfully pursued these alternative careers at companies such as ๐๐ค๐ค๐๐ก๐, ๐๐๐๐๐ฃ๐จ๐๐ฎ & ๐พ๐ค, and ๐ฟ๐๐ช๐ฉ๐จ๐๐๐ ๐ฝ๐๐ฃ๐ .
We're here to change that. Beyond Medicine is a revolutionary new project that will connect doctors with a range of employment opportunities outside of the conventional medical pathway.
We have lost standing and respect in the MDT to the extent that we're losing our medical training opportunities to non-doctor roles and we're being significantly out-earned by roles that require less training and are supposed to be supplementary to ours.
-Losing training opportunities to non-doctors.
-Out-earned by roles that require less responsibility and training.
-Given equivalency to roles that require less experience and training.
-Given most of the legal risk with very little relative reward.
I could go on.
@GavinMcKee13
@ollieburtonmed
A lot don't though, unfortunately. Because these permanent mid-grades make their life easier, so they pull the ladder up and sell us out.
Clearly, I'm not suggesting certain organisations sat round a table and conspired to suppress the SHO locum rate.
The speciality training bottleneck provides favourable market conditions with cheap service provisions roles being filled.
To think it's pure coincidence is naive.
This is an exciting time for doctors. Check out our website below and importantly, ๐๐๐ฏ๐๐ฐ๐ฟ๐ถ๐ฏ๐ฒ to our mailing list to keep up with the opportunities we're launching very soon. Keep watching this space.
๐๐ก๐ ๐๐๐ฒ๐จ๐ง๐ ๐๐๐๐ข๐๐ข๐ง๐ ๐๐๐๐ฆ
@pandamonidad
I've heard that before and I disagree. It operates like a fine in practice, but ensures the fine ends up with the doctors on the ground than rather than back in the institution's pocket.
Right now, the gaps are happening extensively and we're getting nothing for it. Maintainingโฆ