I just want to say I am INCREDIBLY proud of the vast number of doctors (all grades) for speaking up and calling out the unacceptable pay & treatments of UK doctors.
The movement is contagious & won't just blow over.
We are the change we need!
🦀🦀🦀
This is misleading.
I am a 3rd year doctor at Core Training level or Specialist Registrar Level 1.
Here is my payslip.
I get paid £19 an hour. My salary is £40257 a year. Not £55900.
#PayRestoration
@BMA_JuniorDocs
@Doctors_Vote
This is a payslip of a FY1 doctor in the NHS.
They are paid £14 an hour. They take home £1097 a month.
70k+ in debt for student loan after 5/6 years of medical school.
This is not fair. You can't blame doctors for leaving.
#PayRestoration
@BMA_JuniorDocs
@Doctors_Vote
Imagine.
Spending 5/6 years of your life studying Medicine. Stressing over countless exams. Ensuring you're good and safe enough to be a doctor. Coming out with £100k student loan debts.
Then, get told you are RANDOMLY allocated your first doctor job ANYWHERE in the country.
£64,408-£73,961 for 37.5 hours a week. Chief Physcian Associate.
£63,152 for 40 hours. ST8 doctor in their 8th year registrar with at least 10 years of being a doctor.
1. What can a PA do that a ST8 doctor cannot?
2. Why can't the PA role money be used to employ more doctors?
My partner now earns 15k more than I do yearly. We are the same age. He works 37 hours a week. He did a 3 year degree paid by his company. He works hard but he gets financially compensated. He is enraged on my behalf that I am paid £19/h as a 4th year doctor.
You are either a surgical registrar by obtaining a medical degree, doing at least 5 years+ postgraduate training with on-calls as a doctor, passing MRCS, spending thousands of £ on courses
Or you are not.
There is no such thing as 'registrar-level' without any of the above.
As an F1, once I rang a speciality reg on call for advice on my patients, a consultant picked up.
Instead of grilling me for my limited knowledge 😅, he was so kind. He talked me through the case, discussed the topic and offered to sign a CBD off.
I still remember this 😊
House emergency. Plumber required at 4pm. No plumber available. Finally, a plumber can come out later for £170/h.
Plumbers are worth their weight in gold. They are specialists.
Yet, I'm being paid £28/h working in the middle of the night & £21/h day time as a 4th year doctor 🤯…
My excellent IMT3 doctor friend has wanted to do Cardiology since med school. She worked so damn hard in the last years to prepare for the bottle neck for a training number. She moved cities and houses multiple times for different training jobs.
She didn't get in this year as…
Sad to share for the first time in 5 years being a doctor I had to submit a formal report on how datix was misused inappropriately to intimidate me as a doctor on-call at night over a non-urgent matter while I was 'fire fighting'.
One step closer to leaving the NHS.
If we accept that PAs should be able to become senior decision makers, I want answers to these
1. Do we need 5/6 years of medical school?
2. Is rotational training neccessary?
3. Do we need postgraduate exams MRCS/MRCP, FRCS etc.?
We shouldn't have parallel unequal systems.
A relative has suspected head and neck cancer.
GP sent for a 2 week wait urgent cancer referral.
And they got told the earliest they will be seen is 5 weeks due to the waiting list.
5 WEEKS for an urgent cancer referral!
The NHS is broken 🥺
A surgical trainee expenses paid out of their pocket to train and do their jobs ⁉️
This is eye-watering and shocking!
Especially with £19/h as a Specialist Trainee 2 🤯
#PayRestoration
is needed but only the start!
@BMA_JuniorDocs
@Doctors_Vote
This whole issue about doctors being excluded from staff areas is TOO COMMON.
It's gone on for too long. It's accepted by too many people.
Look at this. It is UNACCEPTABLE.
A reminder to please not conduct media interviews if you are not a BMA media trained representative. Please redirect any media requests to the BMA.
The future of 50,000 junior doctors and our profession rests on the outcome of these negotiations - it’s simply not worth it.
I am sick of doctors being treated like children. Disrespected. Told to humble down. Told to bring cakes to the wards. To make sure everyone loves us or they will make our lives hell. Told not to use protected space for other HCPs when we have none. Told we are elitist.
4th year doctor in the NHS. My pay? £19/h.
Last few days, my job includes
- Emergency surgery to removal foreign bodies
- Managing patients with life-threatening conditions
- Assisting major operations including cancer removal
This is NOT okay.
#FullPayRestoration
Chuffed for partner (same age, already earning 15k more than I do working 37.5 hours/week, no debts) has been given a pay rise because his manager heard on the grape vines he wasn't very happy & considering to leave.
Me asking the government to pay me extra £5/h as a doctor😕
After bills and emergency expenses came out, I'm sodding broke again. A whole 200 in the negative.
I can't believe saying this as a 4th year doctor. AGAIN.
Pay us
@BMA_JuniorDocs
what we are worth.
You are either a medical doctor. OR you are not.
There is no "work like a doctor", "work at a level of a doctor", "work as one of the medical team".
These phrases/terms are confusing and misleading to patients and the general public.
They deserve better.
Received a phone referral for a speciality review. Referrer didn't introduce who they were until I asked then sounded offended, hasn't seen the patient, couldn't tell me what the concern was but demanded me to come see the patient immediately. I said I'm afraid I need a better…
I might regret sharing this later but oh wells.
In F2, I was seriously burnout, working a crazy rota in an unsupportive department coupled with repeated MRCS A failures and struggled to pay my bills.
I remember calling my GP in tears saying I realised I'm normally not this…
I've heard countless amount of times doctor colleagues are afraid of calling sick for mental health reasons.
They are worried colleagues & supervisors might think they are doctors/trainees in difficulty and that it will stay on their record.
I can sadly relate.
Never thought I would experience this
"Hi, are you the anaesthetist today?"
"Oh well, I work in the anaesthetic team"
Later found out from an anaesthetist doctor in training the person was an Anaesthetist Associate.
Why not give me a clear answer to a direct question?
You know what would increase my wellbeing?
1.A fully staffed rota. So I don't get palpitations about turning up to a shift with rota gaps. Doing more than already 2 doctors' amount of work.
2.A wage more than £19/h as a 3rd year doctor. So I can comfortably pay my bills.
Imagine the thing you always want to do since 17 & worked so hard for at least a decade of your life has been turned into something that's slowly destroying your passion, enthusiasm & health. It's also making you feel frustrated, trapped & hopeless. That's what many doctors feel…
Apparently it's not possible to pause PAs expansion as they can't find jobs currently!?
OK, what about the hundreds of doctors who can't find jobs due to bottlenecks & shortage of jobs/funding?
The hundreds of GPs who can't find jobs as PAs & non-doctor roles take priority?
Payslip this month is out. FYI, I'm working as a doctor 4.5 years after graduation, on average 49 hours a week with lots of unsocial hours.
After all essential expenses, I've got £200 left.
Medicine is wonderful, isn't it? Just not the pay though 🙃
We made a speciality to speciality referral as doctors. We got a 'registrar level' review by a specialist PA concluding patient didn't have a flare up despite clinical findings& symptoms. We contacted consultant on call who reviewed, agreed patient has a flare up & took over care
This is the job where I was the on call doctor (extremely busy) & got messages from a PA working as 'registrar level' about ward jobs like prescribing & ordering scan etc. for patients whom the PA saw on the ward round. So that the PA can go to their own clinics & theatres.
I don't know who in the world needs to hear this once again.
There is no such thing as an 'equivalence' of a medical doctor.
You are either a medical doctor who holds a medical degree. Or you are not.
Oh here is also the list of jobs I was given by the reg level PAs when I was busy on call holding the bleep. So they can go to theatre/clinics ASAP.
I had seen none of these patients. And I had to prescribe all these. Not from a consultant or a doctor but a PA.
This is the job where I was the on call doctor (extremely busy) & got messages from a PA working as 'registrar level' about ward jobs like prescribing & ordering scan etc. for patients whom the PA saw on the ward round. So that the PA can go to their own clinics & theatres.
As an F1, I was bullied in my 1st job. The rota coordinator (doctor) really disliked me for knowing my rights with study leave & annual leave. I found out later they told others including my 1st ES behind my back I was a bad team player. Nothing was said to my face for 2 months.
A colleague requested annual leave 11 WEEKS in advance. Sent a reminder at 8 weeks, then at 6 weeks.
Stunned silence.
3 weeks before AL, department goes "ohhh your AL request has been rejected.... you have to get approval to take AL. Also find cover if you want AL"
Nah.
When I was in F2 during COVID, I messaged my work group chat I was sorry I was running late as I had a breakdown.
All my doctors colleagues messaged me personally to check if I was okay and told me they felt the same at times because they all assumed it was a mental breakdown.
The only route to be a doctor is ***going to medical school***
Of course anyone can do what doctors do *IF* they ***go to medical school***
This is the hill I'm willing to die on.
I've been told by several doctors (ranging from F1s to consultants) they have been invited to a meeting without coffee about their tweets about PA issues with various medical directors.
These people have been very civil in my opinion.
Interesting ways to deal with concerns
Unwell, got admitted, in excruciating pain, begged for painkillers which have been prescribed.
Got eye rolled at & ignored for hours. Other female patients also were screaming in pain waiting for hours.
Just felt like I didn't get believed or taken seriously. Is it just me?
I was on a nightshift with a reg who strongly believes in zero tolerance & refused to see a racist patient who had said nasty things to her before.
She said she used to let it slide but the more senior she gets, the more she made sure to set an example and ensure that her…
As an F1, I was theatrened to be datixed for not completing 5 discharges on Saturday by 10AM by nurse in charge.
The entire on-site on call team consisted of me & my reg doing the ward round which ended at 12:30 PM.
I still remember crying in the cupboard.
Doctors can apply to other healthcare professional courses such as pharmacy, physiotherapy, nurses, paramedics etc. to retrain in these distinguished careers.
Why can't qualified doctors apply for PA courses to become PAs?
I'm genuinely looking for a logical answer.
Yesterday. For the first time. I said out loud. Maybe I should consider Australia and New Zealand.
I see my colleagues left the NHS left right and centre.
I'm exhausted. Physically and emotionally.
I answer the on call bleep with "Hi, it's Tanya ENT doctor, how can I help?".
I think it's reasonable that I ask exactly whom I'm speaking to as I take a referral for a patient.
I also find it's interesting someone is offended by me clarifying their roles.
For those who argue doctors should be excluded from staff rooms because there are doctors' mess
1. Many hospitals do not have doctors' mess nowadays
2. Doctor mess is a paid membership only
3. Many doctors are not members
4. Staff rooms are for all staff. Including doctors
I didn't get paid.
Trust thought they weren't responsible for paying me
Urgent payment is promised, no details of how much ? insufficient for my mortgage & bills
No access to payslips system, emails ignored. I emailed & asked for a payslip & told they can't provide it.
Just got an invitation to apply for a non-clinical job (for doctors) paying 24k more than I earn right now on a basis of 30 hours a week.
After 6 years of education. 100k spent. After 3 years being a doctor. I earn £19 an hour pre tax and expenses.
#PayRestoration
#Retention
Went to several wards and asked "Hey, is there a doctors office on the ward?"
Met with "Oh we don't have a doctors office but we have the ACP/PA/Physio office, look for them in there"
Can I ask why?
I self funded for Basic Surgical Skills course (£700). I attended the course on my days off work. I couldn't get study leave, refused as it was aspirational apparently for FY doctors
What can doctors do to get fully funded surgical skills courses like the PAs below?
I've been told before that 3 of the best indications of a good department are
1. Trainees wanting to come back during training
2. Trainees wanting to return as a consultant
3. Retention of consultant colleagues
I get it now! Correct me it it's wrong please 🤗
I was paid 800 GBP less than expected again. I was told things would 'even out' this month
A completely different tax code was used. HMRC cannot see why my correct tax code was not used by payroll at my hospital
Why do I have to chase my salary every month to pay bills?
We intubate your kids. We operate on your cancers. We treat you for your heart attacks, strokes & life threatening conditions.
I get paid £19/h as a 4th year doctor to take care of you when you can't. You can start paying us what we deserve. And stop bullshitting.
Thanks.
"We urge them to stop the strikes and start serving the patients."
Chief Secretary to the Treasury
@JohnGlenUK
says junior doctor strikes cause further impact on the huge NHS waiting list as well as the economy.
More on the story here 👉
📺 Sky 501
🚨Scenario: Physician Assistant holding Consultant Physician bleep
📑Imagine:
Another consultant/reg calling for expert consultant physcian advice & speaking to someone doesn't hold a medical license, hasn't done the rigorous medical training & isn't regulated 🤔
An SHO/reg…
Is it acceptable for the Law Bar Exams for lawyers to be examined by legal assistants?
If the answer is no, then why is OK for medical final exams for doctors to be examined by physician associates?
🤔
Physician Associates now assessing final year medical students.
Is this a sign of declining educational standards in medicine?
What impact will it have on the quality of doctors we produce?
Finally did my own calculations!
£13464! An eye watering amount of money I HAD TO pay out of my £14-£19/h salary. Just to get a job and work as a surgical doctor.
Of course didn't include all other 'optional' courses, conferences to make my portfolio competitive 😆
Sad to share I've been harassed online anonymously since 04/23. They found my personal info hoping to threaten me further.
Rest assured, I have the evidence & have been provided IP address & device ID of this person. Reporting them to the police with the help of my solicitor.
Chatted to a doctor who had to quit F2 half way through as she couldn't afford childcare after going 80%.
People told her to increase her hours to earn more but this also means she has to pay more for childcare.
She now locums full time to afford the costs of living.
Jesus.
A doctor needs a medical degree AND MRCS to be on a surgical reg rota.
The requirements need to be universal for everyone.
We can't apply one rule for one group but not another.
Datix is weaponised against doctors so frequently that no one is even surprised anymore.
Everyone is busy and overworked in the NHS.
We need to stop making excuses for poor treatments of doctors.
Imagine.
A 'junior' doctor opens a private clinic AND advertises services in confusing language that could be construted that I have completed the required training to be a GP or a consultant physician/surgeon.
Imagine the repercussions.
Can she apply? No, she is a doctor and the job was written for a PA.
Why aren't there similar excellent jobs for doctors like her when the bottle neck is known to be crazy? No one knows.
Is she allowed to be upset? Absolutely!
If your argument for PAs is providing continuity of care as they are the best 'doctors like' who never rotate,
Have you thought of investing in locally employed doctors and SAS doctors?
You know the actual medically qualified doctors.
🤯
Had a long chat with a 4th year med student about options after graduation.
He is looking at Australia, New Zealand, America.
He also shared with me careers' events specifically for doctors by McKinsey& other big companies.
I ended up signing up for those events...
Took me a long time to watch This Is Going to Hurt as I was scared of it being emotionally triggering.
When I finally watched it, my heart was shattered on the floor.
The relatable culture, the dark hospital accommodation living away from friends & family & the exam failures.
Literally this is not how negotiations work. You can't just be like this is our final offer. No talks and expect the other side to roll over? Sounds more like imposing.
"No amount of strikes will change our decision". Will see about that!
@BMA_JuniorDocs
@Doctors_Vote
Let us be clear
@RishiSunak
You will NOT impose another real-terms pay cut on members
If you think the medical profession will meekly accept this then you are very much mistaken
Note for media - please be clear who is continuing to refuse to negotiate
#DoctorsStrike
Since I graduated & became a doctor, I have been continuing to live like a broke student because you know what I am still broke at a 4th year doctor.
My 1st year wage £13.31/h
My 2nd year wage £16.01/h
My 3rd year wage £19.35/h
My current 4.5th year wage £21.12/h
🥲🥲🥲
Tried to stay out of the drama but I must say.
"Be Kind" should never used as a weapon to silence voices. Using vexatious GMC referrals to stifle concerns is NOT okay. Especially if these carry high mortality for doctors.
It's NOT okay.
Critics keep saying doctors with 5 bed room houses ⁉️🤯🤨
Do you know any junior doctors with a big house?
I don't.
In fact, doctors on the picket line can't to get a mortage without a partner & likely would never be able to afford a house with their 100k + student debts
"We get paid really poorly an hour"
"Nah we don't believe you"
***Show payslip***
"You should have known better! You weren't blind when you chose to be a doctor"
"In fact we didn't know how badly things..."
"Nwm you're greedy"
😒
Doctors - responsible ultimately for patients care
Doctors - 1/3 real term paycut
Doctors - called elitist for asking why we don't have an office or work area to do our work
Doctors - told to humble ourselves and we aren't better than MDT members when we just ask questions
Just want to say thanks to the kind souls who reached out to check if I'm okay & offered support after the rather disappointing GMC comment.
I trust you all will be rallying around 🔥🔥🔥, calling BS out and defending any brave doctors speaking up 🦀🦀🦀
The little things ain't so little
1. The condescending way we speak to each other in hospitals
2. The battles with rota coordinators to get leave to rest, recharge or professionally develop
3. The lack of rest facilities or food on-calls out of hours
4. The real term pay loss
"You are just a doctor. Humble yourself. Hard. A tip for you is that you must be nice to everyone regardless of how they treat you. Or else they would make your life hell."
ALSO
"I don't know! You are the doctor!"
😞
Yesterday, as a 4th year doctor
1. Came in early to pitch at an emergency theatre meeting to get a patient with a life threatening nosebleed an operation
2. Led a ward round
3. Held the on call bleep
4. Supervised emergency clinics
All for £19/h! 😮💨
#DoctorsStrike
Scenario A: "You are just a junior doctor, always be kind and it's one team. Also ensure everyone is happy with you"
Scenario B: "I don't know, you are the doctor"
We're infantalised when convenient AND we're responsible when needed.
🔴 NEW: IT blunder allowed PAs at Calderdale and Huddersfield to "illegally" prescribe drugs inc opiates and sedatives
PAs prescribed oxycodone, codeine, lorazepam, diazepam and midazolam, despite being "instructed they are not legally able to prescribe”
Ohhhhh the negativity I received when I share my financial struggles as a doctor and how poorly doctors get paid in this country!
I rarely see any other public sector workers facing the same criticisms 🥲
How come?
You cannot be 'pro-strike' if you decide locum on strike dates.
You can locum on any other days.
Your colleagues take a pay cut to strike. Please don't directly undermine their efforts.
Striking or not is your choice.
BUT Locuming on strike days is a bad choice.
Overheard PA students
"Our PA training is intense, essentially doing what medical students in 2 years"
"No one wants to do F1 F2 jobs, just pure service provision. They have no choice. Our first months will be like that until the consultants notice us & let us do regs stuff"
When I was an F1 in certain surgical job, "senior" PAs with 2+ years experience would be considered "registrar level", have clinics, go to theatre. Worst is after a ward round, F1 colleagues & I often get messages ordering us to prescribe things, order scans, do the jobs etc.
Doctors, it's OK to have your brain feeling constantly overwhelmed and screaming WTAF when you have to balance 48 hours a week clinical work, extra CV stuff you must do in your own time , revising for difficult exams, relocating every year, uncertainties of rotating every few…
A friend of ours is struggling with suicidal thoughts & attempted to take their life yesterday.
They sought help but told mental health service is completely full & can't be sectioned. So they went home struggling without help. No one around knows what else to do.
The dire…
@rijan44
Don't worry, I rang back and stated that the interaction was unacceptable. The senior doctor said it was unacceptable, came down with me to explore what happened and saw the patient to ensure patient safety.
I've been told not to speak about PAs related matters anymore because I've made my point very clear.
Yes but my concerns remain unresolved.
What shutting up would achieve?
A friend who is a locum GP is struggling to find work. They can't help feeling upset when they see other 'equivalent' HCP roles are being advertised instead of locum GPs 😔
Always thought GPs are in demand?
Not well versed in this area, is this actually happening?
Please don't tell us that there are enough jobs or training to go around for everyone.
Evidently, there aren't enough jobs AND training for doctors currently.
Training opportunities are finite. Everything comes at an opportunity cost.
Several occasions when a doctor body raised issues about doctors not being paid for their locum shifts months after
Someone high up said 'There is a food bank should anyone need it'
Pardon me? How about paying your employees on time and correctly?
The dichotomy of being a junior doctor in the NHS & an adult in life.
At work, you get infantalised & treated like a child. Often in your 30s.
At home, you're a mother/father/carer with others to take care of.
In society, you are expected to have responsibilities & pay bills.
I did a surgical rotation as an ST1 in a department with 2 ACPs, 3 surgical trainees (ST1/CT1, ST2), the ACPs don't cover wards. They're on a separate rota from the SHOs. They 'led' ward rounds like regs & tasked SHOs with jobs. No oncalls. They have clinics. They go to theatres.
I fully appreciate that it could look to PAs & others like doctors are currently being pretty hostile & aggressive.
BUT
We have to be firm and taking a strong stand for patient safety and the future of the medical profession.
What are other choices do we have?
So if there are plenty of opportunitiesfor us all,
Why do 83.6% of 177 Core Surgical Trainees reported coming in 𝙤𝙪𝙩 𝙤𝙛 𝙬𝙤𝙧𝙠𝙞𝙣𝙜 𝙝𝙤𝙪𝙧𝙨 for 𝙩𝙝𝙚𝙖𝙩𝙧𝙚 𝙩𝙞𝙢𝙚 just to meet their training requirements?
A doctor applied for leave 8 MONTHS in advance to attend their wedding.
Nah.
Are you serious about retaining doctors?
P/S: Enjoy your wedding. TCS 2016.
Just had my rota through for the next 8 months. Despite me giving over one year's notice, they have rostered me to work 9AM-9PM on the weekend of my wedding 🙃