What does it cost a Junior Doctor to complete the exams needed to become a Consultant?
Medical Specialities £2227
Surgical Specialities £3529
GP £1546
Paediatrics £2023
Obstetrics and Gynaecology £1609
Radiology £1343
Emergency Medicine £1925
Psychiatry £1579
You're welcome
Explained to my Mum what a Physician Associate is tonight. She’s broadly very clued up on my life as a Doctor.
“Well there won’t be any at my GP practice”
*proceeds to find 3 working at her practice*
“Why don’t we know about these people? … How do I know who I’m seeing?”
Too many students are being sold a university education that won't get them a decent job at the end of it.
So I'm cracking down on rip-off degrees and boosting apprenticeships to ensure students get the best deal possible.
Widening access. Boosting jobs. Growing the economy.
Yes a pathway for Physician Associates to become Doctors exists
It’s called Graduate Entry Medicine and is typically a 4 year course.
There should be no shortcuts to becoming a Doctor.
"If we want to tackle the crisis in GP numbers, we should establish a pathway for physician associates to go on to train as doctors and for newly qualified doctors to go straight into five years’ training as GPs."
“Junior Doctor’s definitely don’t earn £14 an hour …. But I also don’t know what they earn or how their pay is calculated”
Christ alive give us a General Election. These people are supposedly running the country 🫠
The Education Secretary says restoring junior doctors pay to what it was 15 years ago is 'so unreasonable', and she disputes that junior doctors start on £14/hour, despite admitting she doesn't really know much about the subject.
#JuniorDoctorsStrike
Honestly I’m just so angry
How do you get to almost 6 weeks of talks and come up with an offer of 5%!
Literally what on earth has been going on behind closed doors for 6 weeks and for us to end up with an offer of 5%
I’m not at all angry with the BMA but wtf!
Cant wait to shell out £433 of my own money to the GMC to have them regulate me. I remain continually baffled why it is me paying this fee. The personal expense required to just be allowed to turn up to work as a Junior Doctor is a joke.
The NHS is setting out measures to improve the working lives of postgraduate doctors.
These include improving payroll accuracy, reducing admin burden and enhancing choice and flexibility with rotas.
To those involved in the employment of Junior Doctors,
If you make Study Leave expenses and Travel expenses a nightmare to claim back, then every single one of your “Wellbeing” initiatives are utterly meaningless.
Your regular reminder that
1. Doctors have not been on strike for 2 weeks
2. The UK Government continue to refuse to meet the BMA to discuss any form of pay settlement
3. £20 an hour is fair and reasonable for a newly qualified doctor
Today was the day I discovered Civil Servants get 6 months of full pay for maternity leave - delighted for them
In the NHS it’s 2 months.
I’m so glad my wife’s sense of healthcare vocation is topping up that difference for her
THE BMA ISNT ASKING FOR A 1-YEAR PAY RISE OF 35%
THEY ARE ASKING FOR THE 26% PAY EROSION TO BE CORRECTED OVER TIME
5% IS NOT REASONABLE WHEN WE GOT 2% LAST YR AND INFLATION IS ⬆️⬆️⬆️
WHAT ARE PEOPLE FINDING SO HARD TO UNDERSTAND
WE ARE DOWN 26%
NEGATIVE 26%
MINUS 26%
During the course of
@bbclaurak
@SteveBarclay
said the junior doctors have increased their pay demand to 35%. Is this correct and is the
@TheBMA
serious?
I've just paid for my Royal College fees and for my next exam. I'm now £657 out of pocket. It's just so so much money to pay to continue to do my job. Pay restoration really cannot come soon enough to make this career viable.
Here are 5 simple tips on how to actually improve junior doctor wellbeing
1. Pay them their salary
2. Ensure access to food
3. Ensure access to parking
4. Ensure they can take Annual Leave at a time of their choosing
5. Ensure prompt access to Study Leave Budget
A doctor has 1 life to deal with, a graduate engineer (like I was) - we had hundreds. Transporting explosives to blow up old buildings? Predicting ground movements to the closest mm (which I did)? If we got it wrong, countless lives would have been lost.
July is looking like an expensive month to be a doctor. £433 for the
@gmcuk
and £688 for the
@JRCPTB
. Over £1000 to be a medical registrar, even before paying indemnity fees. Makes the case for pay restoration even stronger
@BMA_JuniorDocs
Hi
@nhsesr
you are driving an entire country’s worth of doctors up the absolute wall with your incessant and pointless PROD NOTIFICATION EMAIL REMINDERS. Seriously please fix this.
The consideration to apply for jobs in New Zealand and book flights is starting to grow by the hour let alone the day.
Absolutely disgusting abuse of a supposedly impartial Civil Servant organisation!
Junior Doctors continue their strike today.
That means more disruption for patients and staff.
My message remains the same. Call off the strikes and come back to the table.
Let’s start 2024 right.
How was Ali a hero for any doctor? 😂 no issue with the guy but he’s primarily run businesses selling medical entrance-exam courses, then pivoted to YouTube productivity guru. He jumped ship from the NHS as soon as he could. He’s never represented junior doctor’s interests 😂
It’s not remotely controversial to say that those doing a 2-year course are less trained than those doing a 5 or 6-year course.
It’s a factual statement.
@benollivere
@GasDocYates
@BoneJoint360
I’m not keen on “differently trained”. What we actually mean is “less trained”- less depth, less breadth and less rigour.
There may be a useful role in some units if used carefully with clear scope, but “differently trained” is avoiding stating the obvious facts.
WhatsApp messages sent this week by the BMA to junior doctors make crystal clear what the real intentions of these strikes are.
The real reason junior doctors are striking 👇
Check out the very balanced thread from
@tomhcalver
of the Times on the pay issues facing junior doctors.
This was the biggest take home chart for me.
In terms of pay degradation we have been hit far far harder than the average UK worker
This is why we are striking.
Some Consultants will strike tomorrow and Friday in the
@NHSEngland
. I will not. I am coming in to work a normal weekday shift both days. I have been a consultant for 9 years.
I do no private work and can live on my pay which is over 3 times the average UK salary.
I’m putting it out there: I don’t 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? Was…
Maybe for the first 10 years of their career MPs should be known as “Student MPs” who can’t claim expenses and only get the full MP salary after a decade.
They can also have year on year real terms pay cuts because in the future they’ll be paid more and have a good pension.
Language from the BMA like “Rishi Sunak now has nowhere to hide” sounds almost sinister.
These student protesters - some how in positions of power in the BMA - do not represent rank and file in the medical profession.
These are political strikes.
@LBC
“Reg Level” Physician Associates just aren’t a thing
We need to stamp out this notion of “equivalence”
You can’t be equivalent to 5 years med school, 5+ years being a doctor, multiple post graduate doctor-level exams, + the rest
Departments should not be facilitating this.
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.
Oh this old rubbish again. We should all do our jobs for free. Let’s pay doctors £0 because their work makes a positive benefit to society. I’ll pay my mortgage in warm fuzzy feelings.
What an idiot
Selfish. Junior doctors who risk lives aren’t fit to be doctors and I hope they don’t get any pay rise. Morality means you save lives regardless of pay. If you save lives to get paid, then you’re in the wrong profession
#JuniorDoctorsStrike
The BMA says a 35% pay rise will restore pay to 2008 levels. Although the maths is sound, it uses RPI for inflation which the ONS calls a “very poor” measure. Nobody uses RPI (except maybe your phone company)
Use CPI, as everyone else does, and the required pay rise is 19%
“The report also says a senior member of staff was not aware of Dr Kumar's death and emailed her personally 26 days later to ask why she was removed from her post and if she was still being paid.”
How utterly horrendous 🙃
Breaking my Twitter hiatus just to say that a 6% salary increase is not a pay rise if the money is worth less.
Public sector pay rises do not fuel inflation.
If you are a medical student or foundation doctor please seriously consider your options outwith the NHS
- Public sector pay rises do not fuel inflation
- The BMA are not demanding a 1-year 35% pay rise
- You cancelled the ongoing scheduled meetings
- The BMA have no preconditions to talks
Time to get around the table
@RishiSunak
and
@SteveBarclay
We've written to the PM asking him to enter into intensive talks about junior doctors
#PayRestoration
, and to engage with ACAS.
#ARM2023
Read the letter from
@DrPhilBanfield
here 👇
The poor journalists tearing their hair out when they realise the BMA is led by both a socialist and someone else with a large family investment fund 😂
This ISNT about political leanings
It’s really simple
Junior doctor pay in the UK is no longer acceptable
A 🧵
After 98% of junior doctors voted to strike in the most successful ballot in modern trade union history, the media know that portraying
@Doctors_Vote
as a coup against the BMA is bullshit, so they’re going after individuals.
What have they uncovered? 1/4
Absolutely delighted to have been offered an ACCS-EM ST1 post in the Mersey deanery! Sheer relief that my wife will be starting O&G ST1 in Mersey too 🥳🥳🥳
“You knew what you were agreeing to”
I applied to medical school in 2010
2010 consultant starting pay = £74,504
What it should be = £109,538
What it is = £88,364
I wonder why we are striking 🤔
BBC claiming junior doctors asking for full pay restoration in one-go?!?! Why do they keep lying. It’s been made clear that the BMA is willing to negotiate full pay restoration over several years…
Quote on BBC live feed:
“Junior doctors are living in la-la land … I don’t believe they are badly paid compared to people in other professions and the general population.”
Except that’s just factually incorrect isn’t it.
❌ The Pay Review body is NOT Independant
❌ Doctors have had the biggest pay erosion of any public sector worker
❌ This country does not pay anywhere close to the market rate for Doctors of any level
❌The Government have never negotiated in good faith
I'm disappointed the BMA is going ahead with this week’s strike given the average consultant’s NHS earnings are expected to increase to £134K a year.
My door's always open to discuss non-pay issues but this pay award is final so I urge the BMA to end their strikes immediately 👇
If 24/7 MRI access doesn’t exist in the UK then why make a guideline which declares it is the lowest acceptable level of care 🤨
Thank god RCEM have the common sense to call out the Cauda Equina pathway
Is Anaesthetic training just broken if you have hundreds of doctors (who have spent the last few years exclusively training in Anaesthetics) unable to progress to the next year of their training programme?
It’s been several years of this with absolutely no solution …
It’s clear from this
@gmcuk
that many think the annual fees are far far too high. Given the financial pressures affecting all doctors I think there needs to be serious consideration as to whether over £400 a year is a justifiable fee.
Let’s be frank
@ChrisHopsonNHS
Numerous doctors in the last 24hrs have publically disclosed that they may well have killed themselves without the support
@NHSPracHealth
provided them.
To remove this provision would be an absolute disaster.
Lots of comment on
@NHSPracHealth
support service. For clarity.
@NHS
England is committed to ensuring all NHS staff receive the mental health support they need. The vast majority of this provision is, and always has been, via their employer’s health and wellbeing schemes... 1/x
@davepayne43
The reality is we are just asking to be paid what doctors were paid in 2008. We aren’t even asking for a real terms pay rise. It’s baffling how people find this controversial
This is not how a DNR form works.
This would also be a very bad way to word a DNR discussion.
So much of the issues around DNR would be fixed by clearer conversations around them, and improved public education of what they are (and what they are not)
Hospital employee: “Do you have a DNR (Do Not Resuscitate order)?
Me: “No.”
Employee: “Do you want one?”
Me: “No.”
Employee: “Why not?”
Me: “I want to be resuscitated.”
A DNR is a personal decision.
Extensive questioning about it is coercive and harassment.
Medical school places in clearing
It’s almost like potential medical students have been watching the deterioration of the job over the last 10 years and are selecting alternative options for their futures
The GMC says they are not “currently resourced” to regulate PAs/AAs in the same way they regulate doctors.
Sorry, so what on earth are they doing with the Hundreds of Millions of Pounds of income they obtain annually?!
2% pay rise last year
0% pay rise so far this year
Both of them a double digit real terms pay cut
Literally what is the point of carrying on in medicine…?
The Government has agreed to meet
- Consultants
- SAS doctors
The Government refuse to meet
- “Junior” Doctors
The disrespect of this Government to Doctors in training is stark.
SAS doctors in England have spoken and delivered a decisive YES result in the indicative ballot.
The Government has written to us and offered to meet with us next week. We have accepted their offer and will continue to negotiate in good faith.
More 👇
Again this. People should be paid fairly for their work. No problem with PA salary but a Junior Doctor salary should of course be higher due to level of training, level of responsibility and rota worked. Salary isn’t a race to the bottom. But JD salary must be rectified.
Physician Associates score a band 7. And rightly so, because they require an undergraduate degree and a masters, as well as a number of skills. Their pay is fair, by definition.
But doctors score higher than PAs in every category in this process.
4/n
The cover provided on strike days is identical to the “normal” workforce numbers on bank holidays, weekends and the Christmas period
So where are the NHS Leaders screaming about risk to patients on those days?
Hypocritical MBE-chasers.
SPEAK TO BARCLAY - NOT THE BMA
BREAKING: NHS leaders have for the first time said that junior doctor and consultant strike action is "causing significant disruption and risk to patients"
“some union members” 😂😂😂
@SteveBarclay
I think you meant to say “the majority of union members”
Try harder mate. Time to come to the table and agree a deal. We will continue to strike until you wake up to the reality of the situation.
Without a single day of strike action the Scottish Government has made what appears to be a serious offer that the BMA can recommend.
@SteveBarclay
it’s time for you to take your job seriously and make a REAL offer to Junior Doctors in England.
Stop messing around!
🚨Breaking: Junior doctors in Scotland win major pay deal from Scottish Government - equivalent to 17.5% over two years. BMA has suspended its strike action to consult members on the deal:
Hi
@BBCRadio4
the 12 o’clock news has just said every healthcare worker in the NHS will receive a 5% pay rise after today. This is factually completely incorrect. Doctors are not included in this and you did not clarify this at all. Please correct in your next bulletin.
Imagine if all these professional expenses were appropriately covered by your employer
- GMC
- Portfolio/Royal College fees
- Indemnity
- Exams
- Study leave activities paid upfront by HEE
There’s a £1500-2000 per year pay rise STRAIGHT AWAY
Your GMC fees are the equivalent of paying for Netflix, Disney Plus, Spotify AND Amazon Prime all together.
Indemnity adds a cheap gym membership.
Every exam is the cost of a holiday.
This is meant to be OUR disposable income. This is not fair.
Sorry, I support my PA colleagues but claiming they learn what a doctor learns in 2 years is not just incorrect, it’s really offensive
Very very unhelpful comment
Being a doctor is a job.
The idea doctors should accept huge real terms pay cuts due to some sense of altruism is massively offensive.
@ClarkeMicah
shame on you.
'If pay was the most important thing to them, they shouldn't have been doctors in the first place.'
Author
@ClarkeMicah
believes 'beyond doubt' that doctors and nurses should 'never' strike, labelling it 'indefensibly immoral'.
@AliMirajUK
|
#CrossQuestion
Welcome to the world Alice Emma Rose Walsh ❤️
Born 30th June 2023
6 pounds 1 ounce
Feeling incredibly lucky
Alice and
@EmmaFormoy
both doing really well
Study leave budget for courses should be paid once you book, not once you’ve attended.
The chance of a course not going ahead is slim.
The chance of a doctor being financially crippled by being out of pocket is high.
I hoped to begin meaningful negotiations when I met the BMA last month.
But its demand for a 35% pay rise is unreasonable – it would see some junior doctors receiving a pay rise of over £20,000.
If the BMA move significantly on this and cancels strikes we can resume talks.
1/5 Some important news today: the ONS have published new stats which show that Britain’s economic performance coming out of COVID was much stronger than originally thought.
Allocated to DGH at other end of deanery 60 miles/1.5 hours from my home for CT3 which due to funding cannot be changed ☹️ commute vs being very sad in hosp accom for a year? All options seem rubbish 🤣 positive thoughts pls 🙏🏼
Today, we have once again written to the Government restating our willingness to negotiate, either directly or with Acas, so we can start to hold meaningful discussions.
We are as strong and united as ever, even after two rounds of strike action 💪
Read the letter 👇
Ok so Advanced Nurse Practitioner becoming a Nurse Consultant I can understand. And I think the public would understand this too.
But surely the term Consultant Practitioner is a hugely confusing title for someone who is not a qualified doctor…?
Out now: our self-assessment tool supporting the career progression from Advanced Clinical Practice to Consultant Practice! Track your development as an aspiring or consultant practitioner 👉
Failure to resolve the strikes is expected to cost the NHS £3bn. Trust leaders are deeply frustrated and anxious that there is no news of any official pay negotiations. It's vital the government and the BMA resume talks urgently.
Only really thought about this recently, as I’m considering LTFT from ST4
If a doctor works 37.5 hours per week then they should receive 100% of their annual leave.
Utter madness that this isn’t the case
@BMA_JuniorDocs
- while you’re in the negotiation room …..
'You're adding to the number of people in hospital this Christmas... That's pretty disgraceful.
Iain Dale tells Dr Andrew Meyerson that the current junior doctor strikes are happening at the 'worst possible time' - branding their actions as 'cruel.'
This is always my response when people don’t like it if you compare our salaries with tradespeople … “they can charge £100 an hour because they have overheads” 😂
Doctors pay £1000s a year just so they can turn up to work.
This year's fees to do my job paid out of my pocket:
1. Exam fees x2: £1140
2. Hotel and travel cost for exam: £240
3. GMC fee: £433
4. Parking at hospital: £420
5. Indemnity: £650
6. Unrefunded courses: £450
7. Royal college fee: £168
8. Books and resources: 150
Total: £3651