Who would be a Junior Doctor

Starting Salary of 22k after 5/6 years in medical school, that's a joke.

Here's the full paragraph from the article with a few salient points the above omits:

Trainee doctors currently have a starting salary of £22,636 - at Foundation Year 1 (F1) - rising with experience to reach £30,000 within four years. Doctors in specialist training (ST) receive a salary of between £30,002 and £47,175, while those who make the grade can earn up to £69,325. You don't just walk off the street to start as a a trainee doctor either, as they are expected to have a medical degree, which can take between five to six years to get.

Junior doctors enjoy a boost to their salary thanks to a complex system of supplements. This means they can earn on average £40,000 in the initial stages of training, according to the Department of Health's estimates, and £56,000 in the later stages.



So in fact £40,000 after 5/6 years in medical school.
 
40k is at very best with all the specialites and bolt ons and in inital stages, not first year, maybe 2nd/3rd.
lot of ifs and buts in the gov speak
 
Low (ish) salaries are no surprise to them going in.
No one is a junior doctor forever.
 
Throw more money at Doctors?

They don't know they are living IMHO.

I agree Overtime needs to be reigned in, particularly for junior doctors, but throwing money at Doctors never cured anything.

There are plenty of opportunities for them to make more money. Labour under Blair gave them plenty.
 
Tomorrows strike suspended according to Sky News.

Strike action by junior doctors will be suspended, the British Medical Association has said.

Any industrial action by medics will happen no earlier than 13 January as part of a deal to allow negotiations with the Department of Health to proceed.

The Government has agreed to suspend its implementation of a controversial new contract as these discussions take place.

http://news.sky.com/story/1597250/junior-doctors-agree-to-suspend-strike
 
Last edited:
Junior doctors enjoy a boost to their salary thanks to a complex system of supplements. This means they can earn on average £40,000 in the initial stages of training, according to the Department of Health's estimates, and £56,000 in the later stages.
So in fact £40,000 after 5/6 years in medical school.

Ummmmm to make that they need to do a hell of a lot of extra shifts and overtime, and those that do are not in the majority at all, so no, it's not a fact.

Low (ish) salaries are no surprise to them going in.
No one is a junior doctor forever.

Wrong, a junior doctor is any doctor that is not a consultant, GP's are by their very nature junior doctors so almost every single GP in the country is in fact a junior doctor.

Throw more money at Doctors?

They don't know they are living IMHO.

I agree Overtime needs to be reigned in, particularly for junior doctors, but throwing money at Doctors never cured anything.

There are plenty of opportunities for them to make more money. Labour under Blair gave them plenty.

Really? what opportunities were they then?
 
Ummmmm to make that they need to do a hell of a lot of extra shifts and overtime, and those that do are not in the majority at all, so no, it's not a fact.



Wrong, a junior doctor is any doctor that is not a consultant, GP's are by their very nature junior doctors so almost every single GP in the country is in fact a junior doctor.



Really? what opportunities were they then?

OK...technically.
There's not a gp in the land on junior Dr salary nor working junior Dr hours.
 
40k is at very best with all the specialites and bolt ons and in inital stages, not first year, maybe 2nd/3rd.
It was the article that you introduced that said an average of £40k. Are you saying the article that you cited is wrong and in fact it is not an average but the very best that can be achieved? In that case, how much faith should we have in the rest of the article that you cited?
 
Lots of mistruths in this thread. Don't know whether to intervene or correct people.

Long and short - a junior doctor is anyone in a training post from right out of medical school all the way up to their last day of training before they get their certificate of completion. It doesn't include staff grade and associate specialists (who have their own contract), consultants, or GPs.


Basic pay is around £22k for a doctor just starting so if all they did was 9-5 Mon-Fri, that's what they get. They get extra for working those weekends and night shifts. This might be as little as 30% extra all the way to 80% extra.

The NHS has routine care Mon-Fri, 9-5, but is equipped for emergency care 24/7. If you want routine care all week long, you need 40% increase in staff (not just doctors) and 40% increase in funding to match. What the Govt wants to do is spread what's already available over a longer period of time. That means fewer docs during the week. Given that the NHS is struggling to provide standard routine care at times (cancelled operations, cancelled clinics etc), and tends to run at 90% capacity, there's not enough resources to then enable full routine care.

Jeremy Hunt also wants to get rid of the extra pay but raise basic pay. He initially said 15% but then later said 11%. So a junior doc earning say £33000 a year for 56 hours a week would end up getting £24200 for the same work.

This means they can earn on average £40,000 in the initial stages of training
As pointed out, not in the early stages. Unless they're doing lots of antisocial hours and hence clocking up something like 80 hours a week.

Low (ish) salaries are no surprise to them going in.
No one is a junior doctor forever.

Not everyone progresses to consultant or GP. Some end up as staff grade or associate specialist instead. That doesn't mean all junior docs should have rubbish pay just so they can work as doctors.

Throw more money at Doctors?
They don't know they are living IMHO.
I agree Overtime needs to be reigned in, particularly for junior doctors, but throwing money at Doctors never cured anything.
There are plenty of opportunities for them to make more money. Labour under Blair gave them plenty.

Very much smacks of "doctors should be grateful to even serve the public. They should work for free I tell ya". Junior docs aren't asking for more money. Just no change in the contract (which would result in a loss of income. Like I pointed out above, a junior doc earning £33k would suddenly earn £24k for the same hours. How many of you would happily do that?

Ummmmm to make that they need to do a hell of a lot of extra shifts and overtime, and those that do are not in the majority at all, so no, it's not a fact.
Wrong, a junior doctor is any doctor that is not a consultant, GP's are by their very nature junior doctors so almost every single GP in the country is in fact a junior doctor.
Incorrect. A junior doctor is someone who hasn't completed their training. A GP, a consultant, a staff grade and an associate specialist may all have completed their training and would not be classed as junior doctor.

Do drug companies still buy them cars and holidays though?
Drug companies used to court consultants and GPs in order to influence their prescribing. Junior doctors never had such a relationship. Drug companies have had a ban on doing this now. Still occurs in America.

They could always retrain as ermm... accountants?
Why? They want to be doctors.

OK...technically.
There's not a gp in the land on junior Dr salary nor working junior Dr hours.
GPs are independent contractors. They are not junior doctors unless they are FY or GP trainees.
 
Why? They want to be doctors.

So it's their choice going in

and £22k at starting isnt a bad wage particularly given the potential for progression - nurses are on less, so are teachers,police are on only a little bit more, soldiers are on a lot less, and so forth
 
If it's that s*** then p*** off and do something else

Doctors are the most money orientated group of professionals I have ever met.

Also trying to use the demise of the NHS as your argument is cheap
 
Wrong, a junior doctor is any doctor that is not a consultant,
No that's not correct STs or the SpR in old money are middle grades and therefore not juniors

GPs can be consultants
 
GPs are independent contractors. They are not junior doctors unless they are FY or GP trainees.

If you look back you'll see it wasn't me who said they were.
 
It was a tongue in cheek comment on the ops lack of shock at strike action because another profession earns more

In any case if you go to uni then train to be a doctor then you must have an idea what you'll be potentially earning when qualified , if you aren't happy with that then do something else if money is your motivation
 
@omens Very well said and thanks for all the info, that has helped me a lot.

Doctors are very poorly paid and badly treated in the workplace and certainly shouldn't have their pay cut.
 
Last edited:
Doctors are very poorly paid and badly treated in the workplace and certainly should have their pay cut.

i'm hoping theres an "nt" missing somewhere in that sentence
 
If they don't want to work under the conditions then fine... but then you have the issue that if the terms, pay and conditions are too crap to get the people you need to do the work that needs to be done then what then? Agency doctors working at inflated prices? Foreign doctors some of whom won't be able to communicate with their patients? Clearly people have forgotten what under staffing issues caused mid staffs. People die when there aren't sufficient staff. It's not like tescos where there are a few empty shelves or a long queue at the checkout as a worst case scenario.

Or you could just pay decent money and accept the fact the race to the bottom to treat everyone with a job like dirt isn't beneficial to anyone. There are an awful lot of people we don't need. Doctors, dentists, nurses etc aren't among those.

Do you want to be treated by an over tired, under paid and possibly sub standard doctor as all the good ones have gone abroad? I don't!
 
The NHS has routine care Mon-Fri, 9-5, but is equipped for emergency care 24/7. If you want routine care all week long, you need 40% increase in staff (not just doctors) and 40% increase in funding to match. What the Govt wants to do is spread what's already available over a longer period of time. That means fewer docs during the week. Given that the NHS is struggling to provide standard routine care at times (cancelled operations, cancelled clinics etc), and tends to run at 90% capacity, there's not enough resources to then enable full routine care.

I just thought about that for a moment or two.

The stated aim is to make weekend care as good as weekday care (it's fairly well researched that if you need medical help at a weekend you will get worse care than on a weekday). In fact, if the government don't provide extra money then they will "achieve" their goal by making weekday care as bad as weekend care meanwhile p***ing everybody off.

Watch how they spin that as a victory.....
 
BTW did everybody notice that bit in the autumn statement where student nurses (notoriously underpaid and in short supply) will no longer receive grants? They will receive loans instead. But don't worry - they won't have to pay them back until the reach a salary of £21K. Anybody want to guess what a newly qualified nurse starts on?
 
Personally i don't entirely disagree that doctors (and nurses ) are under resourced, but i'd say that thev solution is to pay more staff, not pay the exisiting staff more - imo 22k isnt a bad starting salary if your hours and workload are reasonable
 
Personally i don't entirely disagree that doctors (and nurses ) are under resourced, but i'd say that thev solution is to pay more staff, not pay the exisiting staff more - imo 22k isnt a bad starting salary if your hours and workload are reasonable

no...I'd agree. You do need to make to profession more attractive though and the way to do that is not to demonise the NHS and cut pay by 1/3rd for doctors. Which is effectively what will happen under these new proposals
 
Junior docs aren't asking for more money. They're just asking for current pay not to be reduced and for fair working conditions. They are largely happy with the current contract.

The other element to this is the change in working time. Currently, under european working time directive, junior docs aren't meant to work more than 48 hours a week on average and absolutely no more than 72 hours in a week. Any more than this and the hospital trust gets fined. This restriction would be removed with the new contract, forcing junior docs to work up to 90 hours a week.

If I cut your pay by 25% and made you work 1.5-2x longer a week, what would you do? How many of you would be happy? These junior docs, if they don't like the terms and conditions, can't work anywhere else in the UK as a doctor. They'd have to emigrate. Which some of them are doing.
 
I just thought about that for a moment or two.

The stated aim is to make weekend care as good as weekday care (it's fairly well researched that if you need medical help at a weekend you will get worse care than on a weekday). In fact, if the government don't provide extra money then they will "achieve" their goal by making weekday care as bad as weekend care meanwhile p***ing everybody off.

Watch how they spin that as a victory.....

The "weekend effect" is evident in other countries, not just the UK. It's a hallmark that those who are admitted at the weekends are more likely to be unwell. Funnily enough, IIRC, they die during the week, not at the weekend. What Jeremy Hunt wants to achieve is the same level of care at the weekends as during the weekday. Without any increase in staff, money or resources. Which basically means that instead of fewer people dying at weekends, more will die during the week but the overall "weekend effect" will disappear.
 
I'd have more sympathy if my working week didnt routinely exceed 48 hours -but if we are honest for much of the population the working time directive is an unenforced fairy tale , and even for doctors I doubt the actual hours they are working is anyehere near the fiction of the WTD anyway

also they may be relatively low paid at starting but the average pay for a junior doctor is 37k (according to the beeb), and their pay isnt being cut by 25% , basic pay is being increased by 11% , antisocial hours payments are being cut but these are an addition to the basic anyway
 
also they may be relatively low paid at starting but the average pay for a junior doctor is 37k (according to the beeb), and their pay isnt being cut by 25% , basic pay is being increased by 11% , antisocial hours payments are being cut but these are an addition to the basic anyway


thats a very academic distinction. At the end of the day less money in their take home for the same or greater hours...which is a pay cut at the end of the day.


One thing that amazes me is the way this government manage to create divisions amongst society and the manage by headlines. 'They earn x'...'I work as hard as them' 'I've no sympathy as a result'...etc. No wonder everybody in education hated Hunt, and now he's moved to health

Trying to live on £22k round here atleast is going to be next to impossible. I don't want to live in a reverse ghetto where doctors face a two hour journey to and from work or are so worried about paying the bills they don't worry about me.
 
Last edited:
also they may be relatively low paid at starting but the average pay for a junior doctor is 37k (according to the beeb), and their pay isnt being cut by 25% , basic pay is being increased by 11% , antisocial hours payments are being cut but these are an addition to the basic anyway
See the calculation I posted above.

bbc said:
average total salary for a doctor in training is around £37,000

Approximately one third of that is "antisocial hours" pay. So basic in this case would be about £25k. An increase of 11% would bring that to £27-28k. What would you call that if it's not a drop in pay from £37k?

Wages are the biggest expenditure in the NHS. Doctors more expensive than other healthcare professionals. The junior doc contract is the starting point. Consultant contract and GP contracts are also under review.
 
If it's that s*** then p*** off and do something else

Doctors are the most money orientated group of professionals I have ever met.

Also trying to use the demise of the NHS as your argument is cheap

So if they all took your advise and did p*** off you'd have plenty to say when you walked into A & E with a member of your family to find there were no doctors. You'd want to pay them a bit more then.

Also nearly everyone I know is money orientated and most of them aren't even professionals.
 
So if they all took your advise and did p*** off you'd have plenty to say when you walked into A & E with a member of your family to find there were no doctors. You'd want to pay them a bit more then.

Also nearly everyone I know is money orientated and most of them aren't even professionals.
There will always be doctors, and good ones, if I walked into A&E with a member of the family I wouldnt want half the clowns (junior doctors) I know treating me ;)

But there again I wouldnt go to A&E unless it was an E or had a decent A.
 
There will always be doctors, and good ones, if I walked into A&E with a member of the family I wouldnt want half the clowns (junior doctors) I know treating me ;)

But there again I wouldnt go to A&E unless it was an E or had a decent A.

It's a pity the doctors that would treat you can't know of your low opinion of them and give you the same lack of respect that you obviously have for them by not treating you.
 
It's a pity the doctors that would treat you can't know of your low opinion of them and give you the same lack of respect that you obviously have for them by not treating you.
Oh they know of my opinion I give them their feedback
 
So if they all took your advise and did p*** off you'd have plenty to say when you walked into A & E with a member of your family to find there were no doctors. You'd want to pay them a bit more then.
.

that happens now - you walk into A&E and have a one to two hour wait to be seen , and thats by a nurse , then wait some more and so on... as i said the answer here is not more pay for doctors, its money to pay more doctors
 
Approximately one third of that is "antisocial hours" pay. So basic in this case would be about £25k. An increase of 11% would bring that to £27-28k. What would you call that if it's not a drop in pay from £37k?

.

Except that anti social hours pay isnt being cut it in its entirity so that whole third won't be lost
 
I wonder how long the poor sods who had appointments or surgeries cancelled today will have to wait for a new one.
 
One thing that amazes me is the way this government manage to create divisions amongst society and the manage by headlines. 'They earn x'...'I work as hard as them' 'I've no sympathy as a result'...etc. No wonder everybody in education hated Hunt, and now he's moved to health

Thing is its not just the govt who has created that rift - its also the union trying to paint people who are actually pretty well paid as 'poorly paid public servants' oh woe is me etc ... thats bound to p*** off people who earn less and work long hours etc themselves. - likewise why should doctors get anti social hours pay for working weekends, when many other jobs just have 'regular weekends will be required'

Trying to live on £22k round here atleast is going to be next to impossible..

so how do all the people on NMW etc manage ? - I agree that jeremy hunt is what his rhying slang name suggests but junior doctors have a lot less to feel sorry for themselves about than a lot of the population
 
Last edited:
See the calculation I posted above.



Approximately one third of that is "antisocial hours" pay. So basic in this case would be about £25k. An increase of 11% would bring that to £27-28k. What would you call that if it's not a drop in pay from £37k?

Wages are the biggest expenditure in the NHS. Doctors more expensive than other healthcare professionals. The junior doc contract is the starting point. Consultant contract and GP contracts are also under review.

Not directly related, but as a "better places to save money than cutting pay":

A group of my friends have built a piece of software in conjunction with a Dr which would allow hospitals to find locum doctors without going through an agency, therefore avoiding the agency fees, which in theory would save the NHS a fortune over a year.
 
Back
Top