Is the junior doctors’ contract the breakthrough we’ve been told it is?

Even THE Doctor (Peter Capaldi) stood up to support junior doctors in their dispute over pay and conditions [Image: Sarah Sheldrake.]

Even THE Doctor (Peter Capaldi) stood up to support junior doctors in their dispute over pay and conditions [Image: Sarah Sheldrake.]


Consider the following, and decide for yourself:

Weekend working

In future, Saturdays and Sundays will count as “plain time” – part of a junior doctor’s normal working week. This is a big U-turn by the BMA, which had consistently refused to countenance any of Saturday being classified that way.

However, trainee medics will receive extra money for working at least seven full weekends a year up to a maximum 10% increase in their pay, depending on how often they do so. Most will receive at least the 3% uplift for doing seven weekends.

Hunt was able to hail the BMA’s change of tack as helping him to bring in the “truly seven-day NHS” that the Conservatives have pledged. The new system makes it a third cheaper for hospitals to roster junior doctors to work at weekends, he says.

Night working

The BMA are claiming that a complicated new payments system for overnight working is a big improvement for doctors. Pay is going down from 50% extra for a shift to 37% for working at least eight hours any time between 8pm and 10am. But the union says that it will also end some anomalies that meant some doctors working very late at night did not get a premium rate in return.

Basic pay

The 55,000 junior doctors in the NHS in England will now get an increase in their basic pay of 10%-11% and not the 13.5% the health secretary previously promised, because other changes to their payments make it harder to keep the package cost-neutral – another Hunt pledge.

Also, most juniors will also get a separate 8% uplift to their pay so long as they do on-call work, which almost all do. Pay premia for young doctors opting to specialise in A&E, psychiatry and oral and maxilo-facial medicine have been increased to £20,000. And while doctors doing locum shiftss will have to first offer their services to the NHS, they will get a 22% bonus every time they do.

Source: Junior doctors’ contract deal: what was agreed | Society | The Guardian

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7 thoughts on “Is the junior doctors’ contract the breakthrough we’ve been told it is?

  1. Dez

    At the end of the day the guys on the ground know the facts and what they are actually being asked to work and will know if they are better or worse off. I am pleased something has been negotiated but just fear with that Hunt leading the Cons pack there is a catch somewhere. We all await with interest and look forward to hearihg what if any catches have been buried in the small print.

  2. Roy Beiley

    Interesting that the BMA has suddenly dropped its aggressive rejection of Hunt’s proposals. I think the devil may be in the detail when the JD’s get to see the full text in B&W. Could be a divided vote in July if there are hidden nasties lurking there.

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