After months of strikes and disrupted services, a breakthrough pay deal for junior doctors in England promises to end their long-running dispute with the government. Here’s the full story.
New Deal Reached
In a move that will likely stand as one of the first successes of the newly elected Labour government, junior doctors may finally see a significant pay increase following a new deal agreed with the government.
Months-Long Dispute
The deal follows a protracted, months-long dispute between the previous Conservative government and junior doctors in England, marked by numerous strikes, intense negotiations and walkouts.
22.3% Pay Rise
The tentative deal, which offers a 22.3% pay rise over two years, promises to end the industrial actions that have caused widespread disruptions in the National Health Service (NHS). The agreement between the British Medical Association (BMA) and the government is now subject to the junior doctors’ vote.
Strikes Since December 2022
The conflict began in December 2022 when junior doctors, advocating for a 35% pay rise, began striking to address 15 years of below-inflation salary increases. Over this period, the NHS, already critically underfunded and stretched to breaking point, saw substantial disruptions, with 1.5 million appointments, procedures and operations postponed. The total cost of the strikes has been estimated at an eye-watering £3 billion.
Intensive Negotiations
The breakthrough in negotiations was achieved after several rounds of intensive meetings between the government, represented by Health Secretary Wes Streeting, and the junior doctors’ committee led by Dr Vivek Trivedi and Dr Robert Laurenson.
No 35% Pay Increase
Going into negotiations, Streeting had ruled out the requested 35% pay increase ahead of the talks, arguing that “any trade union worth their salt” would return the following year with similar demands if he gave in to union pressure.
Fast Agreement Reached
The first face-to-face discussions took place on 9 July 2023, and a preliminary agreement was reached within a remarkably short 20 days. This speed at which an agreement was reached is all the more remarkable considering the sheer length of time the dispute lasted under the previous Conservative government.
Details of Pay Deal
The proposed pay deal includes an average rise of 22.3% spread over 2023-2024 and 2024-2025. This comprises a backdated 4.05% increase for 2023-2024, an 8.1% to 10.3% rise, and an additional 6% increase for 2024-2025, supplemented by a £1,000 payment.
Significant Pay Restoration
The cumulative effect of these increments represents a substantial step towards pay restoration for junior doctors, who make up almost half of the NHS workforce.
Government’s Commitment
The government’s commitment to finally resolving the dispute was articulated by Prime Minister Rishi Sunak’s official spokesperson, who stated, “As we’ve said before, we’re committed to working to find a solution, resolving this dispute, but I can’t get into detailed running commentary on negotiations.
Public Honesty
They added, “We’ve been honest with the public and the sector about the economic circumstances we face. But the government is determined to do the hard work necessary to finally bring these strikes to an end.”
Brilliant News
Dr Annie Williamson, a research fellow at the Institute for Public Policy Research, hailed the agreement as “brilliant news,” adding, “An end to strikes is a crucial first step to getting the NHS back on track.”
Strain on Resources
The protracted industrial action strained hospital resources and exacerbated waiting lists, which would have thrown a spanner in the works regarding the incoming Labour government’s commitment to ensure 40,000 extra appointments a week to cut down the NHS’s waiting list backlog.
Affordability of Pay Hike
Speaking to Sky News, Vicky Pryce, Chief Economic Adviser to the Centre for Economic and Business Research, argued that the government could afford the 22.3% pay hike. She claimed that financial losses incurred due to postponed medical appointments and procedures far exceeded the cost of the proposed pay rise.
Cost of Postponements
Pryce stated, “If you look at the cost to the NHS and basically to taxpayers on all those appointments that didn’t happen since December 2022, that has been added up to around £3bn anyway. So we’re much better off paying than having anything similar, sort of continuing, you know, over the next year or two. So, yes, we can afford it.”
Retaining Doctors
Resolving this dispute has been considered a critical step for the NHS to retain highly trained doctors as part of its workforce. Junior doctors have been under considerable stress, exacerbated by the pandemic and successive winter health crises. The agreement could help stem the exodus of doctors seeking better pay abroad, stabilising the workforce and improving services.
Milestone in Dispute
The tentative agreement between junior doctors and the government marks a significant milestone in a long-standing pay dispute. While it awaits ratification by the BMA’s junior doctors, the deal promises to restore some stability to the NHS. It demonstrates the newly elected government’s willingness to address the doctors’ concerns.
Awaiting Ratification
However, whether the junior doctors will accept the new pay deal remains to be seen.
Featured Image Credit: Shutterstock / Nigel J. Harris.