What will junior doctors earn under their new contract?BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i3453 (Published 23 June 2016) Cite this as: BMJ 2016;353:i3453
- Janis Burns, trainee anaesthetist
- Northwest London Deanery
Junior doctors are now being balloted on whether or not to accept the proposed contract agreed by the BMA and NHS Employers. A determining factor for many will be the acceptability of the remuneration package on offer.
The current banding system has been criticised for its complexity, but under the proposed new system a junior doctor’s annual salary would depend on no fewer than seven variables (box 1).
Box 1: Seven variables affecting junior doctors’ pay under the new contract
Year of training
Additional hours worked over the basic 40 a week
Frequency of weekend working
Number of hours worked that attract pay enhancement for evening and night working patterns
On-call availability allowance
Hours worked while on call
Eligibility for flexible payment for acting as a senior decision maker
A system with such a large number of variables is difficult to understand, so I spent some time modelling salaries …