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Junior doctors report backlash over attempts to negotiate higher locum pay

BMJ 2023; 380 doi: (Published 06 February 2023) Cite this as: BMJ 2023;380:p298
  1. Elisabeth Mahase
  1. The BMJ

Junior doctors say they are facing increased pressure to take up locum shifts at short notice and a backlash from employers over attempts to negotiate higher locum pay rates.

The complaints came as the BMA released its locum rate card, which sets out the minimum pay doctors should accept for these extra shifts. These range from £60 an hour for a foundation year 1 doctor covering a weekday shift to £150 an hour for specialty trainees (years 6-8) on a weekend overnight shift.1

“Junior doctors’ skills and work have been undervalued for too long,” the BMA said in its guidance. “Considering the huge responsibility and onerousness of undertaking clinical work through the night on-site, we believe this represents a reasonable rate of pay for locum work.” It said these rates were “already being paid by some employers across the UK” and had been “calculated based on data collected from trusts, and to reflect the fairest rate.”

The NHS’s spending on locum staff has repeatedly …

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