First Minister, MS and MS, Cabinet Secretary for
Health and Social Care: We have today made a formal pay award
offer to each of the three BMA branches of practices – junior
doctors, SAS doctors and consultants – for 2023-24, following
successful negotiations over the last two months.
We would like to thank members of the BMA's negotiating teams and
NHS Employers for the constructive nature of the talks, which
have enabled us to make these formal offers, which will now be
put to the BMA membership for consideration. Each of the three
BMA elected representative committees are recommending members
accept the offers.
While strike action has been paused during negotiations, if these
offers are accepted, it will end this dispute and industrial
action, meaning doctors will return to work in Wales for the
benefit of patients and NHS services.
The negotiations have been robust and while the aim was to end
the 2023-24 dispute and prevent further disruptive strike action,
these offers also ensure the additional investment in doctors'
pay is balanced against commitments towards operational reforms,
which seek to address productivity and efficiency and achieving
future contract reform. These pay awards, if accepted, will also
help to address inequalities in the senior NHS medical workforce.
These offers are at the limit of our affordability. We have been
open and transparent about our financial constraints with our
social partners during negotiations.
Junior doctors
The offer consists of a 12.4% pay uplift, backdated to 1 April
2023. This includes the 5% pay lift for 2023-24, which has
already been paid. If agreed, this offer is outside of the Doctor
and Dentists Review Body (DDRB) recommendation for 2023-24. This
offer is in line with the pay award accepted by junior doctors in
Scotland.
All parties will commit to re-entering contract negotiations as
soon as practicable once a new BMA junior doctors committee is
elected this year with the ambition of reaching an agreement
that, subject to approval by BMA members, would begin
implementation in 2025-26. The contract negotiations will build
on the contract rejected in 2022, while recognising that
significant changes will be required.
Consultants
The Welsh Government and the BMA Welsh consultant committee have
agreed the time is right to reform the current pay structure,
which is more than 20 years old. A modern pay structure will
better support recruitment and retention, better reward
performance, address the gender pay gap, and support progression
through the career of consultants in Wales. The new pay structure
will be backdated to 1 January 2024. If this offer is agreed, it
will be outside the DDRB recommendation for 2023-24.
The BMA rate card will be withdrawn if the offer is accepted with
immediate effect at both local and national levels in Wales.
All parties have agreed to an all-Wales job planning policy being
developed and implemented during 2024-25 along with an NHS Wales
recruitment template for newly-recruited consultants in Wales.
It has also been agreed that scoping work will be undertaken
during 2024-25 in preparation for contract reform talks. Any
reformed contract will need to be fully modernised against
current and future requirements of the NHS Wales for the benefit
of patients and the wellbeing of consultants.
SAS doctors
Specialty Doctor 2021 Contract
In 2021, a new specialty doctor contract was agreed in social
partnership and implemented as part of a multi-year pay deal.
This offer addresses the unintended imbalances in the pay scale
for doctors on the 2021 contract and the 2008 contract to ensure
consistency and fairness across the specialty doctor workforce.
This investment will encourage more doctors to take up the new
contracts, which offer modernised terms and conditions to ensure
that doctors and patients benefit from the reformed contract and
working conditions.
Specialist Doctor 2021 Contract
In 2021, a new specialist doctor contract was agreed in social
partnership and implemented as part of a multi-year pay deal.
This offer addresses the unintended imbalances between the
specialty doctor and specialist pay scales to ensure a career
progression pathway is maintained across the workforce. It
will resolve the current issue that exists where the top
pay point of the 2008 specialty doctor pay scale is higher than
the starting salary for the specialist grade.
Associate Specialist (2008 Contract)
The Welsh Government has listened to the BMA Welsh SAS committee
and while recognising this is a closed grade, recognises the
rationale for associate specialists to receiving comparable
levels of pay against the consultant pay scale, given the skills
and experience of associate specialists working on consultant
rotas.
The offer includes uplifting the 2022-23 pay scales by a further
4%, making a total of 9% for 2023-24 backdated to 1 January 2024
for associate specialists.
The BMA rate card will be withdrawn if the offer is accepted with
immediate effect at both local and national levels in Wales.
Full details of each pay offer will be communicated through BMA
Wales to their members.
We would like to take this opportunity to encourage doctors who
have any questions about the offer to speak to their BMA
representatives as this is a fair offer to address the pay
dispute.
We look forward to working in social partnership with all NHS and
health trade unions to discuss the 2024-25 pay award.
