Today and tomorrow’s strike by NHS consultants underlines how industrial action has become the preserve of the well-paid. The consultants appealing for public sympathy were, according to NHS figures, paid a mean basic salary of more than £97,000 in the year to March. On top of this they received mean overtime and bonus payments of close to £30,000, bringing their total mean earnings to more than £127,000. Yet not all of these were working full-time. The mean basic salary for full-time staff was more than £105,000. And of course, on top of this they have been offered a pay rise of 6 per cent – which they have rejected.
The BMA continues to demand a salary increase of 35 per cent, which it says is necessary to restore real earnings to the levels of 2010. It arrives at this figure using the Retail Prices Index (RPI) which has long been abandoned by the government – on top of which it adds a few percentage points for a loss of income due to pension changes and tax rises. But it’s taxes which pay consultants’ salaries. So, presumably the BMA is happy for the rest of us to be taxed more to pay higher NHS salaries – but wants doctors to be compensated for those same tax rises.
If workers want real-term salary increases over the long-term the only way to achieve them (at least across the economy as a whole) is to increase productivity. The Office of National Statistics records that in 2021 productivity in healthcare was 91 per cent of what it had been in 1996-97. Regardless of the pandemic (when money poured into the NHS without a corresponding rise in output), the same figures