Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Regional pay plans short-sighted, says BMA


A group of NHS trusts has been accused of making “short-sighted” plans to introduce regional pay and conditions which would “undermine the national ethos of the NHS”.

The British Medical Association (BMA) said the 20 trusts in the South West which plan to fix the pay, terms and conditions of health workers in the region would also waste resources and could make it harder for some areas to recruit high-quality staff.

Proposals put forward include cutting pay and increasing hours.

In a new paper, the BMA describes the measures as “short-sighted”, saying they could lead to demoralised staff and an increase in regional variations in quality of care.

Dr Mark Porter, chair of council at the BMA, said: “If this initiative is allowed to go ahead, other regions are likely to follow suit, taking us further away from a truly national health service.

“We do not want to see skills drain away from certain areas of the country, particularly in more remote regions.

“This is a distraction from serious attempts to address the massive financial challenges facing the NHS.

“Instead of wasting resources on short-term measures for which there is no evidence, and that will only serve to demoralise staff, we should focus on ways to genuinely improve efficiency and quality.”


Readers' comments (3)

  • michael stone

    This was in at least one national paper today - I think it is fair to say that Mark Porter isn't a huge fan of this goverment: can't see him being invited in as an advisor ! A pity - he makes sense !

    Unsuitable or offensive? Report this comment

  • This nothing but another manifestation of the race to the bottom in pay and employment benefits. Staff and unions must resist as there is no end to it. Reflecting 'market rates' is just expressing in presentational terms a respectable but thin veneer. Most staff do not have a private sector comparator and those that do would find their pay increasing once the economy picks up when the government would then want to introduce national rates to reduce costs!

    Unsuitable or offensive? Report this comment

  • It wouldn't surprise me if the cartel stuck in sweeteners to push through changes they want, by convincing staff they're getting a better deal.
    Other trusts will look to follow, looking for quick fixes. Also when one of their Trusts struggle to fill certain positions, they might offer a more competitive package, to certain individuals, leaving the rest to struggle.
    Once they get their way, in the long term staff conditions and patient care will suffer.
    Going away from the National pay + conditions frame work would mean that each organization might have to negotiate again every time there are changes + reviews in the future. What a complete waste of time and resources that will be.
    It will make recruiting + retaining high quality staff much more difficult, excellent staff will look + plan for thru own exit strategies, either to work in a non-cartel trust or even change professions as good nurses have loads of transferrable skills and experience. Hopefully it won't come to that.

    Unsuitable or offensive? Report this comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.