Why The Doctors Want 35% | Full Pay Restoration Explained

Hello everyone, welcome back to the channel. My name is Ollie. I am a junior doctor living and working in England as part of the NHS. Today I'm going to talk about strikes like I've been talking about for a while, but let's get to the bottom of what young

doctors

really

want

, what young

doctors

like me really

want

and the reason I want to make this video is that we are still seeing a lot of misunderstanding and miscommunication in the press. The media, even in some cases official communications, go to the bottom of the dispute between the Genie doctors in England, the NHS, their main employer, and Steve Barkley, the Secretary of State for Health and Social Care, and in the central definition, the question here for young doctors is the

full

salary.

restoration

right, it's not a wage increase it's wage

restoration

why this particular term why we use this particular language why don't we say we want a wage increase of 20 we want a wage increase of 30 we want a wage increase of 50 or whatever That is why we say we want the restoration of

full

salary.

The reason these terms are so important is that the reinstatement of fault pay represents the reversal of wage losses that doctors have suffered. In this case, young doctors due to inflation since 2008 and salaries of young doctors in England have fallen by 26.1. percent in that time and then what do you actually do about it? What is the solution? How do you solve it? If you want to undo a 26.1 pay loss, could you, for example, give everyone a 26.1 pay raise? That intuitively sounds like it would be pretty sensible. right, you've lost 26.1 percent, you'll just give back 26.1 percent and everyone will go back to zero, then everyone will be happy instinctively, intuitively, that sounds like it would work, but when you start looking at the numbers and figures involved , It is not like this.

Let's take a look at why let's say you are paid a salary of four pounds a year. Well, we have your four pounds. Then we're going to reduce your salary by 25. Okay, multiply that by 0.75, which gives us 3. So now you get paid three pounds a year after your salary was reduced by 25 and you go to your boss or the government or whoever. be and you say well, that's not fair, I want them to pay me the same as before because I'm doing the same job I'm fine, we take away 25, let's increase his salary by 25, so now we'll do our three times one point two five, okay , 25 extra in addition to the three we have, which gives us 3.75 and look.

Well, that's not enough, it's actually not as much as I was paid before, so the question really here is why do you have to multiply three to get back to the original four that you have and in this case that? the answer is 1.33, you actually need 133 of what you have or a salary increase of 33 to recover the 25 of your original salary that you lost, okay, so that's it, let's give ourselves another scenario and in this second scenario your salary is now £100 a year, okay, I'm just keeping the numbers nice and big and round so it's easy to illustrate what's happening, but let's say you get paid £100 a year and now you're going to lose £26.1 of your salary. the same amount that you and your doctors have lost, so we will start with our number of £100 that was paid and multiply it by 0.739, the decimal version of the difference between 26.1 and 100, which means that we are removing the 26 .1 per cent, leaving us with 73.9 per cent and that, as can be deduced from the mathematics, will leave us with £73 90 and the young doctors get a bit upset and go back to the government and say there is no government.

In fact, we are still working very hard and we are doing the same job as always, but now we are only paid £73 90 and the government, because it is a good government and we like it, turns around and says: "no". Don't worry doctors, we got you, you can work very hard, we are a kind and caring government, we care about our workforce and the health of the nation, we will fix it for you, so now the question here is well, we have our 73 pounds. 90. Times why go back to the hundred that we had before and here we have some pretty simple math, which is that if 73.9 times something, this quantity that we'll call X is 100 and so that just means that we can divide both sides by So what does this mean?

Does any of this mean in the real world for our real world junior doctors like me? Well, a new junior doctor who is a foundation year fy1, a doctor fresh out of medical school, first year of practice starts at £29,384 and all the salary figures. What I'm going to give in this video can be found on the bmas public pay scales website. All of this is freely available. People often find it difficult to believe exactly what doctors are paid, for whatever reason. It's all publicly available information. Linked in the description. so 29,384 for a doctor new to their adjusted 40 hour work week doing some very quick calculations with napkins 29,384 divided by 2,080 the number of work hours in a year, that's 40 hours a week multiplied by 52 weeks a year , but that works out to £14/hour, just over £14/hour for your first year.

Junior doctor, multiply that figure by the 1,353 or 35.3 pay restoration that we would need and that would take you to just over £19 an hour, so think about that, our new doctor. Fresh out of medical school in your first year of practice, but doing a very difficult job, you will work nights on weekends, making very difficult decisions, you will be the first person to take care of you on call when you are not feeling well. Takes them from £14 an hour, little more, to just over £19 an hour at the other end of the scale, the most senior junior doctors out there, the st8 specialty registrars, these are people at the other end of the line , about to become consultants.

Sorry, I have the figure in front of me. but those trainees are going to weigh £58,398 for their 40-hour work week, or £28 and seven pens an hour by my very rough calculations. They are now extremely skilled people with at least a decade of post-graduate training. That's not including medical care. school that has training and experience as a practicing doctor and these people will be the ones who will remove your brain tumor in the middle of the night or decompress your skull or save your life and the life of your baby in Gynecology, restoration of full salary for them it would mean going from the £28 an hour they would normally earn to £38 an hour and this is what I think is missing in much of the dialogue here, particularly in the media and the way the government reports on pay restoration 35.3 percent that sounds like a lot, it sounds like a huge number and the reason that number is reported is because it sounds big and shocking, but when you look at what we're actually asking for for your new doctor: going from 14 pounds per hour a little over £19 per hour a little more or your very experienced registrar about to become a consultant going from £28 per hour to £38 per hour that actually doesn't sound that unreasonable.

I would bet that to a lot of people who actually don't. It doesn't sound very unreasonable at all and just to leave you with something to think about, you may think that 35 is objectionable and you know that's fine, people can think whatever they want, but if you think that that It really sounds like too big a number for the system to afford or even entertain the idea of ​​remembering that it's just that big 35 because that's what it takes to undo the amount that's been taken away and I hope that if you think that 35 is objectionable to give us, they would also think it's objectionable to take away 26 and that's not even a pay increase that's putting us back to the baseline of what we had before the profession started seeing below inflation pay increases pay cuts in real terms year after year after year after year this is a political choice that this has been allowed to happen, hasn't the BMA been militant enough and stood by?

And while this happened, it surely was and the doctors themselves have a lot to answer for by not standing up for themselves and letting their pain conditions get worse and worse and losing control of training and everything else that is going wrong in the profession, the Doctors are as guilty of it as any government that supervises them, but basically this has been going on for a long time, I hope that going through some of these examples has clarified things for me. I'm going to talk in another video about what exactly a junior doctor is because again it was not captured very well but I hope it helps thank you very much take care and see you next time thanks foreigner