Pay: BMA condemns call for separate framework for locally employed doctors

A pay review body recommendation that UK governments consider a separate pay framework for locally employed doctors should not be used to justify cutting their pay, the BMA has said.

The Review Body for Doctors’ and Dentists’ Remuneration (DDRB) made the recommendation in its 2025 report, stating that locally employed doctors represent a diverse and growing part of the medical workforce in secondary care but “are not exposed to all the same pressures as doctors in training, including the impact of rotations.”1

As well as its main recommendation of a 4% pay rise for most doctors,2 the DDRB recommended that the government should review flexible pay premiums in England to assess their value for money and effectiveness. The BMA has warned that this recommendation could result in pay being taken away from …

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