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To think that not all doctors are badly paid - junior ones, yes, but not all?

166 replies

MyAmusedOpalCrab · 25/06/2025 20:53

It’s often said that doctors in the NHS are underpaid but is that really true across the board? Junior doctors, yes, absolutely. But consultants, GPs and some specialists earn six figures. AIBU to think that while the pay structure may be flawed, it’s not accurate to say all doctors are struggling financially?

OP posts:
Amethystanddiamonds · 25/06/2025 23:52

Consultants on the golf course therefore late for clinic is ridiculous and so demeaning to consultants. Not a single consultant I work with would be on the golf course before clinic. They might be late because they also have a number of fellows doing PhDs that need help/funding/other supervision, have to check in with their junior team, have a board meeting because they've been told they have to sit on x number of hospital boards, have (often unpaid) research commitments, have been to see a patient on a ward urgently, have been doing their copious amounts of admin because the hiring freeze means they now don't have a med sec, have been grappling with logging into the 12 different ancient IT systems they need to see just one patient, etc etc.

RosesAndHellebores · 25/06/2025 23:48

User37482 · 25/06/2025 23:41

I don’t think thats it. DH and I have both worked in both the private and public sector. Lifelong public sector employees really have no idea what it takes to accrue a public sector pension or leave entitlements. Most of us leave the public sector due to frustration and the sclerotic nature of public sector organisations tbh. My experience of the public sector was that they really didn’t have a clue what the private sector was like. They were genuinely convinced they were hard done by.

Same here and I couldn't agree more.

User37482 · 25/06/2025 23:43

Woopzies · 25/06/2025 23:13

They are all underpaid...... FOR the work they do.

The latter half of that sentence is the important part. '6 figures' is not 6 figures after tax, NI, medical indemnity, GMC fees, etc. After all of that, it works out to be around 50-60k net income for a fresh consultant (who has about 10+ years as a doctor already).

Again, FOR the work, 50-60k net isn't good enough, no matter how much the public tries to make it seem that UK doctors are rolling in cash. US/AU doctors make up to 2-3x more depending on specialty - we are behind the rest of the world because we have a system that means everyone is underpaid and burnt out and then have the audacity to complain that our doctors 'don't care enough.'

The UK public needs to understand that just because xyz career makes more than what they earn, it does not mean that xyz career is paid fairly. As a nation, we are blind to what occurs behind closed doors and it is only ever to our own detriment. 'Do what you've always done, and get what you've always got' as the adage goes. The NHS will not improve until the people who use it fix their attitude towards it.

Add in the pension and the work out how much you would have to save over a lifetime of work for a similar annuity and then tell me people are underpaid.

User37482 · 25/06/2025 23:41

Unicorny244 · 25/06/2025 23:20

It’s clear from your multiple posts that you just don’t like doctors.

I don’t think thats it. DH and I have both worked in both the private and public sector. Lifelong public sector employees really have no idea what it takes to accrue a public sector pension or leave entitlements. Most of us leave the public sector due to frustration and the sclerotic nature of public sector organisations tbh. My experience of the public sector was that they really didn’t have a clue what the private sector was like. They were genuinely convinced they were hard done by.

RosesAndHellebores · 25/06/2025 23:41

Woopzies · 25/06/2025 23:13

They are all underpaid...... FOR the work they do.

The latter half of that sentence is the important part. '6 figures' is not 6 figures after tax, NI, medical indemnity, GMC fees, etc. After all of that, it works out to be around 50-60k net income for a fresh consultant (who has about 10+ years as a doctor already).

Again, FOR the work, 50-60k net isn't good enough, no matter how much the public tries to make it seem that UK doctors are rolling in cash. US/AU doctors make up to 2-3x more depending on specialty - we are behind the rest of the world because we have a system that means everyone is underpaid and burnt out and then have the audacity to complain that our doctors 'don't care enough.'

The UK public needs to understand that just because xyz career makes more than what they earn, it does not mean that xyz career is paid fairly. As a nation, we are blind to what occurs behind closed doors and it is only ever to our own detriment. 'Do what you've always done, and get what you've always got' as the adage goes. The NHS will not improve until the people who use it fix their attitude towards it.

Sadly, I'm not prepared to pay.more for something that isn't fit for purpose. Throwing money at it isn't the answer. My young, Antipodean colleagues, are horrified at NHS standards.

Wes Streeting announced another maternity review yesterday. Have the reviews that have taken place already not already identified the problems.

RosesAndHellebores · 25/06/2025 23:35

Unicorny244 · 25/06/2025 23:20

It’s clear from your multiple posts that you just don’t like doctors.

I don't like rude doctors and I don't like the fact that they are rarely accountable to the patient.

I took my mother to a hospital appointment yesterday. The young, woman Dr was informative, kind and had looked after mother well. I shall drop a note of thanks. Regrettably that is not always the case. In my experience, for every lovely one, there is one who is less than lovely - usually rude and dismissive. If other professionals were as rude, they would be dismissed.

In my view doctors are professional people like other professional people. In no other sector would employees get away with complaining so much about their employer and to their customers, the patients, complaining about their reward package.

Drew79 · 25/06/2025 23:30

MidnightPatrol · 25/06/2025 21:19

@MyAmusedOpalCrab you are falling into the trap of seeing a six figure sum and assuming it means they’re rich.

£100k less tax, student loan and NHS pension will be about £4.5k a month.

£4.5k a month round here would cover one nursery fee and a ~£450k mortgage.

It’s not anywhere near as good as the headline figure suggests.

Edited

Are you sure that's actually correct?

Based on how much student loan?

Pension is an investment, not a cost.

Unicorny244 · 25/06/2025 23:20

RosesAndHellebores · 25/06/2025 23:10

I think many professionals work very long hours.

The children's friends in Financial Services/law/accountancy, etc (late 20s/early 30s) are all working 60 hour weeks or more.

I usually do about 45 to 50 and I'm approaching retirement. When DH was practicing he regularly did 70+ hours.

It's mythical that medics work longer and harder than other professuonals. They do, however have greater job security. DH was self employed - no paid annual leave, no sick pay, no employer pension contributions, and huge indemnity insurance premiums.

DS, an academic, works a 60 hour week at assignment/marking pinchpoints and regularly burns the midnight oil to produce conference papers or get a book to the publishers. If he makes Professor, he might brush against £100k. At least, however, he earnt the title of Dr by virtue of his PhD, rather than it being granted on an honorary basis. Needless to say, he doesn't expect other staff or students to address him with his title. He uses his first name.

It’s clear from your multiple posts that you just don’t like doctors.

NFItheawkardness · 25/06/2025 23:14

I think it really depends on where you are in the UK. I genuinely didn’t used to understand how these wonderful clever educated women put up with the crap they took as GPs in one of the UK’s most expensive cities - the lifestyle they would be able to afford wouldn’t make up for the demands put upon them.

But now I live in a much cheaper part of the U.K. where people still really revere doctors… and the 3-day GPS definitely aren’t working 36 hours as I see them at drop off and pick up and activities after that. So they get high status, good pay relative to where we live, and - crucially - high status, extremely secure work in a region where there actually aren’t that many brilliant high earning stable jobs. I earn a third of what I used to in the big city and that’s not accounting for inflation!

I think a pp had it right - it’s not the big-house-private-school-ski-hols job it once was - but what profession is?

I just looked up my husbands and my graduate degree - mine now costs £120k!!!!’ Husbands is £150k! If I did the same study (undergrad, postgraduate then MBA), it would cost £160k in fees alone - but everyone on our C-suite had similar, and I didn’t even crack that as the hours were too insane. I think maybe doctors don’t realise how insane high earning private sector jobs have become, and how costly thw route can be to getting there!

AllyDally · 25/06/2025 23:14

RosesAndHellebores · 25/06/2025 23:10

I think many professionals work very long hours.

The children's friends in Financial Services/law/accountancy, etc (late 20s/early 30s) are all working 60 hour weeks or more.

I usually do about 45 to 50 and I'm approaching retirement. When DH was practicing he regularly did 70+ hours.

It's mythical that medics work longer and harder than other professuonals. They do, however have greater job security. DH was self employed - no paid annual leave, no sick pay, no employer pension contributions, and huge indemnity insurance premiums.

DS, an academic, works a 60 hour week at assignment/marking pinchpoints and regularly burns the midnight oil to produce conference papers or get a book to the publishers. If he makes Professor, he might brush against £100k. At least, however, he earnt the title of Dr by virtue of his PhD, rather than it being granted on an honorary basis. Needless to say, he doesn't expect other staff or students to address him with his title. He uses his first name.

They may get paid for 4 days but they are working significantly longer hours. On my 50-60th hour in a week working as an accountant I am not making important diagnosis that could have life or death consequences.

Woopzies · 25/06/2025 23:13

They are all underpaid...... FOR the work they do.

The latter half of that sentence is the important part. '6 figures' is not 6 figures after tax, NI, medical indemnity, GMC fees, etc. After all of that, it works out to be around 50-60k net income for a fresh consultant (who has about 10+ years as a doctor already).

Again, FOR the work, 50-60k net isn't good enough, no matter how much the public tries to make it seem that UK doctors are rolling in cash. US/AU doctors make up to 2-3x more depending on specialty - we are behind the rest of the world because we have a system that means everyone is underpaid and burnt out and then have the audacity to complain that our doctors 'don't care enough.'

The UK public needs to understand that just because xyz career makes more than what they earn, it does not mean that xyz career is paid fairly. As a nation, we are blind to what occurs behind closed doors and it is only ever to our own detriment. 'Do what you've always done, and get what you've always got' as the adage goes. The NHS will not improve until the people who use it fix their attitude towards it.

RosesAndHellebores · 25/06/2025 23:10

Donewiththisshit · 25/06/2025 22:54

GPs do themselves a disservice by talking about working part time. A ‘part time’ working 4 days a week is working around 48 hours on average. That’s 10 hours more than your average full time worker elsewhere.

I think many professionals work very long hours.

The children's friends in Financial Services/law/accountancy, etc (late 20s/early 30s) are all working 60 hour weeks or more.

I usually do about 45 to 50 and I'm approaching retirement. When DH was practicing he regularly did 70+ hours.

It's mythical that medics work longer and harder than other professuonals. They do, however have greater job security. DH was self employed - no paid annual leave, no sick pay, no employer pension contributions, and huge indemnity insurance premiums.

DS, an academic, works a 60 hour week at assignment/marking pinchpoints and regularly burns the midnight oil to produce conference papers or get a book to the publishers. If he makes Professor, he might brush against £100k. At least, however, he earnt the title of Dr by virtue of his PhD, rather than it being granted on an honorary basis. Needless to say, he doesn't expect other staff or students to address him with his title. He uses his first name.

AllyDally · 25/06/2025 23:08

I honestly think most people dont have a clue about the hours many doctors work, including consultants. A close friend of mine has to work (well get paid for) 4 days per week because they have work so many hours by Thurs night they are exhausted Fri, then have to work all day Sat and Sun just to get the rest of their work done ready for Monday. A supposed 4 day case load takes 6 days, they are now having to reduce to 3 days so they can work 5 and have a weekend off.

They get 6 figures but it is not amazing for the hours, stress and responsibility. Hopefully they've saved enough to retire early along with a good pension as no one can sustain that sort of work life balance into their 60s!

RhubarbandCustardYummyYummy · 25/06/2025 23:07

RosesAndHellebores · 25/06/2025 22:59

This. Thank you.

Please tell me where I can find these shifts where there’s no work to do???

Annoyeddd · 25/06/2025 23:07

Robertdenirozwaiting · 25/06/2025 21:56

That’s such an cliche:
“Quite few of the older ones are late because they have been at their private clinics all morning or on the golf course.”

It doesn’t really work like this for most doctors and where doctors do have private practice - unless they agreed to be paid less for NHS work, they still have to provide equivalent to full time work. It’s closely monitored.

As for the new breed of consultants- they ARE different. They no longer see the career only in vocational terms- but due to a variety of reasons are more militant about their working conditions. That is why consultants have only relatively recently being voting to strike. Unheard of before.

You may have got more value from your old school jobbing consultant.

Consultant 1old style swans in for morning clinic at 11am most weeks (with overcoat on in winter so obviously hasn't even been on wards) other consultant and registrars in clinic have been going since 9
Consultant 2 old style arrives at 3pm for afternoon ward round from morning clinic at local private hospital (have friends who work there)
Consultant 3 new style works four days - gets paid four days, emails say not in on one day per week no clinics scheduled that day.
These are not the only ones

RhubarbandCustardYummyYummy · 25/06/2025 23:06

Vivienne1000 · 25/06/2025 21:23

Consultants are worth every penny.
But tell me, if GPs are paid so badly, how come every single one at my local practice can afford to work part time…

Because if you’re working 12 hour days working 3 days is full time….. if they were doing stressful GP work 62 hours a week they’d be burned out / suicidal / addicted to drugs pretty sharpish….

Truetoself · 25/06/2025 23:06

@outingoutingif someone really wants to be a doctor - they are not going to understand the pitfalls until they become one. I never thought about money until I had kids and needed money if I wanted to give them a certain life. For some, it is about following a passion. I have tried to dissuade many prospective medical students but they would not listen. And nor should they. It a vocation.

ODFOx · 25/06/2025 23:04

I have to say that a 6 figure salary for a GP or surgeon isn’t at all unreasonable ( and many GPS don’t even get that).
plumbers and electricians get that, and although all their jobs are important and involve years of trading, I think that most people would agree with paying a doctor more than a plumber, because of the ‘life saving’ involved.

AzurePanda · 25/06/2025 23:03

It’s also worth pointing out that medicine degrees are extraordinarily costly and in the UK the fees are effectively heavily subsidised relative to other degrees. This is particularly relevant when medics end up working in countries like the US and Australia where they are higher paid.

RosesAndHellebores · 25/06/2025 22:59

BalloonSlayer · 25/06/2025 21:47

There are several extra allowances that Hospital Doctors get on top of their basic pay:
Additional Rostered Hours
Night Duty Allowance
Weekend Allowance
On call Allowance
Flexible Pay Premium

It all adds up.

I believe Doctors should be the most highly paid in society. Yet I feel uncomfortable when only the basic pay is used when discussing their pay. But that can't really be helped, because the basic pay is the only thing that's clear and easy to grasp in a newspaper article- Doctors' salaries are very complicated.

On top of this, more experienced junior doctors can earn approx £600 for a single on call bank shift (which would be 24 hours but
they might not have to do anything. I am not talking about A&E, more being the on call Doctor for a ward that is ticking over nicely at the weekend with no emergencies.)

This. Thank you.

Donewiththisshit · 25/06/2025 22:54

GPs do themselves a disservice by talking about working part time. A ‘part time’ working 4 days a week is working around 48 hours on average. That’s 10 hours more than your average full time worker elsewhere.

RosesAndHellebores · 25/06/2025 22:49

Annoyeddd · 25/06/2025 21:43

Fortunately many of the old school consultants are on the way out and are slowly being replaced by a different breed. Quite few of the older ones are late because they have been at their private clinics all morning or on the golf course.
Solicitors and accountants aren't perfect - once you have signed to use them they have to be continually chased in my experience and even then there are mistakes.
As for being rude I have seen a fair number of patients who dont have the best of manners and yes they could be in pain or anxious but that is no excuse for shouting the nurses and clinic staff and then become smart with the doctors

I have found some of the younger ones as bad or even worse than the older ones.

I don't agree with the old trope that old school consultants are at their golf club or the local private hospital. I believe the lateness is more to do with the culture of the NHS and a lack of respect for patients.

I have never had to chase my solicitor or accountant and their staff have never, ever been rude to me. If they don't do a good job, they know they will lose business and may not be paid.

When DH was practicing at the Bar he wouldn't have dared be late for court, would have been admonished by the Judge and would have garnered a reputation of being unreliable and unprofessional - result - significant loss of income.

Violetmouse · 25/06/2025 22:48

Vivienne1000 · 25/06/2025 21:23

Consultants are worth every penny.
But tell me, if GPs are paid so badly, how come every single one at my local practice can afford to work part time…

Part time is a relative term. We tend to call it part time if a GP isn't working morning and afternoon five days a week. But, bear in mind GP practices are open 10 hours a day and almost all GPs will have admin to do outside of working hours - it's quite easy to do 36 hours a week over 3 days.

(from an ex GP who found working in general practice too awful to manage and now works as a speciality doctor in an inpatient setting earning around £60,000 - despite having 20 years experience and a masters degree in the speciality I work in)

User37482 · 25/06/2025 22:41

JeremiahBullfrog · 25/06/2025 22:32

I really don't like the culture we've developed where people earn vastly more at the end of a career than at the start of it. It's younger people - the ones struggling to get on the housing ladder and/or trying to bring up children - who really need the money, not the ones close to retirement whose kids have flown the nest and are now living in homes with more space than they know what to do with.

You get paid according to what you bring to the table not by what you need.

grizzlyoldbear · 25/06/2025 22:40

Consultants are actually underpaid when you think about the sacrifices they’ve made. Years of training, rotating, cpd, ridiculous hours, unpaid overtime.
I’ve got a mate who rents out a few Airbnbs and makes about the same as a consultant. Last year, £121k. No night shifts, no lives in their hands. Go figure.