Average salary of 128k? Don't make me laugh. I've been a full time consultant for 13 years and I'm nowhere near that. But the real problem is that the 30% realterms salary drop, the appalling conditions, the punitive pension tax rules (last year I had to pay 5k in tax for pension money that I'm unlikely to live to receive), and the horrific understaffing are leading many, many colleagues to "RLE" - retire, locum, emigrate. Retention is so appalling that at one point I was the only non-locum consultant in my department for over a year. I kept services going, I kept training going, I kept standards going. And it very nearly killed me. I want conditions to be good enough that we can keep vital talent in the UK.
Oh, and for the record, I have never done even 1 minute of private work. But when I had only been working for the NHS for 1 year I had already done the equivalent of 120 9-5 days of unpaid overtime. I can't remember the last year I was able to take all my annual leave, and we don't get paid for it if we lose it.
Let's take one day last week. I was scheduled to be working on the ward 9am to 5pm, then still on the ward until 7pm, called back to the hospital at 9pm, and literally on my feet with no time for even a drink or the loo until 5am. Then had to work 9 - 5 on the ward. Do you fancy doing that? On the plus side, saved a child's life. But was so tired on the way home I can't remember the drive.