Public Expenditure on Health and Personal Social Services 2009 - Health Committee Contents

6.  WORKFORCE

6.1.4  What has the top (discretionary and non-discretionary, and including merit or distinction awards where appropriate) and bottom of the pay scale and average full-time earnings been for: (a) Nursing and Midwifery Grades D-I, (b) Nursing/Midwifery/Health Visitor Consultants, (c) House Officers (PRHO/F1), (d) Senior House Officers/F2, (e) Specialist Registrars/Specialty Registrars, (f) Associate Specialists, (g) Staff Grade doctors, (h) Consultants, (i) Salaried General Practitioners employed by PCTs and (j) Specialty Doctors been in each year from 1997-98? Can the Department please also state what has been the average pre-tax income (net of expenses) of G/PMS contractor GPs in each year from 2002-03, in cash terms and at current prices? (Q73)

Answer

  1.  Tables 73a to 73c show the top and bottom of the pay scales for medical and non-medical staff from 1997-98 to the present. These reflect changes as a result of pay reform with the introduction of Agenda for Change (AfC) for non-medical staff in 2005, a new contract for consultants in 2003, the introduction of non-medical training grades in 2006 and 2007 and the new speciality doctor and associate speciality grades in 2008. In the case of nursing and midwifery staff, table 73a shows the Whitley pay scales from 1997-98 to 2004-05 and table 73b shows the AfC pay scales from 2005-06.

  2.  Table 73d provides information on the average earnings per head for hospital and community health staff from 1997-98 to 2008-09. Average full time earnings are an indication of the actual amounts of take home earnings individual members of staff receive. This takes into account all earnings such as unsocial hours payments, overtime payments, bonus payments and professional awards such as discretionary payments or clinical excellence awards. It is not unusual therefore to see earnings in excess of the top of the pay scale.

  3.  Table 73e provides average net income achieved by general/personal medical services GPs in the years 2002-03 to 2006-07 based on latest available data published in the public domain. Information on average GP earnings for 2007-08 will not be available until the HM Revenue and Customs GMPs' Earnings and Expenses Enquiry is published (usually some 18 months after the end of the tax year). For the years 2002-03 onwards (and including all years the new general medical services contract was in force), the table shows average net income (NHS and private earnings) reported at a UK level.

Table 73a

TOP AND BOTTOM OF NURSING AND MIDWIFERY PAYSCALES PRE-AGENDA FOR CHANGE

											£
Grade		01/04/1997	01/12/1997	01/04/1998	01/12/1998	01/04/1999	01/04/2000	01/04/2001	01/04/2002	01/04/2003	01/04/2004
D	Minimum	12,230	12,385	12,630	12,855	14,400	14,890	15,445	16,005	16,525	17,060
	Maximum	13,990	14,165	14,450	14,705	15,905	16,445	17,055	17,670	18,240	18,830
E	Minimum	13,990	14,165	14,450	14,705	15,395	15,920	16,510	17,105	17,660	18,230
	Maximum	16,200	16,410	16,735	17,030	17,830	19,220	19,935	20,655	21,325	22,015
F	Minimum	15,520	15,715	16,030	16,310	17,075	17,655	18,310	18,970	19,585	20,220
	Maximum	19,010	19,250	19,635	19,985	20,925	21,635	22,865	23,690	24,455	25,250
	With DPs (1)			20,750	21,115	22,105	22,860	23,710	24,565	25,360	26,180
G	Minimum	18,300	18,535	18,905	19,240	20,145	20,830	21,605	22,385	23,110	23,860
	Maximum	21,170	21,440	21,875	22,255	23,300	24,090	25,420	26,340	27,190	28,070
	With DPs (1)			23,005	23,410	24,515	25,350	26,290	27,245	28,125	29,035
H	Minimum	20,445	20,710	21,125	21,495	22,505	23,270	24,135	25,005	25,815	26,650
	Maximum	23,380	23,680	24,155	24,580	25,735	26,110	28,045	29,065	30,005	30,975
	With DPs (1)			25,325	25,775	26,990	27,910	28,945	29,990	30,960	31,960
	Modern matron (2)								29,990	30,960	31,960
I	Minimum	22,635	22,925	23,385	23,795	24,920	25,770	26,725	27,695	28,590	29,515
	Maximum	25,655	25,975	26,495	26,965	28,240	29,205	30,720	31,830	32,860	33,920
	With DPs (1)			27,665	28,160	29,485	30,490	31,620	32,760	33,820	34,920
	Modern matron (2)								32,760	33,820	34,920
Nurse consultant (3)	Minimum					27,460 (3)	28,395	29,450	33,940	35,035	36,165
	Maximum					42,010 (3)	43,440	45,050	46,675	48,185	49,740
Source:
NHS Pay, DH (Whitley pay scales)
Footnotes:
1.  Discretionary points (DPs) introduced 1 April 1998 and effective from 11 September 1998.
2.  Modern matrons introduced 1 April 2002.
3.  Nurse consultants introduced September 1999.

Tabel 73b

TOP AND BOTTOM OF AGENDA FOR CHANGE PAY BANDS WHICH RELATE TO NURSING AND MIDWIFERY STAFF

							£
AfC band		01/04/2005	01/04/2006	01/04/2007	01/11/2007	01/04/2008	01/04/2009
5	Minimum	18,698	19,166	19,454	19,683	20,225	20,710
	Maximum	24,198	24,803	25,175	25,424	26,123	26,839
6	Minimum	22,328	22,886	23,230	23,458	24,103	24,831
	Maximum	30,247	31,004	31,469	31,779	32,853	33,436
7	Minimum	26,948	27,622	28,036	28,313	29,091	29,789
	Maximum	35,527	36,416	36,962	37,326	38,352	39,273
8a	Minimum	34,372	35,232	35,760	36,112	37,106	37,996
	Maximum	41,246	42,278	42,912	43,335	44,527	45,596
8b	Minimum	40,036	41,038	41,654	42,064	43,221	44,258
	Maximum	49,496	50,733	51,494	52,002	53,432	54,714
8c	Minimum	48,176	49,381	50,122	50,616	52,007	53,256
	Maximum	59,395	60,880	61,793	62,402	64,118	65,657
8d	Minimum	57,745	59,189	60,077	60,669	62,337	63,833
	Maximum	71,494	73,281	74,381	75,114	77,179	79,031
9	Minimum	68,194	69,899	70,947	71,646	73,617	75,383
	Maximum	86,240	88,397	89,723	90,607	93,098	95,333
Source:
NHS Pay, DH (Agenda for Change pay scales)

Table 73c

MINIMA AND MAXIMA OF DOCTORS' PAYSCALES SINCE 1997-98

																		£
		01/04/1997	01/12/1997	01/04/1998	01/12/1998	01/04/1999	01/04/2000	01/04/2001	01/04/2002	01/04/2003	01/04/2004	01/04/2005	01/04/2006	01/11/2006	01/04/2007	01/11/2007	01/04/2008	01/04/2009
PRHO	Minimum	15,230	15,440	15,800	16,145	16,710	17,260	17,935	18,585	19,185	19,703	20,295	20,741	20,741	21,052	21,091	21,862	22,190
	Maximum	17,190	17,430	17,840	18,225	18,860	19,480	20,245	20,975	21,655	22,240	22,907	23,411	23,411	23,762	24,061	24,591	24,960
Foundation House Officer 1	Minimum												20,741	20,741	21,052	21,391	21,862	22,190
	Maximum												23,411	23,411	23,762	24,061	24,591	24,960
Foundation House Officer 2	Minimum												25,882	25,882	26,270	26,532	27,116	27,523
	Maximum												29,352	29,352	29,792	30,002	30,663	31,122
SHO	Minimum	18,995	19,260	19,715	20,135	20,845	21,535	22,380	23,190	23,940	24,587	25,324	25,882	25,882	26,270	26,532	27,116	27,523
	Maximum	24,115	24,440	26,340	26,910	27,845	28,760	29,880	32,520	33,570	34,477	35,511	36,292	36,292	36,837	36,942	37,755	38,322
Specialist Registrar (SpR)	Minimum	21,230	21,530	22,040	22,510	23,300	24,070	28,810	25,920	26,760	27,483	28,307	28,930	28,930	29,364	29,580	30,231	30,685
	Maximum	30,970	31,400	32,135	32,830	33,965	35,080	36,460	37,775	39,000	41,733	42,985	43,931	43,931	44,581	44,581	45,562	46,246
Speciality Registrar (SfR)	Minimum														28,118	28,352	28,976	29,411
	Maximum														44,581	44,581	45,562	46,246
Consultant (pre-2003 contract)	Minimum	43,165	43,750	44,780	45,740	47,345	48,905	50,810	52,640	54,340	55,699	57,370	57,944	58,632	59,512	59,632	60,944	61,859
	Maximum	55,705	56,470	57,800	59,040	61,605	63,640	66,120	68,505	70,715	72,483	74,658	75,504	76,300	77,300	77,300	79,001	80,186
	with DAs/CEAs	109,350	110,115	112,710	115,130	120,130	124,100	128,935	133,585	137,895	141,830	146,241	147,803	149,458	150,458	150,458	153,769	155,982
Consultant (2003 contract)	Minimum									65,035	67,133	69,298	69,991	70,822	71,822	71,822	73,403	74,504
	Maximum									88,000	90,838	93,768	94,706	95,831	96,831	96,831	98,962	100,446
	with DAs/CEAs									155,180	160,185	165,351	167,005	168,989	169,989	169,989	173,730	176,242
Assoc. Specialist	Minimum	25,585	25,945	26,560	27,120	28,065	28,995	30,125	31,210	32,220	33,090	34,158	34,977	34,977	35,502	35,977	36,769	37,321
	Maximum	44,510	45,120	46,180	47,175	48,825	50,435	52,400	56,105	57,915	60,000	61,935	63,422	63,422	64,373	64,422	65,840	66,827
	with DPs	51,168	51,885	53,105	54,255	56,150	58,000	60,200	64,525	68,790	72,882	75,233	77,039	77,039	78,039	78,039	79,756	80,953
Assoc. Specialist (2008 contract)	Minimum																50,339	51,095
	Maximum																82,863	84,106
Staff Grade (pre-1997 contract)	Minimum	23,070	23,390	23,940	24,465	25,320	26,150	27,170	28,150	29,060	29,845	30,808	31,547	31,547	32,020	32,547	33,264	33,762
	Maximum	34,410	34,880	35,700	36,465	37,740	38,990	40,520	41,980	45,720	46,955	48,469	49,632	49,632	50,377	50,632	51,746	52,523
Staff Grade (1997 contract)	Minimum		23,390	23,940	24,465	25,320	26,150	27,170	28,150	29,060	29,845	30,808	31,547	31,547	32,020	32,547	33,264	33,762
	Maximum		31,050	31,780	32,465	33,600	34,710	36,070	39,675	40,960	42,500	43,871	44,924	44,924	45,598	45,924	46,935	47,639
	with optional points		34,880	39,620	40,465	41,880	43,270	44,970	48,985	52,860	56,732	58,562	59,968	59,968	60,867	60,968	62,310	63,244
Speciality Doctor (2008 contract)	Minimum																34,584	36,443
	Maximum																64,632	67,959
Salaried GP	Minimum									46,455	47,710	49,248	50,332	50,332	51,087	51,332	52,462	53,249
	Maximum									70,710	72,478	74,816	76,462	76,462	77,462	77,462	79,167	80,354
Source:
NHS Pay, DH

Table 73d

HCHS EARNINGS PER FULL-TIME EQUIVALENT (1)

												£
	1997-98	1998-99	1999-2000	2000-01	2001-02	2002-03	2003-04	2004-05 (2)	2005-06 (2)	2006-07 (2)	2007-08 (2)	2008-09 (3)
Consultants	64,324	68,350	72,736	79,321	85,069	88,222	101,331	106,722	109,338	114,330	115,926	119,729
Medical training grades (4)	33,126	35,024	37,978	40,408	46,193	49,680	53,917	51,439	50,790	50,850	51,164	51,709
Other medical (5)	44,112	46,378	51,346	55,099	59,556	62,555	69,703	73,879	78,330	79,934	81,580	87,979
Qualified nursing	20,830	21,042	22,329	23,427	24,733	25,702	26,342	27,697	28,784	29,912	31,106	32,763
Source:
NHS Pay, DH (NHS financial returns and accounts, NHS workforce census)
Footnotes:
1.  Figures for NHS staff in England only and exclude agency.
2.  Includes estimates for NHS foundation trusts.
3.  Projections and subject to change.
4.  All medical training grades, includes Foundation years 1 and 2, House Officer, Senior House Officer and all Registrar Groups.
5.  All non-consultant medical and dental staff not in training posts. Includes associate specialists, staff grade and dental officers.

Table 73e

ESTIMATED AVERAGE NET INCOME FOR CONTRACTOR G/PMS, GPs, UK 2002-03 TO 2006-07 IN CASH AND REAL TERMS (ALL INCOME SOURCES—NHS AND PRIVATE)

Year	Net income in cash terms (£)	Percentage cash increase over previous year	Net income in 2009-10 prices (£)	Percentage real terms increase over previous year
2002-03	72,314	-	0	-
2003-04	81,566	12.8%	0	9.7%
2004-05	100,170	22.8%	0	19.5%
2005-06	110,004
2005-06	111,971	11.8%	0	9.7%
2006-07 (5)	107,667
2006-07 (5) (6)	108,418	-3.2%	0	-5.9%
Source:
Primary Medical Care, DH
Footnotes:
1.  Figures have been converted into real terms using GDP deflators (as at 30 June 2009).
2.  All figures include both PMS and GMS, are UK based, and are for all sources of income, including private. The income shown is GP contractors' average pre-tax take home pay as derived from HMRC's tax self-assessment database.
3.  All estimates exclude employers' superannuation contributions and relate to both full and part-time contractor GPs (but not salaried GPs).
4.  All G/PMS UK figures (all GP income sources) 2002-03 to 2006-07 are taken from the Information Centre publication- GP Earnings and Expenses Enquiry 2006-07 Final report available at: www.ic.nhs.uk.
5.  Latest G/PMS UK published figures (all GP income sources).
6.  The published headline 2006-07 final figure is restated for estimated 2005-06 superannuation clawback.

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Prepared 20 January 2010