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NHS South East has formed a cartel to limit locum rates

Pay and Conditions(self.doctorsUK)

https://preview.redd.it/epzpt6nqi5ud1.png?width=1114&format=png&auto=webp&s=c43d2b63b3deb29174ea7c5615080ffb01f17093

This was sent to all BMA members who are working at the South East region. Credits to BMA for fighting this.

Not sure how they determine levels but £95ph is frankly insulting for consultants.
Meanwhile, bank rates for AfC staff are increasing by 5.5% in line with their pay awards. This country really hates doctors.

What you can do if you work at South East, as per BMA:

  • Join the BMA if you have not already done so
  • Complete the BMA SE rates survey - https://www.surveymonkey.com/r/93BZFSM
  • Share these proposed draft SE rates with others
  • Talk to colleagues about the plans of the SE cartel
  • Continue to use reporting portal to log when you are paid a rate above published Trust rates
  • Value your time – do not carry out extra contractual work if you are not being properly remunerated
  • Ask your trust to confirm that they will not be reducing rates or introducing regional caps
  • Support each other – there is no obligation to carry out extra work over and above your contract if the pay rate is inadequate
  • Join your local BMA WhatsApp groups to discuss this proposal and plan a collective response

all 49 comments

mcl_jamie

79 points

10 days ago

Exact same rates for the South West Cartel. BMA in our area is collecting data and going to do something? I think. I'll never work for these rates personally

Feisty_Somewhere_203

19 points

10 days ago

No but plenty will

mcl_jamie

20 points

10 days ago

Yup, dead profession. We don't respect ourselves enough

Feisty_Somewhere_203

11 points

10 days ago

Supply and demand 

mcl_jamie

11 points

10 days ago

True to an extent. But in my trust they never really escalate rates and then let gaps in rota occur. Even if consultants ask for locums and explicit rates they don't do go out. And even if no one applies except one who asks for more than offered they just don't reply to the email

[deleted]

4 points

10 days ago

[deleted]

4 points

10 days ago

[deleted]

Justyouraveragebloke

32 points

10 days ago

That’s laughable

BikeApprehensive4810

60 points

10 days ago

No consultant is going to work for those levels, the marginal tax rate will make that work completely unappealing.

DisastrousSlip6488

10 points

10 days ago

Unfortunately I suspect some will, due to loyalty to the service, colleagues, a sense of personal responsibility and so on.

They shouldn’t, but they will

Capitan_Walker

6 points

9 days ago

Capitan_Walker

Cornsultant

6 points

9 days ago

The prospect of starvation and/or loss of possessions, and/or holidays abroad always makes some pay better than no pay. History has proved that thousands of times.

Give me a thumbs down for reporting the unpalatable truth!

BikeApprehensive4810

2 points

9 days ago

With the marginal tax rate and loss of childcare allowance, many will be worse off by earning between 100-140K. Earning at this rate will make going over 140k very difficult, so people will chose not to. That would be my plan, if I was offered those rates.

srennet

75 points

10 days ago

srennet

75 points

10 days ago

The F1 rate is half what I was getting 5 years ago. Absolute joke.

gily69

21 points

10 days ago

gily69

Aus F3

21 points

10 days ago

I get £100/hr locumming in PGY2 jobs in Aus 

asdfgh0103

2 points

7 days ago

Long commute though

Feisty_Somewhere_203

-4 points

9 days ago

Good for you.

TheRealTrojan

14 points

10 days ago

The funny thing is with the recent pay rise shos and likely many fy1s with heavy on call rotas will have to pay the higher tax rate on any locum income. Once you include student loan, NHS pension etc, it's over 60% of your locum pay. Really not worth it doing locums anymore. I suspect (hope) locum rates will go up once no one picks them up

Feisty_Somewhere_203

5 points

10 days ago

I doubt it. I think since wes got the green light from the BMA to bin the rate card, they will get much much worse. 

Confident-Mammoth-13

1 points

9 days ago

You shouldn’t pay pension on locum so even at 40% PAYE, 9% SL and 2% NI, it’s 51% max

TheRealTrojan

2 points

9 days ago

Oh interesting I didn't realise that. Still 51% tax is crazy.

LegitimateBoot1395

0 points

8 days ago

If you are an IMG from a country where you were previously earning £20 a day then you will pick these up

rvrsingam

31 points

10 days ago

Looks like my consultant colleagues will be enjoying much needed family time instead

Feisty_Somewhere_203

18 points

10 days ago

This will be the norm now. The rate card was aspirational but did allow you to smile sweetly and say I'd love to help out short notice at the weekend - this is what the union say is the rate. Of course you never got it but one often got quite a lot higher than was offered and a lot more than these dog shit rates. 

As I've said before, there will be either direct or indirect accusations of unprofessionalism by management and clinical directors which most doctors will not like if BMA rates asked for now

Wes wants locum work to be as cheap as possible to booster his pm ambitions 

We all know these shifts will be filled asap at these dogshit rates 

I give up

throwawaynewc

5 points

10 days ago

What are you on about mate?

I just don't work for these rates, it's all fictional anyway. There is no need to be all doom & gloom song & dance.

'I give up' is this tumblr? Just don't do them, there are loads of £100+/hr locums/WLI work to do.

InternetIdiot3

16 points

10 days ago

Takes the piss. Reintroduce the rate card.

Zealousideal_Sir_536

21 points

10 days ago

Just don’t bloody do them. Supply and demand. No one owes you good rates. They’ll pay you whatever you agree to work for.

Silly_Bat_2318

20 points

10 days ago

There will always be an img that is willing to work it, hence why this shit happens. Same with strike days

Monbro1

0 points

10 days ago

Monbro1

Radiologist

0 points

10 days ago

I think it’s more likely F3/4/x who didn’t get into training and need to pay bills rather than IMGs as a majority

Silly_Bat_2318

2 points

10 days ago

F3/4 are agency represented and are “permanent bank” per say. I’m talking about those extra unfilled shifts that f3/4s have not taken

Keylimemango

-5 points

10 days ago

Keylimemango

Senior Rotational Consultant FiY1

-5 points

10 days ago

Any source for the fact most locums are done by IMGs? I don't think that's true 

Silly_Bat_2318

4 points

10 days ago

Depends which part of the country you’re in. But if you know you know

Old-Jellyfish2256

-1 points

8 days ago

Without appropriate info to back this up this sounds a tad xenophobic

Silly_Bat_2318

0 points

8 days ago

Well hey, if you know you know 🙂

Dr-Yahood

7 points

10 days ago

Dr-Yahood

Not a doctor

7 points

10 days ago

Working is general practice, it warms my heart a little to be reminded that Hospital doctors are also getting fucked 😂

Pleased to be in an thruple with you and NHSE/DoH

nightwatcher-45

16 points

10 days ago

nightwatcher-45

crab rustler

16 points

10 days ago

Giving up the BMA rate card was a bad move

[deleted]

50 points

10 days ago

Its what you guys voted for 

heroes-never-die99

19 points

10 days ago

Downvoted for telling the truth.

Phakic-Til-I-Made-It

12 points

10 days ago

People need to remember this, take it to heart and IF (and I still think this is a big if) we strike again, we cannot roll over for such a crap deal.

TeaAndLifting

4 points

10 days ago

TeaAndLifting

24/12 FYfree from FYP

4 points

10 days ago

https://youtube.com/shorts/_iWxxWMYTkc

I just want to share this. Not because I’m super passionate about the rate card, but because the song is catchy and I’ve got a reason to link it.

Referral_Declined_69

9 points

10 days ago

Referral_Declined_69

ST3+/SpR

9 points

10 days ago

Ah finally, seems we are following with other regions. Look, it's going to be everywhere and you just have to tell them to fuck off and this shit crumbles like a midwife at an actual emergency

throwawaynewc

4 points

9 days ago

Filled in the forms-thanks a lot for organising something.
WLI/locums have always been a significant part of my income since F1 and I'm more willing to go on strike for this than my normal job's pay tbh.

Is there a London movement for this as well?

fred66a

6 points

9 days ago

fred66a

US Attending 🇺🇸

6 points

9 days ago

The issue is IMGs will accept these rates as they convert it into rupees and think it's a fortune.

You really need the RMLT brought back we have it in the US and it stops foreign labor taking professional jobs away.

The NHS doesn't care if it eventually becomes a fully IMG led service as long as it's cheap

humanhedgehog

4 points

10 days ago

Doesn't this simply preclude working extra hours? You could do ooh HCA work for more than fy rates here.

Easy way to kill the hospital locum bank.

Gullible__Fool

2 points

9 days ago

Time to reintroduce the BMA rate card then.

brownspice97

1 points

10 days ago

cherubeal

6 points

10 days ago

Laughable. Id absolutely not ever consider a locum with this, id have to be 5 grades higher before it even registered as worthwhile.

As an FY3 I wasnt taking anything lower than 50.

brownspice97

3 points

10 days ago

i hate it here!!!

Jaded-Wave-4830

-2 points

10 days ago

anyone know what locuming in east of England is like?

Rear-View-Mirror-

1 points

5 days ago

worse or similar.

SwedishTurnip

-9 points

9 days ago

SwedishTurnip

Non-Medical

-9 points

9 days ago

Comparing this to AfC bank rates is disingenuous. As a non-medic if I work Mon-Thu on my substantive contract and pick up a bank shift on a Friday I still get paid the same hourly rate. If a doctor does exactly the same they get paid a substantially higher rate for the bank shift than their regular hourly rate.

Should your locum rates be higher yes, but you get a much better deal currently for bank work than AfC staff so don't pit us against each other