The DDRB award for 2006/2007
The Doctors' & Dentists' Review Body recommended a general increase of 2.2% from April 2006 for junior doctors and consultants. Other doctors in the hospital and community health services will receive an increase of 2.4%. It was not required to make any recommendations for GP principals. The government has accepted all the DDRB's recommendations and they will be implemented in full from 1 April 2006, except for the award to consultants which will not be paid in full until 1 November 2006. An increase of 1% will be paid to consultants from April to October.
| Consultant (New Contract) (1) | Consultant (Pre-2003 contract) | ||||
| From April | From November | From April | From November | ||
| Basic Scale | Discretionary Points | Basic Scale | Discretionary Points | ||
| 69,991 | 70,822 | 57,944 | 78,456 | 58,632 | 79,388 |
| 72,213 | 73,071 | 62,161 | 81,508 | 62,899 | 82,476 |
| 74,436 | 75,320 | 66,378 | 84,560 | 67,167 | 85,564 |
| 76,658 | 77,569 | 70,595 | 87,612 | 71,434 | 88,652 |
| 78,875 | 79,812 | 75,404 | 90,664 | 76,300 | 91,740 |
| 84,154 | 85,153 | 93,716 | 94,828 | ||
| 89,432 | 90,495 | 96,768 | 97,916 | ||
| 94,706 | 95,831 | 99,820 | 101,004 | ||
(1) Not Wales.
Associate Specialists and Staff Grade doctors – salary scales (£ per annum)
| Associate specialist | Staff grade (1) | ||
| Basic Scale | Discretionary Points | Basic Scale | Discretionary Points |
| 34,977 | 65,232 | 31,547 | 47,049 |
| 38,788 | 67,593 | 34,131 | 49,632 |
| 42,598 | 69,954 | 36,714 | 52,216 |
| 46,408 | 72,315 | 39,298 | 54,800 |
| 50,219 | 74,676 | 41,882 | 57,383 |
| 54,029 | 77,039 | 44,924 | 59,968 |
| 59,061 |
|||
| 63,422 | |||
(1) Post-1997 contract.
Clinical Excellence awards for consultants (£ per annum)
| Awarded by Local Committees | Awarded by ACCEA(1) | |||
| From April | From November | From April | From November | |
| Level 1 |
2,817 | 2,850 | ||
| Level 2 |
5,634 | 5,700 | ||
| Level 3 |
8,451 | 8,550 | ||
| Level 4 |
11,268 | 11,400 | ||
| Level 5 |
14,085 | 14,250 | ||
| Level 6 |
16,902 | 17,100 | ||
| Level 7 |
22,536 | 22,800 | ||
| Level 8 | 28,170 | 28,500 | ||
| Bronze / Level 9 | 33,804 | 34,200 | 33,804 | 34,200 |
| Silver / Level 10 |
44,437 | 44,965 | ||
| Gold / Level 11 | 55,546 |
56,206 | ||
| Platinum / Level 12 | 72,210 | 73,068 | ||
(1) Advisory Committee on Clinical Excellence Awards.
Distinction awards for consultants(1) (£ per annum)
| Award | From April | From November |
| A+ |
72,299 | 73,158 |
| A |
53,278 | 53,911 |
| B | 30,446 | 30,808 |
(1) New awards are made only in Scotland but remain payable to existing holders in England and Wales.
Consultants – intensity supplements(1) (£ per annum)
| From April | From November | |
| Daytime supplement | 1,189 | 1,204 |
| Out of hours: | ||
| Band 1 | 896 | 907 |
| Band 2 | 1,787 | 1,808 |
| Band 3 | 2,672 | 2,703 |
(1) Pre-2003 contract holders (not Wales).
Doctors in training grades – salary scales (£ per annum)
| Scale Point | Specialist Registrar | Senior House Officer | House Officer |
| 1 | 28,930 | 25,882 |
20,741 |
| 2 |
30,395 | 27,617 | 22,076 |
| 3 |
31,860 | 29,352 | 23,411 |
| 4 |
33,325 | 31,087 | |
| 5 | 35,092 |
32,822 | |
| 6 |
36,860 | 34,557 | |
| 7 | 38,628 |
36,292 | |
| 8 |
40,395 | ||
| 9 |
42,163 | ||
| 10 | 43,931 |
Doctors in training grades - out of hours payments
From 1 December 2000 a new pay system was introduced for remunerating out-of-hours duties undertaken by hospital and public health doctors in training. Each post is allocated to a salary band depending on whether:
- it meets the New Deal limits on hours of work and rest requirements
- number of hours actually worked
- type of working pattern, and anti-social nature of working arrangements
- intensity of work
The total salary for a post is calculated by applying a multiplier to the basic salary. The multipliers from December 2002 for doctors working full time are:
| Band | Salary Multiplier |
| Band 3 |
2.0 |
| Band 2A |
1.8 |
| Band 2B |
1.5 |
| Band 1A |
1.5 |
| Band 1B |
1.4 |
| Band 1C | 1.2 |
GP registrars receive a supplement of 65% of their salary.
Public health doctors
Doctors working in public health receive the same pay as their counterparts in the hospital service. In addition, directors of public health receive supplements as shown below.
Directors of public health – supplements (£ per annum)
| Band | From April | From November | |||
| Minimum | Maximum | Minimum | Maximum | ||
| A | Regional Director | 12,619 | 18,317 | 12,769 | 18,535 |
| B |
District population 50,000 and above |
4,886 |
9,783 |
4,944 |
9,899 |
| C |
District population 250,000 to 449,999 |
4,085 |
8,142 |
4,133 |
8,239 |
| D |
District population 50,000 to 249,999 |
3,256 |
6,511 |
3,295 |
6,589 |
| E |
Island Health Boards (under 50,000 population) |
1,641 |
3,256 |
1,661 |
3,295 |
Community health doctors – salary scales (£ per annum)
| Scale Point |
Senior Clinical Medical Officer | Clinical Medical Officer |
| 1 |
43,059 | 30,179 |
| 2 |
45,741 | 31,867 |
| 3 |
48,422 | 33,555 |
| 4 |
51,103 | 35,243 |
| 5 |
53,785 | 36,931 |
| 6 |
56,466 | 38,619 |
| 7 |
59,147 | 40,307 |
| 8 | 61,829 | 41,996 |
London weighting allowance for hospital and community health service doctors (£ per annum)
Not resident in hospital 2,162
Resident in hospital 602
General Practitioners
With the introduction of a new contract for GPs, the DDRB was not required to make any recommendations for GP principals as the pricing of the contract was agreed in the negotiations. Under the new contract, which is practice- based, the previous system of fees and allowances has been replaced by eight major funding streams. These are:
- The “global sum”.
- Quality payments.
- Seniority payments.
- Enhanced services.
- Premises payments.
- Information technology payments.
- Dispensing payments (where applicable).
- Primary Care Organisation (PCO) administered funds.
| From April 2006 (£) | |
| Global sum (per patient) | £54.72 |
| Quality achievement payment (per point) | £124.60(1) |
| Seniority payment (per annum) | |
| - 6 to 15 years of service |
600 to 1,664 |
| - 16 to 21 years of service |
3,185 to 5,129 |
| - 22 to 47 years of service | 6,785 to 13,900 |
| Training grant (per annum) | £7,179 |
(1) For a practice with the average number of patients.
Salaried GPs employed by primary care organisations
Salary to be in the range £50,332 to £76,462 with progression and review determined locally.
GPs - hospital work
| Hospital practitioner (£ per annum per nhd) |
4,218 to 5,683 |
| Clinical assistant (£ per annum per nhd) | 4,310 |
| Bed fund payment (£ per bed) | 618 |
| Provision of casualty service (£ per annum) | |
| - Higher rate | 7,616 |
| - Lower rate | 3,808 |
| - Mon-Fri, 12 hrs per day | 2,723 |
Wages and prices over 10 years
| April |
Consultant (£p.a.) | GP (£p.a.) | Earnings | Prices |
| 1997 |
56,470 | 46,450 | 100.0 | 100.0 |
| 1998 |
59,040 | 49,030 | 104.9 | 104.0 |
| 1999 |
61,605 | 52,600 | 109.6 | 105.7 |
| 2000 |
64,640 | 54,220 | 115.7 | 108.8 |
| 2001 |
67,160 | 56,510 | 121.1 | 110.7 |
| 2002 |
69,585 | 61,618 | 124.6 | 112.4 |
| 2003 |
73,290 | 70,710 | 128.7 | 115.9 |
| 2004 | 75,654 |
72,478 | 134.7 | 118.8 |
| 2005 |
78,094 | 74,816 | 140.7 | 122.6 |
| 2006 | 79,812 | 76,462 | 146.6 | 125.7 |
Notes:
Consultant (to 2002) = Maximum of old contract scale (DDRB recommended) - includes daytime intensity supplement, 2000-2002.
Consultant (from 2003) = 5th point on new contract scale (England, DDRB recommended).
GP (to 2002) = Intended average net income under old contract (DDRB recommended).
GP (from 2003) = Maximum of salary range of salaried GP employed by PCO.
Earnings = Average earnings index. Jan/Mar quarter, seasonally adjusted. (Jan/Mar 1997 = 100).
Prices = Retail Price Index at April (April 1997 = 100).
Income tax - 2006/07
| Personal allowance | £5,035 |
| Taxable income bands | Tax rate |
| - Up to £2,150 |
10% |
| - £2,151 to £33,300 |
22% |
| - £33,301 and over | 40% |
National insurance contributions – 2006/07
| Class 1 (employed, contracted out) | |
| Gross income | Rate |
| - Up to £5,035 | Nil |
| - £5,036 to £33,540 | 9.4% |
| - £33,541 and over | 1.0% |
| Class 2 (self-employed, flat rate) | £2.10 per week* |
| Class 4 (self-employed, profit related) | |
| Profit |
Rate |
| - Up to £5,035 |
Nil |
| - £5,036 to £33,540 |
8.0% |
| - £33,541 and over | 1.0% |
* Not payable if profits are below £4,465 per annum.