The little I understand here, House officers are on a 1 year training and they should be paid separately from the civil service scale. The civil service scale is fixed and ranked. The civil service scale is the albatross confronting the review of their renumeration / allowances. 
If a house officer is on Grade Level 12 according to the civil service scale, their salaries cannot be reviewed higher than level 13, they cannot earn higher than the next level above them. The entire salary scale will need to be adjusted for that to happen.
If other perks are considered for HOs, the govt must review the allowances of other workers on the Salary scale. Civil servants on a higher salary scale will revolt and ask for a review as well because their "juniors" on the scale can't earn more. A total review must be done.
Implementing rural allowance, hazard allowance, extra call duties etc will tilt the scale. The entire salary structure from grade level 7 - 17 or whatever will need to be amended.Being on a civil service scale means you are bound by the terms of service of the FG civil service.
How often can the FG review an entire salary structure to reflect current realities for House officers on a 1 year program? A Bureaucratic issue. Are the terms of service favorable to house officers? No.
The MDCN should work with a salaries and wages commission...
The MDCN should work with a salaries and wages commission...
to design a template that is amendable to current realities such as epidemic outbreaks, rural postings, hospital type, work load in the hospital, number of hours on call, exposure to hazard etc. That will reflect in the take home allowance. Salaries are fixed, allowances aren't..
When house officers were placed on this current level, the entire salary structure had to be amended. The revolt against the HO level wasn't from the FG, it was from other health workers and doctors on the scale. Needless hierarchical and salary disputes.
Let's stop all these conspiracy theories and false representation. House officers will earn decent wages in Nigeria devoid of any civil service Bureaucracy. The MDCN, wages commission and NMA should do their job. The circular was clear enough.
There are lots of government workers who are not on the FG civil salary scale. Political appointees, legislative aides, Special assistants, special advisers, technical assistants are not on the salary scale and they earn more money than House officers.
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