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Jul 12, 2021 9 tweets 3 min read Read on X
Our new report on medical staffing in England is out today. Nobody working in the NHS will be surprised to hear there are severe medical shortages in England. But the figures in our report show just how serious the situation is. THREAD bma.org.uk/staffing
We need more doctors. There are currently 2.8 doctors per 1,000 people in England, while the average in comparable OECD EU countries is 3.7. Not a single region in England meets this ratio. A graph shows the number of practising doctors per 1,000 inh
If medical workforce growth remains at its current rate, it’ll be 2046 before the NHS has the number of practising doctors needed to raise our doctor/population ratio to 3.7.

That puts us 25 years behind our European neighbours. Graphs show the growth of the medical workforce in the Engli
We estimate a current shortage of around 49,000 FTE (full-time equivalent) doctors and doctors in training in England across primary and secondary care.

These shortages mean that, on average, each FTE doctor in the NHS currently does 1.3 roles. A graph shows a large gap between the number of doctors and
The future doesn’t look better. Patient need is rising and by 2043, 1 in 4 of us will be over 65. Yet without significant intervention, we estimate the future medical workforce shortage to be between 27,000 and 84,000 full-time equivalent doctors.

We can do better.
Doctors are overworked and burnt out. Mounting evidence tells us that when doctors are working under conditions of chronic stress, mistakes are more likely to happen and moral injury and distress occur.

It doesn’t have to be this way.
With the gap between doctor supply and patient need widening every year, necessary investment in the medical workforce can no longer be justifiably put off by our politicians.

To protect the future of doctors, patients, and our NHS, the Government must act today.
The BMA is calling for:

- Primary legislation mandating regular healthcare workforce assessments in the Health and Care Bill

- Increased Treasury investment in the medical workforce, including expansion of medical school, foundation and specialty training places
To find out more, and to read our full call to action, read our full report: bma.org.uk/staffing

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More from @TheBMA

Apr 19
Statement on Dr Sarah Benn from @ERunswickBMA :

"We are very concerned that implementation of the current fitness to practise framework could potentially restrict Dr Benn’s ability to continue to be registered as a doctor, for taking part in peaceful protest..." (1/5)
"...relating to the climate change emergency. There is no possible public or patient interest served by holding a tribunal hearing where potential sanctions can include the removal of a doctor’s licence to practise in these circumstances." (2/5)
"The reality is that cases such as this risk adding to the sense of fear doctors hold about the GMC and the medical practitioner tribunals. We hope that simple common sense will prevail in this case...” (3/5)
Read 5 tweets
May 30, 2023
It’s disappointing to see selective use of BMA member podcast content by a number of media outlets, with comments taken out of context and reporting totally misrepresenting the consultant committee’s position. We are not asking for a 50% uplift for consultants in England. (1/4) Daily Mail headline: "...
Consultants have been persistently devalued by the Govt, with their take-home pay being cut by 35% in real-terms over the last 15 years, and the supposedly ‘independent’ pay review body being repeatedly hamstrung by ministers who have interfered with the process at every stage.
In discussions with Government we were clear that, at the very least, our members would not accept another real-terms pay cut this year, and that we wanted a real commitment to a proper independent pay review body to restore the pay that consultants have lost over the last 15ys
Read 4 tweets
May 28, 2023
Watch @_VivekTrivedi stand up to @SteveBarclay about #payrestoration for junior doctors on Sunday with @bbclaurak
"A five percent pay uplift this year would still amount to a massive real-terms pay cut...an offer which does not reverse that trajectory would not be fair or reasonable."
"No doctor goes on strike happily, no doctor wants to inherently go on strike."
Read 4 tweets
Mar 12, 2023
This morning’s @NickTriggle piece for the BBC contains a number of misleading claims about the BMA’s upcoming industrial action.

First and foremost, we are not “demanding the biggest pay rise”—we’re demanding that our members’ pay be restored to what it should be.
“Firstly, no junior doctor has seen pay cut by 26%”

This deliberately conflates pay progression - increases to reflect increased skill and experience level—and cost of living increases—which is what pay awards are meant for.
Since 2008, junior doctor pay in England has been cut in real-terms (RPI) by 26.1%. No doctor is worth less than they were 15 years ago.
Read 10 tweets
Nov 23, 2021
We welcome the proposal in today’s @IPPR report that recommends expanding the definition of residence so everyone living in the UK would be eligible for free NHS care regardless of their immigration status

The report proposes simple, workable reforms to migrant healthcare policy that would improve access to NHS services.

Implementation would be an important step towards our long-standing call for the abolition of charging regulations so the NHS is free to all at point of delivery
At the start of the pandemic we joined orgs representing healthcare professionals, refugees and migrants living in the UK in writing to Govt to make a case for free medical care for all, against the urgent backdrop of #COVID19

Read the @DOTW_UK letter: doctorsoftheworld.org.uk/wp-content/upl…
Read 4 tweets
Aug 17, 2021
While we would agree that doctors should honour their commitments to already-agreed locum shifts within the limits of contractual notice periods, doctors are not required to cover long-term or known rota gaps… 1/4

Doctors already work a complex and demanding role, and are entitled to decide that an employer’s offered locum rate is not worth their additional time and effort and to seek to negotiate on it 2/4
An employer trying to cajole their staff to accept an uncompetitive rate of pay for such hours, is sending a poor message regarding how they value their staff’s time and autonomy 3/4
Read 4 tweets

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