Nav: Home

Pay of NHS doctors varies by ethnic group

September 05, 2018

Data published by The BMJ today reveal some differences in median basic pay between white and black and minority ethnic (BME) hospital doctors employed by the NHS in England.

While the gap is small for nearly all grades and types of doctor, a larger gap exists among consultants, with white consultants earning around an extra £4,644 per year compared with BME consultants.

Author John Appleby, Chief Economist at the Nuffield Trust, says although the lack of a significant pay gap for most doctor grades is encouraging, the differences at consultant level warrant further investigation and explanation.

His findings are based on basic pay data extracted from the NHS Electronic Staff Record for the month of December 2017, for doctors in England directly employed by the NHS, coupled with doctors' self identified ethnicity category.

In England, a higher proportion of NHS staff identify as belonging to a minority ethnic group compared to the population as a whole (20% in December 2017 vs 15% based on the 2011 census). For NHS doctors (excluding GPs), however, the proportion of BME staff varies from 37% for foundation year 1 doctors to 60% for specialty doctors.

Appleby shows that for nearly all grades and types of doctors the gap in median basic pay is small, ranging from close to zero for foundation year 2 doctors to 1%, favouring BME associate specialist doctors.

However, a larger gap exists among consultants: the median basic pay for white consultants is 4.9% higher than for BME consultants. This is equivalent to additional basic pay in December 2017 of £387 - or, scaled up, around £4,644 a year - for white consultants.

A more detailed breakdown shows that median basic pay for white consultants is higher than all other ethnic groups - varying from around 3.5% higher than black/black British consultants, to over 6% higher than mixed or dual heritage consultants.

But Appleby points out that it is one thing to identify pay gaps between staff, another to explain them.

As with the gender pay gap, the ethnic pay gap among consultants will be driven by several factors, he writes.

Part of the explanation may be differences in the age profile of white and BME consultants, he says. "White consultants tend to be older, and if age is taken as a proxy for experience, and experience is positively linked to remuneration, then we would expect to see some difference in pay."

"However, there will be other explanations too - some warranted, others not so much. These, as with the gender pay gap, are worth investigating further," he concludes.
Externally peer-reviewed? Yes
Type of evidence: Descriptive analysis of data from NHS Digital
Subjects: People


Related Staff Articles:

Software companies follow the skills and move where the staff are
Software companies are more likely to base their operations in locations where skilled potential recruits already work -- rather than staff moving to new areas for fresh opportunities.
An examination of prosecutorial staff, budgets, caseloads and the need for change
This research brief will provide an overview of prosecutor offices in the largest US counties along with their funding allocations and staff differentials.
NHS trusts act on staff pensions to stave off winter workforce crisis
Research carried out by The BMJ has found evidence that some trusts are taking action to tackle the NHS pensions crisis ahead of the government's proposed national solution because of concerns about the impact on their workforce.
Dog down: Effort helps emergency medical staff treat law enforcement K-9s
Law enforcement K-9s face the same dangers their human handlers confront.
New study shows gender pay gap is still issue for airline staff
The gender pay gap within airlines is often attributed to the fact that men frequently carry out high technically skilled jobs such as pilots and mechanics, whereas women commonly work in customer service roles like cabin crew.
Good leadership and values key to staff satisfaction, study finds
Tourism and hospitality firms that score highly for leadership and cultural values see higher staff satisfaction, according to a new study by the University of East Anglia (UEA).
Violence against long-term care staff 'normalized'
Violence against staff working in long-term care facilities -- including physical assault, verbal abuse and sexual harassment -- has become 'normalized', according to a new University of Stirling study.
Want to increase staff loyalty? You'll need to be seen as important, new research suggests
Offering praise and having a good working relationship isn't always enough to engender loyalty from staff -- employees also need to feel that the relationship with their boss is important, according to new research.
Active shooter simulations increase emergency department staff readiness and confidence
A new practice improvement initiative and study indicates active shooter training and simulations are vital to ensuring staff is equipped to respond effectively should their emergency department ever become a target for such an act of violence.
Pilot program improves staff confidence in dealing with airway emergencies
A patient safety team has restructured their protocols for treating airway failure in such a way that the change has measurably improved staff confidence to handle airway emergencies and can serve as a model for other health systems.
More Staff News and Staff Current Events

Top Science Podcasts

We have hand picked the top science podcasts of 2019.
Now Playing: TED Radio Hour

Why do we revere risk-takers, even when their actions terrify us? Why are some better at taking risks than others? This hour, TED speakers explore the alluring, dangerous, and calculated sides of risk. Guests include professional rock climber Alex Honnold, economist Mariana Mazzucato, psychology researcher Kashfia Rahman, structural engineer and bridge designer Ian Firth, and risk intelligence expert Dylan Evans.
Now Playing: Science for the People

#541 Wayfinding
These days when we want to know where we are or how to get where we want to go, most of us will pull out a smart phone with a built-in GPS and map app. Some of us old timers might still use an old school paper map from time to time. But we didn't always used to lean so heavily on maps and technology, and in some remote places of the world some people still navigate and wayfind their way without the aid of these tools... and in some cases do better without them. This week, host Rachelle Saunders...
Now Playing: Radiolab

Dolly Parton's America: Neon Moss
Today on Radiolab, we're bringing you the fourth episode of Jad's special series, Dolly Parton's America. In this episode, Jad goes back up the mountain to visit Dolly's actual Tennessee mountain home, where she tells stories about her first trips out of the holler. Back on the mountaintop, standing under the rain by the Little Pigeon River, the trip triggers memories of Jad's first visit to his father's childhood home, and opens the gateway to dizzying stories of music and migration. Support Radiolab today at