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BDA: NHS pay cap must end

20 June 2017

BDA: NHS pay cap must end

The British Dental Association has joined health associations and unions to urge a 'change of direction' on NHS pay restraint in this week's Queen's Speech.

Groups representing all parts of the health workforce have written a joint letter to the Prime Minister to say the 1% cap is now putting safe patient care at risk.

NHS GDPs in England have seen taxable income – which remains the only source of investment in the service – fall by 35% in a decade.

NHS Confederation boss Niall Dickson has said the cap is now jeopardising staff retention, and cross party MPs have called for an end to the policy. Former Conservative Cabinet Minister Stephen Crabb has argued the cap was a factor behind the Conservative Party's failure to secure a parliamentary majority.

A full copy of the letter can be found below:           

Dear Prime Minister,

By your own admission, austerity, and a lack of investment in the public sector was a significant factor in the general election result. Many have said that the pay freeze in the public sector was in part to blame for your failure to secure a parliamentary majority, alongside senior health leaders who agree that people who work in our NHS should be fairly rewarded for the work they do.

Organisations that represent patients and our NHS workforce are calling for the Queen's Speech to mark a clear change in direction.

People who are working in the NHS are delivering care to the best of their ability but we are very worried that care is becoming unsafe. Our services are struggling to make do without the staff they need.

The Public Sector Pay Cap has forced professionals out of jobs they love. Those who stay are overstretched and under pressure to do ever more with less. The longstanding cap stands in the way of recruiting and retaining the best in health care. It is having a profound and detrimental effect on standards of care for people at a time when the NHS is short of staff across every discipline. This is alongside an uncertain future for EU nationals working in health and care.

Next month, our vital national service turns 69. In its seventieth year, you have the opportunity to show the country how much you value the lives of people who work in the NHS, and the people they serve.

We call on you to prioritise patient safety by guaranteeing safe staffing across all of our services and changing your policy on NHS pay. Your Government should remove the pay cap and address the real-terms loss of earnings so the NHS can retain and attract staff, resolve the workforce shortage and ensure safe patient care.

Yours sincerely,


Janet Davies

Chief Executive & General Secretary

Royal College of Nursing


June Chandler, Lead Officer

British Association of Occupational Therapists


Mick Armstrong, Chair

British Dental Association


Annette Mansell Green, Head of Employment Relations

British Dietetic Association


Dr Mark Porter, Chair

British Medical Association


Lesley Anne Baxter, Chair

British & Irish Orthoptic Society


Karen Middleton CBE, Chief Executive

Chartered Society of Physiotherapy


Geoff Lester, National Negotiator

Federation of Clinical Scientists


Kevin Brandstatter, Public Services Section and National Lead Organiser



Jon Restell, Chief Executive

Managers in Partnership


Steve Gillan, General Secretary

Prison Officers Association


Jon Skewes, Director for Policy, Employment Relations and Communications

Royal College of Midwives


Richard Evans OBE, Chief Executive

Society of Radiographers


Gail Cartmail, Assistant General Secretary



Sara Gorton, Head of Health




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