Brennan Report - Department of Health and Children

Chapter 7 Accountability – Employment and PayTable 7.5 and Figure 7.4 (below) show how on-cost earnings (overtime, shift allowances etc.)are now a significant factor for the 4,000 Non-Consultant Hospital Doctors (NCHDs) as awhole. The average ratio of gross to basic pay across six grades of NCHDs is approximately200%. We recognise that such high levels of additional pay indicate lengthy hours workingand/or on-call. But the situation raises questions about the efficiency of manpower planningarrangements, particularly given the requirements of the EU Working Time Directive which willnecessitate a phased reduction over the coming years in the number of hours worked byNCHDs.Table 7.5:Average Basic and Gross Pay for Non-Consultant Hospital Doctors 2002Grade Average Basic Pay Average Gross Pay Ratio Gross2002 (¤ ) 2002 (¤ ) to Basic PayIntern 26,996 57,920 215%House Officer 37,134 73,172 197%House Officer, Senior 38,516 76,744 199%Registrar 45,993 92,939 202%Registrar, Specialist 44,409 87,532 197%Registrar, Senior 58,517 108,355 185%Source: Department of Health and ChildrenFigure 7.4:Average Remuneration of NCHDs, 2002, in terms of Basic Pay andOvertime etc.Remuneration (£ )120,000100,00080,000Average On-CostAverage Basic Pay60,00040,00020,0000InternHouseOfficerHouseOfficer,SeniorRegistrarRegistrar,SpecialistRegistrar,SeniorSource: Department of Health and Children91