When a candidate completes an application form for Medical School they should not be thinking about money, but about altruism and service to patients. Medicine used to be a “benevolent” profession that charged the rich people more, and the poor people less or nothing, before the pre Blair NHS organised it to be fairer and inclusive. Reducing earnings has happened to other professionals in the Health Services. Since “agenda for change” nurses and other professionals have seen their position and future advancement “frozen”. Consultants who used to influence spending and care packages have disengaged and left the field open to managers to do as they wish. Everyone except the politicians sees that there is no way that the finance and the quality initiatives can be reconciled. The result is implosion. The civil unrest in the doctors will eventually extend to the patients…. Without overt rationing there is , and will be, no honesty, and therefore no real meaningful professional engagement. In Wales there are GP clusters, where managers and senior partners are paid to attend, but they don’t believe in what they are doing. Medical Executive committees are equally disillusioned in Hospitals. When the top feels disenfranchised, you can be sure they will unofficially support the bottom when it threatens action.
Amy Agahi in the Independent 19th September 2015 reports: Junior doctors are being treated so badly that we may be forced to strike and in The Guardian Dennis Campbell inflates the loss: Junior doctors condemn new contract they say could cut pay by 40%