The below graph shows the basic pay you were receiving at the beginning of the dispute (vertical) along with the basic pay if the offer is accepted (horizontal) with the difference in dark green at the top. *the DDRB recommendations for 23/24 and 24/25 have already been agreed.

So what this offer represents is an opportunity to bake in 4.05% on top of what we have already received in 23/24.

The pay offer is back dated, so the 4.05% applies to the beginning of April 23. The below graphic depicts what you can expect to be back paid if the offer is accepted, and if the offer isn’t accepted, based on your grade.

Now let’s talk about exception reporting - We identified that doctors, especially when they progress through grades, are hesitant to put in exception reports because of how they think they’ll be perceived by their supervisors.

Our proposal removes the responsibility of exception reports from supervisors and gives this to medical HR. We have built in a clause that if a doctor stays behind less than 2 hours, the only determination that needs to be made to pay or give TOIL is whether the doctor was there.

Other changes that have been agreed, as part of the deal, include changes to rotational training and increasing training numbers to address the training bottlenecks and planned increase in medical school places.

Now let’s talk about why you should vote yes ✅

Historically the DDRB has offered us a 1.6% uplift yearly for the past 15 years. Your strike action has changed that trajectory, we have now received ~8% two years in a row. You did that.

The DDRB announces their recommendation between April and July yearly. Their recommendations have shown they have taken our issues with pay seriously and want to ensure medicine is an attractive career from a pay perspective.

The 4.05% offered by the government is separate to the DDRB recommendation, and the question is when we think our strike action will have a bigger impact: 1. Now when the DDRB has made its recommendation and we’ve been given an uplift on a year that’s closed?

2. Spring 25 when the DDRB are deciding what their recommendation will be and there is room for the government to make an offer for the 24/25 financial year?

We think this offer presents an opportunity for us to bank an uplift for 23/24, bake it into the 24/25 uplift and build financial reserves for upcoming industrial action in early 2025.

The train drivers haven’t been successful against pay erosion by having a ‘once in a generation’ strike. They come out on strike every time there is a below inflation pay offer, and they win, again and again and again.

This offer isn’t FPR. The question you are being asked is whether this is a viable strategy to getting FPR.

We believe it is, and are recommending that you vote accept, with the expectation that we will be pursuing further strike action should the 2025 DDRB recommendation not make sufficient progress towards full pay restoration.

Regardless of your evaluation of the deal, it is imperative that you vote. An engaged union is a strong union and we want to see every doctor vote in this referendum.

Here’s how to vote. Search your inbox/junk folder for an email from ‘[email protected]’ Clicking on the voting link will open up the voting platform, with your details auto populated. Please vote by 11.59pm on Sunday 15th September for your vote to be counted.

The referendum on the pay offer from government for junior doctors in England closes at 11.59pm TOMORROW. If you haven't voted yet, do it today. Check your inbox and junk folder for your voting email from [email protected] and vote before it's too late. bma.org.uk/jdoffer

We are very keen to receive correspondence from people working in the Kent, Surrey and Sussex (KSS) deanery, particularly at East Surrey hospital. Please get in touch via [email protected] if you can assist - anonymity assured.

The deadline to vote on the pay offer is fast approaching. If you have any questions about the offer, please have a look at the BMA official FAQs: bma.org.uk/our-campaigns/… Or tune into our Instagram where we are answering questions live: instagram.com/doctorsvote