Home England government Mission letter from the statutory auditor on the remuneration of doctors and dentists: 2022 to 2023

Mission letter from the statutory auditor on the remuneration of doctors and dentists: 2022 to 2023


Mr. Christophe Pilgrim

Chairman of the review body for the remuneration of physicians and dentists

Labor Economics Office

Level 3, Windsor House

50 Victoria Street



Dear Mr. Pilgrim,

I would first like to thank the Physicians and Dentists Compensation Review Body (DDRB) work over the past year on the 2021 report and for the patience you and your members have shown in the previous round. The government appreciates the advice of independent experts and the valuable contribution that the DDRB makes.

I am writing to you now to officially begin the 2022-2023 payroll cycle.

As the NHS budget has already been set until 2024-2025, it is essential that planned membership growth be affordable and within set budgets, especially since there is a direct relationship between pay and workforce.

The government must balance the need to ensure fair compensation for public sector workers while protecting funding for frontline services and ensuring affordability for taxpayers. We need to ensure that the affordability of pay is taken into account to ensure that the NHS is able to recruit, retain and motivate its medical and dental staff, as well as to address other key priorities, including ensuring that the NHS has 50,000 additional nurses. by 2025 and tackle elective recovery.

The evidence that my department and the NHS England and Improvement will provide over the next few months will help you take all of these factors into account.

We invite you to make recommendations on annual remuneration for consultants.

As you know, in 2019, we reached a multi-year agreement for doctors and dentists in training so that the government does not ask DDRB to make a salary recommendation for this group. However, we would be happy to receive your comments and observations on the evidence you receive from the Department of Health and Welfare and other parties, regarding doctors and dentists in training.

For medical specialists and associated specialists (SAS), you are aware of the multi-year salary and contract reform agreement with the British Medical Association (BMA) in 2020. As SAS doctors had the choice to switch to the new contract, we invite you to make recommendations on an annual remuneration for the doctors who have chosen not to switch.

Independent GPs also remain subject to a 5-year salary agreement between NHS England and Improvement and the BMA and, therefore, the government is not seeking recommendations for this group. However, we invite you to make recommendations on the maximum and minimum increases in the salary scales of salaried general practitioners. As always, recommendations will need to be based on the affordability and fixed contractual resources available to firms under the 5-year GP contract.

We also invite you to make recommendations on the salary component of the remuneration of dentists employed by or providing services to the NHS. As for doctors in training, dentists in training are covered by the multi-year agreement on wage and contract reform and therefore the government is not asking for a recommendation for this group. As always, with your tenure spanning the whole of the UK, it’s up to each administration to make their own decisions about their approach to this year’s payroll and communicate them directly to you.

We look forward to receiving your reports in May 2022, subject to ongoing conversations with the Office of Manpower Economics.

I would like to thank you again for the invaluable contribution of you and the Review Body to the pay cycle and look forward to receiving your 2022 report in due time.

Infinitely yours,

Sajid Javid

Secretary of State for Health and Social Affairs