NHS Employers' DDRB and PRB submissions 2021/22

Medical Pay

We have now published our evidence to the Doctors' and Dentists' Review Body (DDRB) and the Pay Review Body (PRB).

Both submissions are based on feedback collected from employers during an extensive period of engagement. Final decisions on pay awards are made by the government.

DDRB is the independent review body on doctors' and dentists' remuneration (DDRB) makes recommendations to the government on pay awards for medical and dental staff.

PRB is the independent NHS pay review body makes recommendations to the government on pay awards for nurses, health professionals and other NHS staff.

DDRB evidence

Key messages from the DDRB submission:

  • The outbreak of the COVID-19 pandemic is one of the biggest challenges the NHS has faced.
  • There has been an outstanding response from the workforce to the challenges presented by the pandemic.
  • Staff have been under enormous pressure and supporting their health and wellbeing is a priority.
  • Workforce shortages remain the highest concern for employers and the supply issues need to be addressed. Employers remain committed to retaining staff but the health and wellbeing of staff and the risks of staff burnout, especially considering the pandemic, coupled with gaps in the workforce make this a greater challenge.
  • We welcome the confirmation in the 2020 Spending Review that NHS staff will receive a pay award. Employers want to see an award which is fully funded and sustainable and which is fair to all staff.
  • In December 2020, parties concluded negotiations on two contracts, a new specialty doctor and a specialist grade contract that will replace the closed associate specialist grade. The framework agreement proposal is now being put to a referendum of BMA members in the SAS grades, for implementation from April 2021

PRB evidence

Key messages from the PRB submission:

  • The NHS Long Term Plan continues to set the future direction for the NHS in England and is the basis for a five-year funding programme up to 2023/24. While this provides some stability for longer-term planning, the overall level of investment is still lower than in previous years.
    The NHS We are the NHS People Plan 2020/21 – Action For Us All , along with Our People Promise, sets out what our staff can expect from their leaders and from each other. It builds on the creativity and drive shown by our staff in their response, to date, to the COVID-19 pandemic and the interim NHS People Plan.
  • It focuses on how everyone in the NHS must continue to look after each other and foster a culture of inclusion and belonging, as well as take action to grow the workforce, train staff, and work differently to deliver patient care.
  • The NHS faces the multiple challenges of rising demand for services, insufficient capital investment, tackling the causes of trust financial deficits and growing workforce shortages. While the NHS must focus on the immediate demands of the pandemic it must not become a reason for avoiding policy decisions on these critical longer-term issues.
  • Workforce shortages remain the highest concern for employers and the supply issues need to be addressed. Employers remain committed to retaining staff but the health and wellbeing of staff and the risks of staff burnout, especially considering the pandemic, coupled with gaps in the workforce make this a greater challenge.

Download our submission to the DDRB.

Download our submission to the PRB.

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