{"id":145,"date":"2025-08-14T08:58:12","date_gmt":"2025-08-14T08:58:12","guid":{"rendered":"https:\/\/thephysicianassociate.com\/?p=145"},"modified":"2025-10-27T15:43:39","modified_gmt":"2025-10-27T15:43:39","slug":"doctors-pay-vs-physician-associates","status":"publish","type":"post","link":"https:\/\/thephysicianassociate.com\/index.php\/2025\/08\/14\/doctors-pay-vs-physician-associates\/","title":{"rendered":"How much do Doctors really get paid compared to Physician Associates?"},"content":{"rendered":"\n

The British Medical Association (BMA) is making a lot of noise claiming that Physician Associates (PAs) are paid more in their first year than first year foundation doctors. This is obviously a powerful argument, but it does not reflect the reality<\/strong>. The BMA is being \u201ceconomical with the truth\u201d<\/strong>. Doctors\u2019 pay is extraordinarily complex (thanks entirely to the BMA\u2019s previous negotiations). This article aims to set out, in an understandable way, a more truthful reflection of how PAs are paid vs Doctors.<\/p>\n\n\n\n

Doctors get a basic salary and then get lots of extras on top<\/strong>. They get \u201concall<\/strong>\u201d money when they are working oncall. This is a pro-rata annual sum which gets added onto their basic pay according to how much of their work is oncall. They also get a similar sum of money for working weekends<\/strong>. Almost all junior\/resident doctors get some degree of oncall\/weekend money. If they are working on a medical ward in a hospital they will get towards the maximum amounts. If they are working in a strictly 9-5 setting then they will not.<\/p>\n\n\n\n

Doctors also get very generous locum rates<\/strong> \u2013 and there is generally quite a bit of locum work around.<\/p>\n\n\n\n

PAs are paid according to the NHS payscales<\/strong> called Agenda for Change. PAs typically do a preceptorship year after qualification when they get paid at band 6, after that they get paid at band 7. PAs do not get paid above band 7 unless they move into a different role, eg. Management. PAs rarely do oncalls<\/strong> because they cannot prescribe. If they work weekends then they get their regular pay +20%.<\/p>\n\n\n\n

How the BMA twists the truth<\/strong><\/h2>\n\n\n\n

Theoretically PAs can be paid Band 7 straight from university, in practice this never happens because why pay someone band 7 when you can pay them band 6? However the BMA twists the truth by comparing band 7 pay with a basic salary of a foundation year 1 doctor to make the case that PAs are paid more straight from university<\/strong>. The reality is PAs get paid Band 6 straight from university<\/strong> (not band 7) and year 1 doctors get significant uplift from oncalls and weekends work<\/strong>.<\/p>\n\n\n\n

BTW, PAs are expected to be as competent<\/a> as a foundation year 1 doctor during their first year and they are expected to be as effective as a SHO (year 2 onwards doctor) going forward.<\/p>\n\n\n\n

The table below illustrates the comparison between doctors’ pay and PAs. The data comes from the BMA’s own website.<\/p>\n\n\n\n

\n
Year<\/strong><\/td>DOCTOR<\/strong><\/td>Basic Pay<\/strong><\/td>Oncall<\/strong><\/td>Weekends<\/strong><\/td>Total before locums<\/strong><\/td>Locum rate\/hr<\/strong><\/td>PHYS. ASSOC<\/strong><\/td>Oncall<\/strong><\/td>Weekend<\/strong><\/td>Locum<\/strong><\/td><\/tr>
1<\/td>FY1<\/td>\u00a336,616<\/td>\u00a32,930<\/td>\u00a31,099 – \u00a35,493<\/td>\u00a336,616 – \u00a345,039<\/td>\u00a335-\u00a345<\/td>\u00a337,338<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
2<\/td>FY2<\/td>\u00a342,008<\/td>\u00a33,361<\/td>\u00a31,261 – \u00a36,302<\/td>\u00a342,008 – \u00a351,671<\/td>\u00a345-\u00a355<\/td>\u00a346,148<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
3<\/td>ST1<\/td>\u00a349,909<\/td>\u00a33,993<\/td>\u00a31,498 – \u00a37,487<\/td>\u00a349,909 – \u00a361,389<\/td>\u00a345-\u00a355<\/td>\u00a346,148<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
4<\/td>ST2<\/td>\u00a349,909<\/td>\u00a33,993<\/td>\u00a31,498 – \u00a37,487<\/td>\u00a349,909 – \u00a361,389<\/td>\u00a345-\u00a355<\/td>\u00a348,526<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
5<\/td>ST3<\/td>\u00a361,825<\/td>\u00a34,946<\/td>\u00a31,855 -\u00a39,274<\/td>\u00a361,825 – \u00a376,046<\/td>\u00a355-\u00a395<\/td>\u00a348,526<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
6<\/td>ST4<\/td>\u00a361,825<\/td>\u00a34,946<\/td>\u00a31,855 -\u00a39,274<\/td>\u00a361,825 – \u00a376,046<\/td>\u00a355-\u00a395<\/td>\u00a348,526<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
7<\/td>ST5<\/td>\u00a361,825<\/td>\u00a34,946<\/td>\u00a31,855 -\u00a39,274<\/td>\u00a361,825 – \u00a376,046<\/td>\u00a355-\u00a395<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
8<\/td>ST6<\/td>\u00a370,425<\/td>\u00a35,634<\/td>\u00a32,113 – \u00a310,564<\/td>\u00a370,425 – \u00a386,623<\/td>\u00a355-\u00a395<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
9<\/td>ST7<\/td>\u00a370,425<\/td>\u00a35,634<\/td>\u00a32,113 – \u00a310,564<\/td>\u00a370,425 – \u00a386,623<\/td>\u00a355-\u00a395<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
10<\/td>ST8<\/td>\u00a370,425<\/td>\u00a35,634<\/td>\u00a32,113 – \u00a310,564<\/td>\u00a370,425 – \u00a386,623<\/td>\u00a355-\u00a395<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
11<\/td>Cons<\/td>\u00a3105,504<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
12<\/td>Cons<\/td>\u00a3105,504<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
13<\/td>Cons<\/td>\u00a3105,504<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
14<\/td>Cons<\/td>\u00a3111,714<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
15<\/td>Cons<\/td>\u00a3114,894<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
16<\/td>Cons<\/td>\u00a3114,894<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
17<\/td>Cons<\/td>\u00a3114,894<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
18<\/td>Cons<\/td>\u00a3114,894<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
19<\/td>Cons<\/td>\u00a3126,018<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
20<\/td>Cons<\/td>\u00a3126,018<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
21<\/td>Cons<\/td>\u00a3126,018<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
22<\/td>Cons<\/td>\u00a3126,018<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
23<\/td>Cons<\/td>\u00a3126,018<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
24<\/td>Cons<\/td>\u00a3126,018<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
25<\/td>Cons<\/td>\u00a3139,882<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
26<\/td>Cons<\/td>\u00a3139,882<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
27<\/td>Cons<\/td>\u00a3139,882<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
28<\/td>Cons<\/td>\u00a3139,882<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
29<\/td>Cons<\/td>\u00a3139,882<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr>
30<\/td>Cons<\/td>\u00a3139,882<\/td>3-8%<\/td><\/td>\u00a3150-\u00a3250<\/td>\u00a352,809<\/td>4.25%<\/td>30%<\/td>20%<\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div><\/div>\n\n\n\n

What this table clearly shows<\/strong> is that Doctors’ pay, while roughly equivalent to a PAs for the first three years of their career rapidly accelerates from year four onwards<\/strong>. By the time Doctors reach senior consultant level they are earning 3-5 times as much as a PA. (NB. locum consultants typically get paid \u00a3250,000 a year). And these pay scales are only for NHS work – lots of consultants work in the private sector where they earn considerably more.<\/p>\n","protected":false},"excerpt":{"rendered":"

The British Medical Association (BMA) is making a lot of noise claiming that Physician Associates (PAs) are paid more in their first year than first year foundation doctors. This is obviously a powerful argument, but it does not reflect the reality. The BMA is being \u201ceconomical with the truth\u201d. Doctors\u2019 pay is extraordinarily complex (thanks…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[5,16,7],"class_list":["post-145","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-bma","tag-doctors-pay","tag-physician-associates"],"yoast_head":"\nHow much do Doctors really get paid compared to Physician Associates? - The Physician Associate<\/title>\n<meta name=\"description\" content=\"The BMA is twisting the truth regarding PAs pay and doctors' pay. This article sets out the truth.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/thephysicianassociate.com\/index.php\/2025\/08\/14\/doctors-pay-vs-physician-associates\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How much do Doctors really get paid compared to Physician Associates? - The Physician Associate\" \/>\n<meta property=\"og:description\" content=\"The BMA is twisting the truth regarding PAs pay and doctors' pay. 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The views represented here are those of the author and do not represent those of any other organisation.","url":"https:\/\/thephysicianassociate.com\/index.php\/author\/admin\/"}]}},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/posts\/145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/comments?post=145"}],"version-history":[{"count":3,"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/posts\/145\/revisions"}],"predecessor-version":[{"id":217,"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/posts\/145\/revisions\/217"}],"wp:attachment":[{"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/media?parent=145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/categories?post=145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thephysicianassociate.com\/index.php\/wp-json\/wp\/v2\/tags?post=145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}