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As consultant doctors walk out for 48 hours, Sky News analysis has found that their real terms annual earnings have fallen by 15% since 2010.

The NHS Confederation has said the consultants’ strike is a “step into the unknown” – and it feels like that in terms of the statistics used by both sides to make their case. The British Medical Association and the government each have their own favourite figures.

Let’s start with the real terms pay cut. The BMA says that, because inflation has risen faster than pay, consultants have seen their real take-home pay fall by 35% over the past 14 years.

But the BMA is using the Retail Price Index (RPI) to calculate this. The problem is that it’s not how we measure inflation – the Office for National Statistics (ONS) recommends using the consumer price index – CPI – instead. That’s the measure you see when we talk about inflation on Sky News.

And if you use the CPI to chart consultants’ earnings, they haven’t fallen by quite that much – it’s a 15% decrease since 2010.

But that’s still a big decrease, especially when you compare it to the public and private sector averages.

It’s also worth noting that 2010 was a relative high point for consultants’ pay.

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Billy Palmer, senior fellow in health policy at the Nuffield Trust, told Sky News: “People typically use 2010 as a baseline, but in fact that was a fairly high point in the somewhat cyclical nature of consultants’ pay. If you look back over a longer period, three decades for example, consultants have actually received a pay rise.”

What about the amount of pay itself?

You might think this should be uncontroversial enough but again, both sides prefer different data.

Tom Dolphin, a consultant and a member of the BMA council, spoke to Sky’s Kay Burley on Thursday morning and referred to the starting basic pay of a consultant – £88,364.

But any pay rise would be applied to all doctors so we should probably use the average basic pay instead, which is £97,406. And if you compared basic pay to 2010, it’s clear that doctors are being paid less.

And basic pay has fallen more in England than in Scotland across all levels of experience.

While a consultant in England working for 10 years would receive a basic pay of around £105,996 in the 2022/23 year, a consultant in Scotland would get £108,345.

In comparison to 2010/11 (adjusted for inflation) this means consultants in England see a bigger decrease in basic pay – 14% compared to 12% in Scotland.

That figure, though, is still some way away from the figure the government likes to quote, that the average annual salary last year was £127,228. That includes non-basic pay: things like working beyond contracted hours (£14,566), medical awards such as the clinical excellence award (£6,028) and money received for being on call (£2,882).

The government likes this higher number – it’s nearly four times the average UK annual salary – but it’s also not an unfair statistic to choose.

The government also likes to mention its offer of a 6% increase in pay for NHS staff consultants, which might sound relatively generous.

But again, if you use CPI forecasts for next year, this would increase doctors’ annual earnings by only 1% in the year ending March 2024 – still far short of that actual 15% decrease since 2010.

Comparisons to other countries and professions

Dr Dolphin also mentioned that consultants were being tempted by job offers from countries where the weather is sunnier and the wages are higher.

Some of the comparisons here are a bit trickier because of different definitions and data.

We’ll start in the UK and compare how “specialist medical practitioners”, which would include consultants as defined by the ONS, compared to other categories in the professional occupations category.

And they compare very, very well – a median gross annual income of £68,614 in April 2022. That’s 3% more than headteachers and nearly three-fifths higher than aerospace engineers.

So specialists are top of the league at home. Abroad, though, they’re mid-table.

Consultants in the UK rank moderately in terms of earnings on a global scale.

The OECD puts a UK medical specialist’s earnings at $155,418 (we’re using dollars now for ease of comparison). This is nearly a third higher than a consultant in France but around a quarter lower than in South Korea.

Private pay and extra work

One last issue to think about. We’ve been talking about consultants’ pay from the NHS. But they’re also free to do work privately. Unfortunately, we don’t know how much they earn on average from this. (We couldn’t find any reliable data – if you have some, let us know!)

The BMA has said that any striking doctors “should not schedule any other work, including in private practice, when they are taking part in industrial action”.

However, there’s nothing stopping them legally.

And consultants may have also benefitted from their junior doctor colleagues striking. “It appears that the medical pay bill has increased over strike periods. So some doctors are demanding and receiving large amounts to cover a shift,” Mr Palmer told Sky News.

“But in that context, there doesn’t seem to be as much of a financial friction as there would be in maybe some other services and professions about going on strike for some staff,” he added.

To sum it up: consultants have high salaries compared to the UK average; they may have earned more money during other BMA strikes and they may – if they choose to – work privately during strikes. That gives them more financial resilience than other occupations: a train driver can’t really drive a private train on a strike day.

Coupled with that very real 15% drop in wages, they could be prepared to wait a long time for a better offer.


The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

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‘Rapper’ who murdered schoolboy recalled to prison after ‘boasting about his violent crime’, Probation Service says

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'Rapper' who murdered schoolboy recalled to prison after 'boasting about his violent crime', Probation Service says

The man who served 14 years in jail for the murder of schoolboy Jimmy Mizen has been recalled to prison for breaching his licence conditions.

It follows reporting in The Sun newspaper that Jake Fahri, 35, was a drill rapper releasing music under the name TEN, who conceals his identity with a balaclava, and was played on BBC 1Xtra.

A Probation Service spokesperson said: “Our thoughts are with Jimmy Mizen’s family who deserve better than to see their son’s murderer shamelessly boasting about his violent crime.”

Jimmy’s father Barry told Sky News: “We’re not gloating or anything, in a way it’s quite sad.”

His son bled to death after Fahri threw an oven dish at him in a south London bakery on 10 May 2008.

The dish shattered on his chin and severed an artery in the schoolboy’s neck.

Fahri was 19 when he was given a life sentence in 2009 with a minimum term of 14 years and was released on licence in June 2023.

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His music was played on BBC 1Xtra less than 18 months later, the Sun reported, adding that DJ Theo Johnson named him an “up-and-coming star”.

Undated Family handout photo of 16-year-old Jimmy Mizen. Comedian Harry Hill will today present the keys of two minibuses in memory of the murdered schoolboy. Just days before the anniversary of the teenager's death on May 10, Hill will hadn over the keys of the "Jimmybuses" which will help Scouts travel around the UK.
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Jimmy Mizen. Pic: PA

Jimmy’s father earlier said he and his wife Margaret were “stunned into silence” when they were told about Fahri’s music, which often features violent themes.

In one song, which appears to reference Jimmy’s death, he raps about “sharpening” a blade.

“Judge took a look at me, before the trial even started he already knows he’s gonna throw the book at me,” the lyrics say.

Another track includes the lines: “See a man’s soul fly from his eyes and his breath gone… I wanted more, it made it less wrong. Seeing blood spilled same floor he was left on.”

The BBC has said the artist’s tracks do not feature on any BBC playlists, and that a track which appeared to reference Jimmy’s death had never been played on its channels.

A spokesman for the broadcaster added there were “no further plans to play his music”, adding: “We were not aware of his background and we in no way condone his actions.”

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A Probation Service spokesperson said: “All offenders released on licence are subject to strict conditions. As this case shows, we will recall them to prison if they break the rules.”

Jimmy’s parents founded the Mizen Foundation after their son’s death. The charity helps young people in London who are escaping violence.

Mr Mizen said: “It appears that if he’s been recalled to prison, he must’ve breached his licence conditions

“What happens next, we’ve absolutely no idea.”

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Madeleine McCann suspect won’t face charges for foreseeable future, prosecutor tells Sky News

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Madeleine McCann suspect won't face charges for foreseeable future, prosecutor tells Sky News

The man suspected of abducting Madeleine McCann won’t face any charges in the foreseeable future, a prosecutor has told Sky News.

German drifter Christian B, who cannot be fully identified under his country’s privacy law, is expected to be freed from an unrelated jail sentence this year while police in three countries continue to search for evidence against him.

Prosecutor Hans Christian Wolters said: “There is currently no prospect of an indictment in the Maddie case.

“As things stand, the accused Christian B’s imprisonment will end in early September.”

Madeleine, aged three, was asleep with her younger twin siblings in the family’s Portuguese rented holiday apartment before mother Kate discovered her missing at around 10pm on 3 May, 2007.

Her parents were dining nearby on the complex with friends and taking turns to check on all their sleeping children every half an hour.

A man, who is a suspect in the disappearance of British toddler Madeleine McCann in Portugal, stands next to his lawyer Friedrich Fuelscher at his trial on unrelated sexual assault charges in Braunschweig, Germany, October 2, 2024. Christian B., is charged with three counts of aggravated rape and two counts of sexual abuse of children in Portugal between June 2007 and December 2000. Moritz Frankenberg/Pool via REUTERS
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Christian B at his trial on unrelated sexual assault charges in Germany last year. Pic: Reuters

Madeleine’s disappearance has become the world’s most mysterious missing child case.

Philipp Marquort, one of Christian B’s defence lawyers, welcomed the prosecutor’s pessimism about bringing charges.

He said: “This confirms the suspicions that we have repeatedly expressed, namely that there is no reliable evidence against our client.

“We regret that we have not yet been granted access to the investigation files. We have not yet been able to effectively counter the public prejudice arising from statements made by the prosecutor’s office.”

Christian B, 47, is in jail and coming to the end of his sentence for the rape of an elderly American woman in Praia da Luz, the Portuguese resort where Madeleine disappeared.

In October, he was acquitted on a series of rape and indecent assault charges after a non-jury trial in Germany, in which several references were made to his status as the main suspect in the Madeleine case.

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File photo dated 30/04/17 of Kate and Gerry McCann, whose daughter Madeleine disappeared from a holiday flat in Portugal seventeen years ago. They have released a statement on the 17th anniversary of her disappearance, saying "the absence still aches". Earlier this week, it was confirmed that up to a further ..192,000 has been granted by the Home Office for the Scotland Yard investigation into Madeleine's disappearance. Issue date: Friday May 3, 2024. PA Photo. See PA story POLICE Portugal. Photo credit should read: Joe Giddens/PA Wire....
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Kate and Gerry McCann. Pic: PA

The prosecutor said he was awaiting the court’s written judgment before launching an appeal against the acquittal. He believes the trial judges were biased against the prosecution.

If successful, he could apply for a new arrest warrant for Christian B to keep him in custody until a retrial with new judges.

He said: “We hope that the Federal Court of Justice will decide before the end of the accused’s imprisonment. If the Federal Court follows our legal opinion, we could apply for a new arrest warrant for the accused’s offences, so that the accused would then remain in custody beyond September 2025.

Mr Marquort said the defence team would oppose the prosecution’s appeal against the acquittal.

Prosecutor Mr Wolters has said in the past that he believes Madeleine is dead and that Christian B was responsible for her death. The suspect denies any involvement.

The case against Christian B is purely circumstantial; he’s alleged to have confessed to a friend that he abducted Madeleine, he has convictions for sex crimes against children, he was living in the area at the time, his mobile phone was close by when the young girl vanished and he re-registered one of his vehicles the next day.

The prosecutor won’t say what evidence he has to convince him Madeleine is dead, but he admitted he is still trying to find forensic evidence to link Christian B to the girl.

Christian B is acquitted of sex attacks not related to the Madeleine McCann case
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Christian B coming to the end of his sentence for the rape of an elderly woman

Jim Gamble, former head of the UK Child Exploitation and Online Protection centre, said he had expected the prosecutor to charge Christian B soon.

“He’s implied the whole way through that he has something more than the public are aware of,” he said.

“He’s made fairly definitive statements about whether Madeleine is alive or dead so you would expect their strategy to have been to charge him sooner rather than later.

“From what he’s said today I wonder if we’re witnessing the re-positioning of something to manage the disappointment that’ll come.”

Mr Wolters, who is based in Braunschweig, Lower Saxony, is investigating the case with the help of Portuguese police and detectives from Scotland Yard.

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Man arrested after death of woman and two-year-old girl found with serious injuries in Ashford, Surrey

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Man arrested after death of woman and two-year-old girl found with serious injuries in Ashford, Surrey

A man has been arrested after the death of a woman in her 20s and a two-year-old girl was found with serious injuries in Surrey.

The man, in his 30s, has been detained on suspicion of murder and attempted murder, Surrey Police said.

Officers went to a property in Woodthorpe Road, Ashford, at 1.15pm on Thursday following a report of concern for safety.

The woman and child were found at the address with serious injuries and despite treatment from paramedics, the woman died at the scene.

The child was taken to hospital.

Officers said the victim and the suspect were known to each other.

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A forensics officer at the scene at Imtech House on Woodthorpe Road in Ashford, Surrey, after a woman in her 20s died and a two-year-old girl was found with serious injuries. A man in his 30s has been arrested on suspicion of murder and attempted murder. Picture date: Friday January 17, 2025.
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Pic: PA

An investigation, led by the Surrey and Sussex Police Major Crime Team, is under way and inquiries remain ongoing, police said.

Senior Investigating Officer DCI Kimball Edey said specialist officers “are working around the clock to gather as much information as possible,” and that the force’s “thoughts are with the family and friends of the victims at this unbelievably difficult time”.

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