Consultant eye specialist 36740 8 Consultant eye specialist 36740 8

Fixing pay for consultants in Northern Ireland

Consultants in Northern Ireland voted in favour of taking strike action over pay. The strength of this vote and subsequent planned strike action brought the Department of Health in Northern Ireland to the negotiating table. The Northern Ireland consultants committee has now secured a pay offer which members voted to accept.

How we got here

For years, consultants here have been working harder and longer, with more complex cases in a much more challenging environment, whilst a crisis built in the health service. Despite the significant additional pressures, since 2008/09 our basic pay has experienced real terms (RPI) pay cut of 28.8%. 

Coupled with this has been a sustained period of political instability in Northern Ireland which has meant decisions to address workforce gaps, and stabilising and transforming the health service have not been taken, adding to the pressures doctors face. 

While we have engaged in good faith with the Doctors and Dentists Pay Review Body (DDRB) for the last 16 years, the recommendations they have made around pay have not always been implemented by government. The actual application of the pay award in Northern Ireland has generally been extremely slow and it has taken months for it to be paid. This is unacceptable and out-with what happens in the other nations. 

Colleagues in the Republic of Ireland under the new Sláintecare contract are paid much higher rates than we are in Northern Ireland, which has prompted many colleagues to choose to work across the border.  

Following the restoration of the Northern Ireland Assembly in February 2024, the Health Minister said that he intended to apply a pay uplift of 6%, as recommended by the DDRB for the 2023/2024 financial year. This was not paid until June 2024. 

In June 2024 consultants in Northern Ireland voted overwhelmingly in favour of taking strike action over pay. The strength of this vote and subsequent planned strike action brought the Department of Health to the negotiating table. Northern Ireland consultants committee secured a pay offer that was accepted by members in a referendum.

View the Department of Health’s offer

Keep up to date with our campaign on the BMA NI X (Twitter) and Instagram accounts.