One difference with doctors, is that their pay structure is much more firmly tied to years of experience. You need to have done X years as a fully qualified doctor to reach Y grade (in fact, they're largely determined by this). That creates far less scope for managers to inflate grades, compared to a system which includes a subjective assessment of skills.
This is an excellent demonstration of what has been happening to civil service pay. It's also a good example of how many - or maybe most - governments have ignored the strategic impact of decisions made in response to short-term pressures. The junior doctors' strikes, alongside NHS staff shortages and stories of doctors emigrating, are a current manifestation of this.
One difference with doctors, is that their pay structure is much more firmly tied to years of experience. You need to have done X years as a fully qualified doctor to reach Y grade (in fact, they're largely determined by this). That creates far less scope for managers to inflate grades, compared to a system which includes a subjective assessment of skills.
Good point! The civil service used to be like this, of course.
This is an excellent demonstration of what has been happening to civil service pay. It's also a good example of how many - or maybe most - governments have ignored the strategic impact of decisions made in response to short-term pressures. The junior doctors' strikes, alongside NHS staff shortages and stories of doctors emigrating, are a current manifestation of this.