Senior doctors in England are taking part in an indicative ballot in an escalation of a row over pay with the Government.
Many doctors were given a 4% pay uplift in May.
But the British Medical Association (BMA) said at the time that the pay rise does not go far enough in restoring historical pay freezes.
The union announced that consultants and specialist, associate specialist, and specialty (SAS) doctors in England will take part in an indicative ballot over the recent pay offer.
A 4% pay uplift, less than current inflation, is an insult to doctors in England. This Government has shown it simply doesn’t value doctors.
— The BMA (@TheBMA) May 22, 2025
“The DDRB has failed doctors. If this is the best they can do, government needs to think again.” says @DrPhilBanfield
This ‘award’… pic.twitter.com/aXNkcBWNgW
The BMA said that after the offer the committees representing these doctors wrote to the Health Secretary Wes Streeting calling for him to meet for negotiations.
But the union said it had not received a reply.
The indicative ballot, which will ask whether they are willing to take part in industrial action, will open on July 21 and close on September 1.
Resident doctors in England, formally known as junior doctors, are already being balloted over the prospect of strike action.
BMA consultants committee co-chairs Dr Helen Neary and Dr Shanu Datta, said in a statement: “Last month’s offer was an insult to senior doctors and undoes so much of the progress made last year.
“The 4% was below April’s RPI inflation, let alone anywhere close to making a dent in the huge pay cuts consultants have experienced over the last 17 years.
“Without restoring consultants’ value we will continue to drive our most experienced clinical leaders and academics away – in many cases to better pay and conditions overseas – when patients and the public need them most.
“We’ve been clear to the Government that we’re ready to get around the table and to secure a better outcome for doctors, patients and the public, but with no response, we have no choice but to prepare for the possibility of further action.”
They added: “Our resident colleagues have already launched their ballot, to which we offer them our fully fledged support. We ask the Government whether it can really risk having several groups of doctors on picket lines together later this year.”
BMA SAS committee chairwoman Dr Ujjwala Mohite added: “SAS doctors are the backbone and unsung heroes of the NHS, yet this year’s pay ‘award’ once again completely disregards the value we offer to patients and the health service.
“Even with the uplift, SAS pay will be down by almost a quarter in real terms compared to 2008. We are certainly not working a quarter less than we were 16 years ago.”
A Department of Health and Social Care spokesperson said: “Specialty and associate specialist (SAS) doctors and consultants have received an above-inflation pay rise of 4%, following last year’s 6% pay award, meaning the starting salary for a consultant is over £20,000 more than in 2023.
“Through the hard work of consultants, SAS doctors and all NHS staff, we have cut waiting lists to their lowest level in two years, down by almost a quarter of a million since we took office.
“Through our plan for change we want to continue working with doctors to rebuild our NHS for the benefit of both staff and patients.”
