Josh Joseph

@Justobserv76205 @BBCBreakfast So why is it that its a problem in the UK when that is asked when other countries have acknowledged that it’s reasonable to do all that?

@JJ0seph7 @BBCBreakfast Unfortunately, the UK is not a wealthy country anymore. GDP per capita is 20% below AUS, and 35% below the US. It's not just healthcare in the bubble, it's the UK economy and wages (and it's not just doctors that are mobile).

Senior doctors in the NHS in England will begin voting today on whether to take strike action later this year. Dr Shanu Datta from the British Medical Association told #BBCBreakfast their pay has been 'eroded since 2008' and they want more time for non-surgical tasks bbc.co.uk/news/topics/cp…

@Justobserv76205 @BBCBreakfast Also to add, most oecd countries have increased wages in real terms since 2008 citing worse conditions for doctors and increased workloads. If you adjust for purchasing power most are above the UK by a significant amount. Most doctors in those countries get free parking, food ect

@Justobserv76205 @BBCBreakfast Yes but one of the most mobile professions is medicine. Simply ask a doctor how easy it is currently to be poached by another country. We really need someone to have a proper conversation about our public services yet no one wants to risk that

@Justobserv76205 @BBCBreakfast The uk and us are two sides of the same coin. An overly public healthcare system vs an overly private system. Both don’t work

@JJ0seph7 @BBCBreakfast Big picture - IB hiring is not new, and a 20-30% pay rise is not going to stop any future doctors moving to Goldman Sachs, who pay multiples of an F1 salary.

@Justobserv76205 @BBCBreakfast Also out of these 10,000 you should really ask how many are planning on staying long term. Most sit usmle during med school or plan to go australia. Young people are not willing to sacrifice their salaries for the nhs when market rates are higher elsewhere.

@JJ0seph7 @BBCBreakfast London healthcare IB/M&A hires perhaps ~20 doctors a year (arguably generous), against ~10,000 new UK medical graduates annually. For top-tier uni's like Imperial, the odds are better - but, let's keep perspective. This is niche, and it's not new.

@Justobserv76205 @BBCBreakfast You would also realistically see around 30-80 per year out of undergrad med and an increasing number of doctors from targets breaking in

@Justobserv76205 @BBCBreakfast Most countries are happy to pay doctors far higher wages than the uk offers. Also more and more banks are hiring doctors for their healthcare m&a roles. From my sons cohort at imperial, quite a large majority have thought about moving into banking and have had success in doing so

@JJ0seph7 @BBCBreakfast It is definitely not a major trend for doctors to move into banking. That is a tiny niche path. And at the moment, front-office finance roles are extraordinarily competitive, in many cases more so than most medical training posts.

@Justobserv76205 @BBCBreakfast It actually is and is being encouraged by most consultants at the moment. Most med students also sit usmle to be able to go to america or do fy2 and go australia straight away. the only reason “market price” for doctors is lower in the uk is because of the monopsony by the nhs

@jfoster2019 @DrHWazir @Aadam_Aziz If its some of the best training in the world then pay them the salaries compared to the best in the world😂😂😂

It’s not about you !! Nobody cares about ‘your story’ 🙄 You chose to become a Dr .. you signed a contract with the NHS .. You paid towards your fees and the public paid the balance ! You will have received some of the best training in the world 🌎 and yet again … literally thousands of patients will have their treatment and operations cancelled.. Some have been waiting for over a year !! Time to withdraw the ‘right to strike’ for frontline health workers.. Just like the Police and Armed Forces !

I was on the picket line today with @Aadam_Aziz and many doctors across London. And as the camera zoomed in on us, Jeremy Kyle made comments about people having “come into this country to be doctors’’ - looking straight at us, and deciding that based on the colour of our skin. Let me be absolutely clear. My parents were born here. I was born and raised in London. I have given nearly 6 years of my life working in the NHS as a doctor. And still - in 2026 - that’s not enough to be seen as someone who belongs in Britain. This isn’t just about one comment. It’s about hearing, over and over again: “Go back to where you came from.” “We don’t want you living around us.” It chips away at you. It makes you question how you’re seen. And the worst part? It actually doesn’t even shock me anymore. That’s how normalised this has become in our society. But I refuse to shrink myself to make other people comfortable. I refuse to stay silent while doctors, people who care for patients in this country every single day, can be treated like outsiders in it. I am not going anywhere. I will keep speaking. I will keep standing up. And I will keep fighting for this profession, no matter how loud the abuse gets. Solidarity to every resident doctor across England taking lawful industrial action today. Together, we will win.

@LilianCooper19 @LarcombePeter @Halalmin @Roddy_Rods @BMA_Consultants if not now then when? the nhs is even slightly functioning right now because older workers don’t have the ability to move to other countries.A lot of my doctor friends are beign actively headhunted by other countries and offering much higher salaries. Medicine sucks in the uk

@LarcombePeter @Halalmin @Roddy_Rods @BMA_Consultants They are being paid, but they have just unrealistic expectations. No one should expect to have kept up with yearly on or above inflation pay rises. More openings to progress, help with study costs, yes, but not more pay right now.

A 3.5% pay uplift is a real terms pay cut for consultants in England. The role of consultant should be fully valued, including pay, hours worked and its complexity. We need to stand together to demand a better deal. We are opening a ballot for industrial action on 11 May

@Justobserv76205 @Frank9478968518 @docanonx @BBCBreakfast From a taxpayer point of view, we pay less per capita than other oecd countries. So complaining about how healthcare sucks is not reasonable unless the taxpayer wants to match the level of spending.

@Frank9478968518 @docanonx @BBCBreakfast I see. Yes, this makes total sense from the doctors’ point of view, assuming they want to maximise their pay. However, that does not automatically make it the “fair” thing to do from a fiscally responsible or taxpayer point of view.

@Justobserv76205 @BBCBreakfast In other public healthcare countries doctors get paid much more.Compared to similar countries doctors here are not paid well while elsewhere people recognise difficult the job is and give pay rises simlar to other high paying jobs.Not sure why thats such a big issue in the UK

@BBCBreakfast The BMA has cherry-picked using 2008 as a baseline, as they enjoyed massive pay rises through the 90s and 00s. Using almost any other year as the baseline, the argument disappears. BBC - verify this data!