In an attempt to open this thread out into a proper debate:
My wife and I now work broadly similar jobs. I'm in the private sector, my wife is in the NHS. I'm a Product Manager for a software product, she's a "Project Coordinator" managing public health research projects (at the moment, that means Covid research).
I know which job I consider to be more important to society ... and it's not mine. And yet my salary is of the order of 40% more than hers. Part of that is experience, part of it is private vs public, but I suspect a big whack of it is quite simply that the NHS benchmarking doesn't pay (pun unintended) enough attention to what the private sector pays for roughly equivalent jobs - it instead focuses heavily on trying to hit equivalence targets within the NHS, and that sometimes misses the point because of the criteria they use for setting the bands (things like whether or not it's a line management role)
Potentially interesting debate if it doesn’t get derailed by the usual suspects/diversions........
I’ve recently stepped away from Financial Services after 35 years (back office environment not sales/trading) where PM salaries are I suspect similar relative to the NHS as you’re suggesting (also worth noting though that the pension provisions and job security in the public sector can be much better than the private sector so really need to take total package into account when comparing and not just base salary).
Aren’t there a significant no. of people in the NHS for reasons other than financial? I know my eldest certainly is - she’s been in nursing since graduating with a 1st from a Russell Group Uni and currently doing a Masters - in my old team at work, 4 years after graduating, she would be on easily double her current NHS salary (for an arguably much easier and far less responsible job), with decent bonuses and the very strong likelihood of that increasing rapidly over the coming years as opposed to very gradual progression in the NHS. Would she want to be though ? Not in a million years..........despite my counsel to the contrary !
I genuinely struggle with it as a moral dilemma........jobs are not valued according to ‘value to humanity’. The NHS could never pay private sector levels of course........
[...]my salary is of the order of 40% more than hers.
(also worth noting though that the pension provisions and job security in the public sector can be much better than the private sector so really need to take total package into account when comparing and not just base salary).
Value to humanity is very subjective. The private sector pays what it has to because it can. Pay is funded by profit. The NHS is funded by taxation so no real surprise that Government borrowing, economic policy and size of the total taxation pot are the determinants of pay.
The principal behind a free market (as part of a welfare state) is supply and demand. Dustmen and doctors are both vital, but the former can be learnt quickly. All that’s needed is upper body strength, whereas doctors need years of training. So doctors get paid more.
People can get indignant about how footballers earn more than nurses, but Premier League footballers get paid very high salaries as their skill sets are very rare. Only a fraction of those who try to turn pro succeed. Nurses are skilled but far more people can be trained as nurses than footballers so they get paid less.
And then you get the difference between public service and private sector as well as people who earn money for their employers (footballers) and those who cost their employers money as they’re providing a service (dustmen).
Of course, this meritocracy can be skewed. Sometimes people get well paid jobs thanks to connections (nepotism, old school tie) and sometimes ideology intervenes. An example of the latter would be when school dinner ladies complained that they were paid less than dustmen which was sexist. The council took fright and coughed up ignoring the fact that being a dustman (out in the wind and rain, handling garbage) is more unpleasant than being a dinner lady (cooking in a kitchen) and that sometimes people needed to be paid more as incentive/compensation.
In short, it might rankle that some actors get millions and care home workers don’t, but saying it’s unfair doesn’t take take into account a lot of other factors. People are usually paid on how rare their skills are rather than how valuable to society they are.
Value to humanity is very subjective. The private sector pays what it has to because it can. Pay is funded by profit. The NHS is funded by taxation so no real surprise that Government borrowing, economic policy and size of the total taxation pot are the determinants of pay.
All very true. Except where you start looking at two people who have the same skill sets. One in private sector, one in public sector - and you end up with a vast disparity in pay rates. And yes, there's very valid reasons why these situations arise (some of which raised in this very thread already). But one must ask: should we as a society simply accept that, or should we challenge it and see if there's a better way to do it?
The potential cost of the current system is starting to be seen in the NHS today: there's significant shortages of staff across the NHS. There's not enough people in the UK currently willing to fill all the roles that the NHS needs to be filled. Supply and Demand has failed here: a large part of the reason for the shortfall relates to the remuneration package. It's simply not attractive enough to enough people to provide a large enough supply to fill the demand.
Yes, good point.
The problem the public sector has is marrying supply and demand with the knowledge that the money for it comes from taxing other workers.
With the NHS, my advice would be to pay the doctors, nurses, porters etc more by using the money saved by cutting non-jobs such as these...
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"From each according to his ability, to each according to his needs" a slogan popularised by Karl Marx The principle refers to free access to and distribution of goods, capital, services and fair pay for a fair days work.
Which one was he again...?"From each according to his ability, to each according to his needs" a slogan popularised by Karl Marx
The principal behind a free market (as part of a welfare state) is supply and demand. Dustmen and doctors are both vital, but the former can be learnt quickly. All that’s needed is upper body strength, whereas doctors need years of training. So doctors get paid more.
People can get indignant about how footballers earn more than nurses, but Premier League footballers get paid very high salaries as their skill sets are very rare. Only a fraction of those who try to turn pro succeed. Nurses are skilled but far more people can be trained as nurses than footballers so they get paid less.
And then you get the difference between public service and private sector as well as people who earn money for their employers (footballers) and those who cost their employers money as they’re providing a service (dustmen).
Of course, this meritocracy can be skewed. Sometimes people get well paid jobs thanks to connections (nepotism, old school tie) and sometimes ideology intervenes. An example of the latter would be when school dinner ladies complained that they were paid less than dustmen which was sexist. The council took fright and coughed up ignoring the fact that being a dustman (out in the wind and rain, handling garbage) is more unpleasant than being a dinner lady (cooking in a kitchen) and that sometimes people needed to be paid more as incentive/compensation.
In short, it might rankle that some actors get millions and care home workers don’t, but saying it’s unfair doesn’t take take into account a lot of other factors. People are usually paid on how rare their skills are rather than how valuable to society they are.