Medical practitioners on the Isle of Man have given their “overwhelming” backing to industrial action amidst an ongoing pay disagreement. The British Medical Association (BMA) reported that 127 out of its 155 members employed by Manx Care participated in the ballot, with 95% of those who responded indicating they were “prepared” to cease work. Manx Care deemed the union’s demand for a 12.6% salary increase for the 2023-24 pay award period “unaffordable,” opting instead to implement a 6% rise as a temporary solution. The Department of Health and Social Care (DHSC) issued a statement asserting that Manx Care had “negotiated within their budget and offered several solutions.” The statement further conveyed: “We recognise the invaluable contribution of our doctors, and believe they deserve a fair pay rise. However, we must manage our finances and stay within our budget.” It was also noted that exceeding the allocated funds for salary increases would necessitate diverting resources from other services, potentially resulting in reductions or cuts to those services. The healthcare provider on the island is currently facing a deficit of £16.8m in the current financial year and has been instructed to implement savings to achieve financial equilibrium. Conversely, Prakash Thiagarajan, chairman of the Isle of Man Medical Society, stated that BMA members have issued a “clear mandate” that “Manx Care cannot ignore,” though he expressed hope that “we can still avoid strike action.” He further elaborated: “Doctors want to give patients the best possible care and that’s achieved by improving the working lives of doctors and the first step towards such improvement is reduction of the years of pay erosion we have suffered.” Out of the 127 doctors who participated in the ballot, 121, encompassing salaried dentists and consultants, indicated their support for potential industrial action. In preceding years, salary increases included 3% for 2021-22, followed by 6% alongside a £1,000 consolidated raise in 2022-23. The BMA, in a separate statement, indicated that it had previously highlighted significant frustrations among doctors after an October survey, but despite multiple meetings with Manx Care, no satisfactory agreement had been proposed thus far. Nevertheless, the union affirmed its ongoing commitment to pursuing a resolution through negotiation. Phil Banfield, chairman of the BMA council, asserted that doctors on the island were “overworked, underpaid and overlooked” and “deserved the same as those in the same roles in the UK,” who had “fought for, and won, pay uplifts.” The six-week ballot, which concluded on 23 December, marked the first instance of such a vote for Manx doctors. As of now, no specific dates for potential industrial action have been established.

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