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Resident doctors successful Scotland are balloting for onslaught action aft claiming authorities ministers went backmost connected an statement complete pay.
BMA Scotland said nan projected uplift 4.25% for 2025/26 would person been nan lowest successful nan UK and was little than was recommended by nan independent salary reappraisal body.
But Health Secretary Neil Gray said it was a "fair, affordable, equitable salary offer" and urged members to cull onslaught action.
He said nan Scottish authorities had invested successful resident doctors' salary importantly complete nan past 2 years and added that immoderate business action would inhibit its efforts to trim waiting times.
Scotland's resident doctors - antecedently known arsenic inferior doctors - were poised to onslaught successful nan summertime of 2023 but the action was called off aft a caller salary offer.
As portion of nan past deal, BMA Scotland said nan authorities had pledged to make "credible progress" towards restoring salary to 2008 levels, successful each of nan pursuing 3 financial years.
Pay for a newly-qualified "foundation year" expert presently originates astatine £34,500, rising to £42,792 successful their 2nd year, pinch nan resident expert salary scale starting astatine £45,503.
The onslaught ballot will beryllium unfastened from Friday until 19 December. In nan arena of a yes vote, business action is apt to return spot successful nan first fewer weeks of nan caller year.
The ballot opens arsenic resident doctors successful England statesman a five-day walkout.
Dr Chris Smith, president of nan BMA's Scottish resident expert committee, said: "Doctors person been shocked that nan Scottish authorities look to beryllium intent connected throwing distant nan advancement made successful restoring our salary complete nan past 2 years and are clear they will guidelines up to protect nan woody which was agreed successful bully religion by some sides.
"As always, we are fresh to discuss astatine immoderate clip and immoderate place. But we will not beryllium idle while nan Scottish authorities attempts to break nan woody that they struck pinch Scottish resident doctors successful 2023."
He said 14 November was a "hugely important day" for some resident doctors successful Scotland and southbound of nan border.
"I cognize I speak for each Scottish doctors erstwhile I opportunity we guidelines beside them," he said.
"The Scottish authorities now has nan chance to tie a dividing statement betwixt them and Westminster, and each that requires is to revert to nan position quo: return to nan negotiating room pinch BMA Scotland, successful bully religion and pinch a reliable salary connection successful statement pinch nan promises they made successful nan woody we signed."
He added: "Until now, Scotland has been nan only federation successful nan UK to debar business action and location is clip to avert this action – but only if nan Scottish authorities honours nan committedness it made."
Significant salary investment
Dr Smith said nan Scottish government's consequence had been "disappointing" and it had ignored nan BMA's requests for further talks.
"I dream that this clip nan authorities will return nan basal steps to reverse their decisions which are putting nan NHS Scotland connected nan way to disruptive onslaught action," he added.
Health Secretary Neil Gray said: "Industrial action would beryllium successful no-one's champion interests, slightest of each nan patients who trust connected our NHS. I promote resident doctors to cull this option.
"Our fair, affordable, equitable salary connection of 4.25% for 2025/26, pinch a further 3.75% for 2026/27, is nan aforesaid connection that nurses and different NHS unit chose to judge earlier this year.
"We worth nan domiciled resident doctors play successful delivering attraction and person invested importantly successful their salary complete nan past 2 years, agreeing nan highest salary awards crossed nan nationalist assemblage - an uplift of 12.4% for 2023/24 and a cumulative uplift of 11% for 2024/25.
"These awards were justified arsenic we began nan process of delivering connected a 2023 statement that we are perfectly committed to honouring."
He said nan Scottish authorities had already invested an further £135.5m to tackle waiting times.
"The latest figures show our scheme is moving pinch full waiting database size reducing. Any business action by resident doctors would inhibit our advancement connected that," he added.


If resident doctors do spell connected strike, it will beryllium hugely disruptive and bruising for nan Scottish government.
It would beryllium nan first awesome walkout of NHS unit successful Scotland. Until now, it is nan only portion of nan UK to person avoided business action.
Resident doctors dress up almost half of nan aesculapian workforce and scope from newly-qualified doctors to those pinch decades of experience.
Strikes successful England led to thousands of appointments and operations being cancelled, pinch further disruption expected arsenic different five-day walkout originates connected Friday.
Any onslaught action present would beryllium a awesome rustle to nan Scottish government's cardinal committedness to destruct agelong waits for procedures and appointments by March adjacent year.
And it would put further unit connected an already stretched NHS successful an predetermination year.
A walkout by resident doctors is not an inevitability, but it is getting closer.
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