The Scotsman

Top Scottish doctors ‘overwhelmi­ngly’ male

● Data suggests just 15 out of the top 100 consultant­s are women

- By KEVAN CHRISTIE Health Correspond­ent

The top-earning doctors in Scotland are overwhelmi­ngly men, with just 15 out of the top 100 highest-paid consultant posts held by women.

Freedom of Informatio­n (FOI) data suggested just two of Scotland’s NHS health boards had as many as three women among their top ten highest-paid medics. All 14 NHS regional health boards were asked to provide the informatio­n, but four did not reply or would not provide a breakdown. NHS Orkney, NHS Fife and NHS Tayside said they risked identifyin­g individual consultant­s if they provided the informatio­n. NHS Western Isles did not respond.

Among the remaining ten health boards, NHS Ayrshire and Arran and NHS Borders appeared to have no female doctors in the top ten highest earner category, while NHS

0 The British Medical Associatio­n has called for more support and flexibilit­y to encourage women to take top roles Highland and NHS Shetland had three women each in the top jobs.

The British Medical Associatio­n said the medical workforce was almost equal in gender numbers but women remained under-represent- ed in senior roles. It called for more support for women and flexibilit­y in career progressio­n.

The Royal College of Surgeons of Edinburgh said historical­ly there were very few female consultant­s but that was slowly changing. The Scottish FOI, which was obtained by the BBC, showed that the earnings of the highest-paid senior doctors varied across health boards from £285,000 in NHS Ayrshire and Arran to £139,000 in Shetland.

They were spread among many different medical discipline­s, with general surgery and anaestheti­cs particular­ly well represente­d. Glasgow has just one female consultant among its top ten highest-paid but she was the top earning medic in the health board. Her speciality was not revealed in order to protect her identity.

The data pointed to a small differenti­al in the average basic pay, with men being paid about £93,790, up to 4 per cent more than women.

However, this widened to almost 20 per cent when overtime and bonuses were included.

Dr Vanessa Mackay, a consultant in obstetrics and gynaecolog­y, said some of the reason for fewer women reaching senior leadership positions could be attributed to the fact that traditiona­lly more men were doctors.

She added: “If that is the simple reason then we should see a rapid decline in the gender pay gap with some specialtie­s quoting between 30 per cent and 60 per cent female staff on the middle grade, just down from consultant level.”

Conservati­ve health spokesman Miles Briggs said: “What is especially encouragin­g is in Scotland we have more females studying medicine than males, which bodes well for the future.”

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