Thanks for that info, its a good read, nice to hear from both sides. However if we been real here most of the uk population would love to be earning £30 an hour, doctors do the studying and to say they not reaping the awards at £30 an hour is a misstatement. However those caps do get breached, they a target thats been failed to be hit. I accept that if you used to more favourable terms and they now less favourable its hard to stomach. But again it beats been made redundant. Moving forward I would like to see not so much further drops, I am happy for the 2017 rates to be maintained or even slightly increased to match inflation but for doctors to agree to commit to NHS contracts (so locums become permanent doctors) and agree to have unsociable hours as part of their contract (your contract is confusing but if I understand you right you have 14 extra shifts of which 7 are unsociable). There seems to be too many locum usage in the system right now. The issue I think is mainly the locums demanding a kings ransom to cover the gaps, once thats resolved then the cash can get released, and general NHS improvements made I feel. On the GP side of things a ton of stuff can be done to improve efficiency, it just needs doctors to accept more modern working practices like email and video conferencing.