Dr Peter Prinsley

It is a pleasure to serve under your chairmanship, Mr Vickers. I should like to speak this afternoon about the vital but vulnerable role of clinical academics. These are the people who combine frontline work in the hospitals with teaching and research at the universities. They are essential to the success of life sciences, and central to the training of the future NHS workforce. Clinical academics are employed by the NHS and higher education institutions jointly. Their pay follows the NHS consultant contract, which was updated last year after national negotiations. Universities, however, were not part of those negotiations, and are now required to implement that contract without having received any additional funding. The result is deeply worrying. I understand that 20 out of 26 medical schools may be preparing to offer redundancy to clinical academics because they simply cannot afford them. That would be a disaster. We cannot afford to lose the very people who train the future NHS staff and carry out the medical research that underpins all the innovation in our health service. As the Government rightly expand the number of medical school places, we will depend even more on clinical academics to educate the next generation of doctors. Their numbers are declining. Clinical academics now make up just 5.7% of the consultant workforce—down from 8.6% in 2011. Over the last decade or so we have seen a 6% fall in medically qualified researchers, and a 24% decline at the senior lecturer level. We are marching towards a cliff edge. More than a third of clinical academics are over the age of 55 and approaching retirement, so universities need to provide incentives to get younger clinical academics to come. We did solve this problem previously. When the consultant contract changed in 2003, the then Department of Health provided £15 million to support the medical schools with the implementation of the consultant clinical academic contract. That funding was later embedded in the baseline grants to the universities. That is a model for solving this problem. Unless we act now, we will lose this vital workforce altogether at the very moment when we need them most, and we simply will not be able to run our medical schools.