he British Medical Association said the decision to trim the consultants' awards was "mean-minded and vindictive". James Johnson, chairman, said it was shocking that ministers chose to single out consultants for lower percentage pay increases than other doctors and nurses. Ms Hewitt put a brave face on the settlement. She said it was "fair and affordable" and would "send a clear signal to the NHS that we are serious about the need to restore financial balance".

From November, a newly qualified consultant would earn £70,823 a year - 68% more than in 1997. GPs' earnings were not affected by yesterday's deal.