Practice manager salaries on the rise

Following our bulletin earlier this year, the nationwide survey of practice manager salaries has now been completed and shows that basic pay rose by 3.19 per cent in 2011, with bonuses also increasing – for the first time in five years – by 13.62 per cent. According to the Practice Manager Salary Survey, undertaken by independent practice management information portal, First Practice Management, in partnership with medical and dental insurance specialists Towergate MIA, the average manager’s income is now £39,060, compared to £37,800 in 2010.

The Salary Index uses comprehensive salary, bonus and geographical data analysis from the responses of more than 1100 managers across the UK. The survey shows that location and practice size leads to substantial differences in pay. As would be expected, Greater London remains the top-paying region of the UK, with average total earnings of £43,580, and nearly 71 per cent of managers earning £40,000 or over. The South East region follows closely behind recording an average total income for its managers of £41,000.

Scotland and Northern Ireland region is the lowest paying area with average total earnings at £33,125. This region also has the highest number of small practices in the UK amongst the survey respondents, with 41 per cent of the practices which responded having less than 5,000 patients. Indeed, for smaller practices (<5,000 patients) the average manager’s income is now £32,235 (2010 - £31,570), and for the very largest practices (>14,000 patients) the average is £46,770 (2010 - £46,710), showing little change from last year.

The biggest change in this year’s survey results is the increase in bonus payments. Until this year, bonuses had been steadily declining since 2007, however this year shows an increase of 13.62 per cent over 2010. First Practice Management believes that much of this rise can be explained by some managers receiving a bonus payment rather than a pay increase, as the compound effect of a salary rise over future years is avoided.*

Steve Morris, general manager at First Practice Management, commented: “Although the data showed that average practice manager salaries increased in 2010/11, a significant number of managers reported zero pay-rises for themselves and for their staff. Some have indicated that this is the third or fourth year of a pay freeze while many practices are reporting differential rises for lower paid staff and zero rise for higher earners being a common theme.

“There is evidence that some practices are cutting back on their staff either through redundancies or via natural wastage, and that they are looking at other ways to save costs, such as revising staff sick pay schemes, enforcing reductions in contractual working hours, or reducing holiday entitlements. It seems likely that the increasing changes in general practice over the next few years coupled with uncertainty over funding is likely to see more cost-saving measures bite as practices seek to balance their budgets”.

Managers as Partners
Last year was the first time the Practice Manager Salary Survey included an overview of the income of Managers as Partners in their practices. From the responses received then, less than 3 per cent of Managers had Partner status. This year the percentage shows a slight increase to just over 3.5 per cent.

Total average earnings by those managers with Partner status is £53,695, substantially higher than for non-partner responders, and at a level up by 11 per cent from last year. For the largest practices (>14,000 patients) the average manager / partner income is circa £60,000. compared to non-partner manager income of £46,770.

Jason Brown, Head of Sales at Towergate MIA, commented: “The annual Practice Manager Salary Survey enables us to see how the general practice sector is faring at a time when there is much focus on cost savings in the NHS, but living costs escalate. This year’s results show that taken as a whole salaries are continuing to rise at a low level, however when you look closer it is clear that public sector cuts are having an impact with many practices reporting no pay rises.”

Read more about the Practice Managers Survey in Pulse, FPM and the Dental Practice Managers Association.