Scottish NHS staff are unhappy with 1 per cent pay rise
Nurses and doctors said SNP ministers' renewed cap for those earning more than £22,000 will cause "widespread disappointment and anger."
With inflation now hitting 2.3 per cent they said there was a growing gap between wages and the cost of living.
Critics have repeatedly warned the NHS faces a "timebomb" and blamed the failings on a decade of SNP "negligence".
Staff numbers are at their highest ever level. But there are serious problems with vacancies and its ageing workforce.
Repeated years of real-terms cuts to doctors’ pay have taken a substantial toll on incomes
Dr Peter Bennie – BMA chairman in Scotland
Last month Auditor General Caroline Gardner highlighted rising vacancies, staff turnover, sickness absence and spending on agency staff, as well as an ageing workforce.
Dr Peter Bennie, chairman of the BMA in Scotland, said medics' pay "will decline in real terms" under the deal.
He added: “Repeated years of real-terms cuts to doctors’ pay have taken a substantial toll on incomes and do nothing to address the significant recruitment and retention difficulties across all grades of doctor.
Staff numbers are at their highest ever level but there are serious problems with vacancies
“At a time when doctors’ workloads are increasing like never before, there will be widespread disappointment and anger at the decision to continue this approach.”
An ageing population also means the NHS is dealing with ever more patients.
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The chaos was laid bare in winter, with cancelled operations and patients treated on trolleys and in corridors.
Last year it was revealed one in six GPs are expected to retire in the next ten years.
Latest official figures show 377 consultant posts were vacant in March – with almost half of these positions having been unfilled for at least six months.
Simon Barker, chair of BMA Scotland's consultants committee, said the Scottish Government had ignored independent advice to increase distinction awards and other parts of consultant pay deals for the second year in a row.
He added: "Most recent figures confirm a worsening problem, with almost 7 per cent of consultant posts in Scotland unfilled, with nearly half of these empty for more than six months.
"We will never recruit and retain the specialists that our health service needs if we fail to recognise and reward their efforts."
With an ageing population the NHS is dealing with more patients
The Royal College of Nursing (RCN) warned that since 2010, nurses had seen their pay decrease by about 14 per cent in real terms.
Associate director Norman Provan said: "This means that their pay will fall even further behind and will pile the pressure on an already overstretched workforce.
"Once again, the Scottish Government has missed an opportunity to close the gap between nurses' pay and inflation, and nurses will continue to bear the brunt of austerity measures in the NHS in Scotland."
Scottish Labour health spokesman Anas Sarwar said: "This is an insult to our hard-working and dedicated NHS staff.
“The SNP government is obsessed about another independence referendum, and is neglecting our NHS."
Shocking charts show the NHS could be in crisis Thu, February 9, 2017
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Its the fourth year in a row of a 1 per cent increase.
The Scottish Government said NHS workers earning below £22,000 would also get extra cash to boost their salaries by at least £400.
Health Secretary Shona Robison said: “We will also continue to guarantee a living wage for all NHS staff, and maintain our commitment to no compulsory redundancies.
"This underlines the value we place on the hardworking men and women of Scotland’s health service."