A survey of over 1,350 practice managers found that their basic pay for 2008/9 had risen by 2.8%, but bonuses dropped 26% - the fourth successive year they have fallen. Overall, total earnings have risen by 2%.
The average manager's income is now £36,925 compared with £36,155 last year. The average bonus is now £579, down from £785 in 2007/8, and £951 in 2006/7.
The survey, by First Practice Management, found Greater London remains the top-paying region of the UK, with the average practice manager earning £40,550.
The Scotland and Northern Ireland region is the lowest paying region, with average total earnings at £32,702.