STRENGTH IN NUMBERS

Strength in Numbers dedicated to my late mother Kay

Junior doctors dispute: BMA and government reach deal. 18 May 2016

Acas released a statement following ten days of ‘intensive talks’ to seek to resolve the long running junior doctors’ dispute Credit: Reuters

The government and the British Medical Association (BMA) have reached a deal in resolving the dispute over new junior doctors’ contracts, following 10 days of talks at the conciliation service Acas.

The deal is subject to BMA junior doctor members approving the new contract in a vote. Under the deal, doctors will be paid a normal rate for Saturdays and Sundays between the hours of 9am and 9pm.

It also includes:

  • A basic pay rise of between 10% and 11%
  • Any shifts which start at or after 8pm and lasts longer than eight hours, and which finishes at or by 10am the following day, will result in an enhanced 37% pay rate for all the hours worked.
  • Doctors will receive a percentage of their salary for working more than six weekends a year – this will range from 3% for working one weekend in 7, and up to 10% if working one weekend in two.

If approved, Acas expect the new deal to be finalised in the next two weeks, with elements of the new contract coming into force from August. All junior doctors will then move onto the new terms between October and August 2017.

No further industrial action will be called while the vote is underway. Health Secretary Jeremy Hunt and the BMA have both welcomed the deal.

Click on the link to read more

http://www.itv.com/news/2016-05-18/junior-doctors-dispute-bma-and-government-reach-deal/

stream_img

Filed under: Uncategorized, , ,

Medical students set to ‘abandon’ the NHS

The junior doctors’ dispute may lead to the ‘loss of a generation of doctors’ in England as medical students consider alternative options, a survey suggests.

The survey, conducted by the British Medical Association (BMA), reports that as many as 82% of students said they would be ‘less likely’ than before to make their medical career in England.

A total of 1,197 students participated in the survey. Overall, 94% stated that their enthusiasm for working in the NHS waned due to the dispute and some 34.3% stated they would now be ‘less likely’ to continue their career in medicine.

Click on the link to read more

Medical students set to abandon the NHS

imgres

Filed under: NHS, Uncategorized, ,

Government urged to close junior doctors whistleblowing loophole 5 APRIL, 2016 BY SHAUN LINTERN – FOR HSA

The government should act to close a loophole in whistleblowing protection after a court ruled Health Education England’s relationship with junior doctors was outside the scope of employment law, HSJ has been told.

Legal experts said junior doctors continue to have whistleblowing protection from the actions of their employing trusts and this could include any subsequent action taken by HEE if it was based on information supplied by trust employees such as clinical supervisors.

The case of junior doctor Chris Day, who claims he was unfairly dismissed by Lewisham and Greenwich Trust for alleged whistleblowing in 2014, has caused widespread concern among trainees after an employment tribunal barred him from including HEE in his claim. An appeal ruling last month said Parliament had deliberately excluded junior doctors’ relationship with HEE from protection under employment law, adding that Dr Day was not an employee or worker of HEE.

Employment lawyers have told HSJ this does leave junior doctors at risk from detrimental treatment by HEE. Peter Daly, a solicitor at Bindmans law firm, said: “An employer is restricted from imposing a detriment on a whistleblower, but as HEE is not an employer there is no such restriction on HEE.

“This is a substantial gap in the protection for junior doctor whistleblowers. It is at odds with the government’s stated aim of protecting NHS whistleblowers, for example in the review by Sir Robert Francis QC. An amendment to the current legislation to address this situation would not be complex and might be achieved relatively quickly.”

He added that junior doctors could in theory judicially review a decision by HEE but this was likely to be “extremely expensive and realistically out of the financial reach of an individual doctor”.

Click on the link to read more

Government urged to close junior doctors whistleblowing loophole

HSJ-logo-2_0_0

Filed under: Whistleblowing, ,

Junior doctors’ row: The dispute explained

Ministers and junior doctors are locked in an increasingly fraught dispute in England. But what exactly is this row about?

What has caused the dispute?

Junior doctors’ leaders are objecting to the prospect of a new contract in England. The government has described the current arrangements as “outdated” and “unfair”, pointing out they were introduced in the 1990s. Ministers drew up plans to change the contract in 2012, but talks broke down in 2014.

They restarted at the end of last year at the conciliation service Acas but a deal could not be reached and so ministers announced in February they would be imposing the contract from this summer. There are two legal challenges to that imposition which are now being planned, one by the British Medical Association and another by campaign group Just Health.

Click on link to read more

http://www.bbc.co.uk/news/health-34775980

_86765459_jundoc

Filed under: Hospital,

Junior doctors’ strike: BMA totally irresponsible – Jeremy Hunt

Health Secretary Jeremy Hunt has accused the British Medical Association (BMA) of being “totally irresponsible” over a lengthy industrial dispute.

The doctors’ union had refused to sit down and talk about improving patient care and had spread “misinformation”, he told the BBC’s Andrew Marr Show. Mr Hunt wants to change junior doctors’ contracts, which he says are “unfair”.

The BMA said its door was open to talks and blamed the strikes on Mr Hunt’s “shambolic mishandling” of the matter.

Click on the link to read and hear part of the BBC’s Andrew Marr Show in which Andrew Marr read out junior doctors’ concerns for Jeremy Hunt to respond to

http://www.bbc.co.uk/news/uk-35515732

_88147503_docs_getty

Junior doctors and their supporters staged a “masked march” protest in London

Filed under: Hospital, , ,

Junior doctors row: David Cameron asks doctors to call off strike

David Cameron has urged junior doctors to call off their planned strike.

He warned Tuesday’s strike will cause “real difficulties for patients and potentially worse”. The strike begins across England at 08:00 GMT, from when junior doctors will only provide emergency care.

Talks between the doctors’ union – the BMA – and NHS bosses continue. The BMA has said the strikes “demonstrated the strength of feeling amongst the profession”. Issues being disputed by the BMA and NHS include weekend pay and whether there are appropriate safeguards in place to stop hospitals over-working doctors.

Three strikes are set to take place from:

  • 08:00 Tuesday 12 January to 08:00 Wednesday 13 January (emergency care will be staffed)
  • 08:00 Tuesday 26 January to 08:00 Thursday 28 January (emergency care will be staffed)
  • 08:00 to 17:00 Wednesday 10 February (full walk-out)

Click on the link to read more

http://www.bbc.co.uk/news/health-35280399

_87564892_896e1aa9-a660-47c0-9356-3e5506e82301

Filed under: Hospital, ,

Junior Doctors – emotional video about NHS Staff working at Christmas

Mini-documentary. An emotional collection of personal stories from Junior Doctors from around England, from their own Christmas shifts.

When we left medical school, we had to take an oath to “do no harm”. The new proposed contract being imposed will cause harm to our patients, as it is unsafe. We cannot let this happen – we have one the first battle in recommencing proper negotiations. But we have been given

Filed under: Hospital, ,

Junior doctors contract: Jeremy Hunt accused of ‘lying’ over weekend mortality

Jeremy Hunt has been accused of “lying” about weekend mortality rates, over his use of data from a study published in the British Medical Journal.

An audience member on the BBC’s Question Time programme said some of his liver transplant patients refused life-saving operations because they now feared going under the knife at the weekend.

It is not the first time Mr Hunt’s use of the study has been questioned. In October, BMJ editor Dr Fiona Godlee sought clarification over comments which she said implied the higher weekend death risk was due to poor staffing, despite the study itself not apportioning blame.

Mr Hunt has used the study repeatedly and the government says there is enough evidence to support the claims.

 

imgres

Filed under: NHS, , ,

Junior doctors’ strike called off but disruption still widespread

A survey of NHS trusts shows 600 operations and 3,500 outpatient appointments have been cancelled despite temporary agreement

Thousands of patients have had their operations and appointments cancelled despite a strike by junior doctors being called off. A temporary agreement reached on Monday night between the government, the British Medical Association (BMA) and NHS employers means three days of strikes will now no longer go ahead as long as a final settlement can be agreed. There has already been mass disruption to the NHS, with thousands of patients unable to undergo operations or attend appointments on Tuesday alone.

A survey of almost 20 NHS trusts by the Press Association has revealed around 600 operations and procedures cancelled alongside around 3,500 outpatient appointments. This represents less than a fifth of the trusts across England.

Click on the link to read more

http://www.theguardian.com/society/2015/dec/01/thousands-operations-cancelled-strike-called-off

2536

Filed under: Hospital, NHS, ,

Hunt condemns junior doctors’ ‘extreme’ three-day strike proposal

Ballot expected to approve industrial action with warnings from NHS bosses of serious disruption at busy time

Jeremy Hunt has condemned what he described as “extreme action” after the British Medical Association (BMA) said junior doctors would take strike action on three days in December. The health secretary is gearing up for a fierce battle with the profession, despite NHS bosses and leaders of the medical profession warning him that a protracted dispute will seriously disrupt services just when they are under the most pressure.

The BMA said junior doctors would walk out on 1, 8 and 16 December over a new contract Hunt is threatening to impose on them if, as expected, their ongoing ballot approves industrial action. “Threatening extreme action is totally unwarranted and will harm vulnerable patients. Refusing to talk to a government that wants to improve weekend care for patients and reduce doctors’ hours can only damage the NHS,” said Hunt on Thursday.

Junior doctors, 20,000 of whom staged a protest march in London last month, are furious that the proposed new contract will hugely extend the hours in any week for which they are paid basic rates of pay from the current finish-time of 7pm on weekdays to 10pm and, crucially, will also include Saturday up until teatime for the first time. They are also worried that safeguards that stop hospitals forcing them to work dangerously long hours, and the current banding system which dictates how much they are paid, especially in overtime, will both disappear.

Click on the link to read more

http://www.telegraph.co.uk/news/nhs/11991858/Junior-doctors-to-have-first-all-out-strike-in-history-British-Medical-Association-warns.html

3000

Filed under: NHS, ,

Leader of NHS junior doctors urges Jeremy Hunt to reopen negotiations

At London protest Dr Johann Malawana tells health secretary to stop lambasting junior medics, in bid to stop BMA strike

The leader of NHS junior doctors in England has urged Jeremy Hunt to stop treating them like “the enemy” and instead reopen negotiations in a bid to stop their threatened strike. Dr Johann Malawana told the health secretary he must stop lambasting junior doctors if he wants to settle a long-running dispute over his threat to introduce new NHS contracts.

“Stop attacking us. We are not the enemy. We are just health professionals who want to have a meaningful discussion. Talk to us, talk to us reasonably. Stop going to the press claiming that we are scaremongering”, said Malawana as he addressed a protest rally in central London attended by many thousands of junior doctors, their families and other health service personnel.

Click on the link to read more

http://www.theguardian.com/society/2015/oct/17/leader-of-nhs-junior-doctors-urges-jeremy-hunt-to-reopen-negotiations

3500

Filed under: NHS, ,

Junior doctors – ‘no one understands the level of responsibility we have’

From listening to suicidal patients to looking after the sickest children in the UK, junior doctors are the backbone of the NHS

I am a 45-year-old mother of four – my youngest has cystic fibrosis. I graduated from medical school in 2010 – since then I’ve had two children in my 40s – and am currently an anaesthetics trainee with at least six years of training left. I live in Bristol and commute daily to Abergavenny in Wales, which is 75 minutes each way. Every day sees me getting up at 5.45am to get the children ready. I start work at 7.45am by seeing patients due to have an operation that day. I work supervised by a consultant, putting patients under anaesthetic and managing their airway and vitals while they are asleep. I also provide on-call services, seeing the sickest patients in the hospital. I admit them to the intensive care unit, provide pain relief, attend cardiac arrests and much more.

No one understands the level of responsibility junior doctors have; we are the backbone of doctors, providing care 24/7. Once I was managing five critically unwell patients in resus overnight as an acute medicine doctor. I needed to make quick life or death decisions, stay calm and focused in the middle of the night.

We sacrifice family time and our own welfare to care for others. In addition, we must work in our own time on mandatory exams, courses, publications, audits and much more. Though I work in Wales, which has rejected the junior doctors’ contract, my 43-year-old junior doctor husband works in England. The proposed pay cut means that one or both of us may be forced to find different work to pay the bills. Our family debt exceeds £80,000. The future looks very bleak indeed and I’m worried.

Every time I leave my children and go six days without seeing my husband or older daughters, or when I miss school events and find providing care for my child with cystic fibrosis a challenge, I consider leaving the medical profession. I care for patients sometimes at the expense of my family and that saddens me. This is why we cannot be pushed any further, it is not worth the cost. To say we lack vocation, altruism and professionalism is a deep and painful insult.

Sethina Watson, CT2 ACCS anaesthetics trainee, Wales

Click on the link to read more stories of these young dedicated health professionals 

http://www.theguardian.com/healthcare-network/2015/oct/05/junior-doctors-responsibility-nhs?CMP=share_btn_tw

4875

Filed under: NHS, , , ,

Blog views to date

  • 79,777 hits

Enter your email address to subscribe to The Last Six Months and receive notifications of new posts by email.

Join 1,414 other followers

Helpful Pages, Templates etc

Recent Posts

Pages