Doctors' Working Lives News
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Friday, June 03, 2005
Natural breaks, EWTD changes - and Stepford Nurses?
Poll results: Pay protection - shock swing in voting
From what date should Trusts apply pay protection to rotational posts?
The date the doctor is appointed to the rotation: 54%
The date the doctor is informed that they'll be rotating to that specific Trust: 21%
The date the Trust writes to the doctor, offering the post: 26%
Well, how very interesting. Until fairly recently "appointment to the rotation" was way behind, supporting the view expressed by NHS Employers (and acknowledged, though not supported, by the BMA) that doctors can't be pay protected if they don't know where they're rotating to. However, a massive late rush of votes has pushed "appointment to the rotation" into the lead.
Well, there you have it. The debate continues..... Another poll will be posted soon - in the meantime an interim poll is up.
Natural breaks: GMSHA survey
You may remember the earlier discussion on whether doctors need 100% natural breaks to be compliant. The Greater Manchester SHA have now sent out the results of their natural breaks survey - well worth reading! (Thanks to Yasmin Ahmed-Little for this information.)
European news
BMA: Employees should have the right to opt out (Politics.co.uk)
Q&A on the Working Time Directive (Guardian)
EWTD opt out (Sunday Herald)
EWTD - the balance between flexibility and security (Herald)
Wasted time - an article in favour of the opt out (Times). Hilariously, this polemic decides to name and shame the MEPs who voted to scrap it - or as the writer puts it, "Let us not forget the guilty in this crime against common sense".
Mixed response from doctors on EWTD vote (BMJ, subscription only)
The Mondaq article also has a useful timeline at the bottom showing when all the key EWTD amendments were made.
Data on working time across Europe (EIRO)
EWTD breaches
Staff in Teesside "breaching EWTD to find car parking spaces" (Evening Gazette)
Doctors in Brussels breaching EWTD? (Letter to the Times)
Staffing
4 in 10 overseas nurses thinking of leaving NHS, says King's Fund study
Contract negotiations
BMA and NHS Employers start negotiating new SAS contract
Patient care and clinical errors
NCEPOD survey finds substandard ICU care (Liverpool Echo) - consultants need to be more available (BMJ)
Clinical leadership in hospitals must be improved to reduce basic errors (BMJ)
New ways of working
Minor ops nurses slammed by junior doctors (Scotsman) - but Simon Eccles defends them
Doctors object to wider role for surgical care practitioners (BMJ)
Robodoc - the latest Robot Doctor or Stepford Nurse? E-Health Insider reports that "leaders in the profession have cautioned against using it as a substitute for nurses. According to Nursing Times, the robot can take observations, such as blood pressure, by reading information from a ‘smart’ gown, but the British Association of Critical Care Nurses says nursing is about treating the whole patient, not just monitoring clinical signs." (The mind boggles as to who was suggesting replacing nurses with robots...other than Channel 4, maybe....)
Accommodation, shifts and sleep
Time to review how we work at night (Letter, BMJCF) A thoughtful and accurate response to recent letters demanding decent on call rooms for doctors.
Working and sleeping around the clock - Second annual Sleep Loss Symposium (MJA)
Training
Experiences from an FY2 pilot (BMJCF)
Assessment tools for foundation year programmes (BMJCF)
Peer review assessment tool assessed junior doctors reliably (BMJ)
Flexible working
Flexible Careers advice (BMJCF) Anyone else find the question a little troubling from a work-life balance point of view?
Tips for doctors
Working as a pregnant junior doctor (BMJCF)
Making a management plan for weekend work (BMJCF)
Compiling a departmental handbook (BMJCF)
Making an impact at meetings where you don't know anyone (BMJCF)
How to be a really good bully (BMJCF) Fascinating article with a huge number of responses.
0 Comments:
From what date should Trusts apply pay protection to rotational posts?
The date the doctor is appointed to the rotation: 54%
The date the doctor is informed that they'll be rotating to that specific Trust: 21%
The date the Trust writes to the doctor, offering the post: 26%
Well, how very interesting. Until fairly recently "appointment to the rotation" was way behind, supporting the view expressed by NHS Employers (and acknowledged, though not supported, by the BMA) that doctors can't be pay protected if they don't know where they're rotating to. However, a massive late rush of votes has pushed "appointment to the rotation" into the lead.
Well, there you have it. The debate continues..... Another poll will be posted soon - in the meantime an interim poll is up.
Natural breaks: GMSHA survey
You may remember the earlier discussion on whether doctors need 100% natural breaks to be compliant. The Greater Manchester SHA have now sent out the results of their natural breaks survey - well worth reading! (Thanks to Yasmin Ahmed-Little for this information.)
European news
BMA: Employees should have the right to opt out (Politics.co.uk)
Q&A on the Working Time Directive (Guardian)
EWTD opt out (Sunday Herald)
EWTD - the balance between flexibility and security (Herald)
Wasted time - an article in favour of the opt out (Times). Hilariously, this polemic decides to name and shame the MEPs who voted to scrap it - or as the writer puts it, "Let us not forget the guilty in this crime against common sense".
Mixed response from doctors on EWTD vote (BMJ, subscription only)
The Mondaq article also has a useful timeline at the bottom showing when all the key EWTD amendments were made.
Data on working time across Europe (EIRO)
EWTD breaches
Staff in Teesside "breaching EWTD to find car parking spaces" (Evening Gazette)
Doctors in Brussels breaching EWTD? (Letter to the Times)
Staffing
4 in 10 overseas nurses thinking of leaving NHS, says King's Fund study
Contract negotiations
BMA and NHS Employers start negotiating new SAS contract
Patient care and clinical errors
NCEPOD survey finds substandard ICU care (Liverpool Echo) - consultants need to be more available (BMJ)
Clinical leadership in hospitals must be improved to reduce basic errors (BMJ)
New ways of working
Minor ops nurses slammed by junior doctors (Scotsman) - but Simon Eccles defends them
Doctors object to wider role for surgical care practitioners (BMJ)
Robodoc - the latest Robot Doctor or Stepford Nurse? E-Health Insider reports that "leaders in the profession have cautioned against using it as a substitute for nurses. According to Nursing Times, the robot can take observations, such as blood pressure, by reading information from a ‘smart’ gown, but the British Association of Critical Care Nurses says nursing is about treating the whole patient, not just monitoring clinical signs." (The mind boggles as to who was suggesting replacing nurses with robots...other than Channel 4, maybe....)
Accommodation, shifts and sleep
Time to review how we work at night (Letter, BMJCF) A thoughtful and accurate response to recent letters demanding decent on call rooms for doctors.
Working and sleeping around the clock - Second annual Sleep Loss Symposium (MJA)
Training
Experiences from an FY2 pilot (BMJCF)
Assessment tools for foundation year programmes (BMJCF)
Peer review assessment tool assessed junior doctors reliably (BMJ)
Flexible working
Flexible Careers advice (BMJCF) Anyone else find the question a little troubling from a work-life balance point of view?
Tips for doctors
Working as a pregnant junior doctor (BMJCF)
Making a management plan for weekend work (BMJCF)
Compiling a departmental handbook (BMJCF)
Making an impact at meetings where you don't know anyone (BMJCF)
How to be a really good bully (BMJCF) Fascinating article with a huge number of responses.
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