Abstract

One in every 100 consultants has actively opted out of non-emergency weekend working or used a clause in their contract to avoid non-emergency out of hours work, figures obtained by BMJ Careers show. The topic of consultants working out of hours and at weekends has been a central part of contract negotiations between the BMA and NHS Employers. The Review Body on Doctors’ and Dentists’ Remuneration’s report on the contract, published in July, said that the clause in the 2003 consultant contract that allowed doctors to opt out of non-emergency out of hours work should be removed.1 To find out how many doctors were using this clause, BMJ Careers sent freedom of information requests to all 155 acute hospital trusts in England. Responses were received from 86 trusts employing 20 644 consultants. Six trusts in total said that they employed consultants who had actively opted out of …

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