New Contract For Junior Doctors Research Articles

Millennials - The Missing Piece in the NHS Workforce Puzzle?

UK healthcare is in the throes of a workforce crisis. There are 10,000 fewer doctors and over 50,000 fewer nurses than are required to run a safe and sustainable service. Multiple factors from removal of nursing bursaries, introduction of university fees, poor working conditions, under-resourcing of healthcare services, unmanageable workloads, learned helplessness of clinical risk and a culture of incivility or blame is driving the workforce of the future away from NHS. Several governmental agencies, arm’s length bodies and trade unions have been grappling with this challenge. A few solutions have been recommended under the new contract for junior doctors, reintroduction of support for nurses and expansion of medical school places, but some are yet to be implemented. NHS leaders continue to support blue-sky thinking in terms of workforce innovations but tend to drag their feet when it comes to adoption. This reluctance by senior clinicians, managers and policy makers may be related to a lack of understanding of the values that drive the millennial generation that most younger healthcare workforce belong to. This article will explore the challenges and solutions from a generational perspective and offer an insight to guide future decision-making.

Offline: Is the NHS in crisis?

Offline: Is the NHS in crisis?

Health department helped draft HEE letters encouraging trusts to implement junior doctor contract, shows investigation

The Department of Health in England helped to draft letters sent by Health Education England to NHS trusts encouraging them to implement a new contract for junior doctors, a newspaper investigation has found. The Independent reported that it had seen internal emails showing that the health secretary for England, Jeremy Hunt, and his officials collaborated with HEE, an arm’s length body of the health department, to introduce the new contract.1 The new contract for junior doctors in England began phased implementation in October 2016, despite BMA members voting to oppose the deal.23 HEE is a non-departmental public body that, the Independent said, provides £3.65bn worth of funding …

Junior doctors say what BMA should do now to stop the new contract.

The BMA’s Junior Doctors Committee announced last Saturday that it was planning other action to resist a new contract for junior doctors in England, after it suspended three rounds of strikes.1 So far details of the actions have not been released. Junior doctors express their views on what should happen next

Junior doctors say what the BMA should do now to stop the new contract

The BMA’s Junior Doctors Committee announced last Saturday that it was planning other action to resist a new contract for junior doctors in England, after it suspended three rounds of strikes http://careers.bmj.com/careers/advice/BMA_considers_plans_after_suspending_junior_doctor_strikes. So far details of the actions have not been released. Junior doctors express their views on what should happen next

BMA invites health secretary to symposium on seven day services.

The BMA has invited the health secretary for England, Jeremy Hunt, to take part in a symposium on seven day NHS services as it starts work to oppose the imposition of a new contract for junior doctors in England. In a statement the association said that the meeting on the quality and consistency of healthcare delivered across the week was planned for November. It said that it would include health professionals, royal colleges, patients’ organisations, and professional associations. The …

Contract imposition will be Pyrrhic victory for government, says Royal College of Surgeons

Imposing a contract on junior doctors in England will be a Pyrrhic victory for the government, given the damage the plans have done to morale, the Royal College of Surgeons of England has said. In an open letter to its trainee members, sent on Friday 16 September, the college’s council and its president, Clare Marx, said that it was unclear what the proposed new contract for junior doctors aimed to achieve. “Although patients could benefit …

Junior doctors call for further strikes from September

The BMA’s Junior Doctors Committee is calling for escalated industrial action from September to resolve issues over the proposed new contract that the committee says the government has not dealt with. In a letter sent to members on Thursday 11 August, Ellen McCourt, the committee’s chair, said that the committee had decided to reject the proposed new contract for junior doctors in England in full and to call for formal renegotiations https://twitter.com/McCourtEllen/status/763815538460065792. “In response to the government’s silence, the JDC [executive] has today made a formal request for a special meeting of BMA Council to authorise a rolling …

NHS bodies should work to improve relations between junior doctors and government, Keogh says

NHS organisations should improve junior doctors’ working and training conditions to try to repair relations between the profession and the government, NHS England’s national medical director has said. Speaking at an evidence session of the parliamentary health committee on 19 July, Bruce Keogh told MPs that he wanted to help change the bad feeling between the two parties. Relations have been strained because of the recent industrial dispute over a new contract for junior doctors in England, which led to a full strike by BMA junior doctor members in April.1 The new contract, which will be imposed …

Senior doctors need to do more to boost juniors’ morale

After the announcement that a new contract for junior doctors in England will be introduced despite their opposition, many believe that the support of senior doctors will be crucial to help improve morale. <b>Abi Rimmer</b> reports

DH will consider juniors’ rejection of new contract, Hunt says

The Department of Health for England will consider the outcome of a BMA ballot on the proposed new contract for junior doctors, the health secretary has said. On Tuesday 5 July the BMA announced that 58% of junior doctors who took part in the ballot had voted to reject the proposals for a new contract. The ballot received responses from 37 000 junior doctors and medical students, a 68% response rate.1 After the result …

Proposed junior contract is a good deal, Malawana tells ARM

The chair of the BMA’s Junior Doctors Committee has said that the proposed new contract for junior doctors in England was a good deal. Speaking at the BMA’s annual representatives meeting in Belfast on Thursday 23 June, Johann Malawana said that he recognised that juniors had different views on the contract but that he thought it was a good deal. Junior doctors and final …

ARM to debate whether new junior contract disadvantages women

Doctors from across the profession are set to discuss whether the proposed new contract for junior doctors in England will disadvantage women, particularly those who train part time or have children. Delegates at the BMA’s annual representative meeting (ARM) in Belfast will discuss the issues on Thursday 23 June. The motion is one of several that focus on issues related to the new contract. It says, “This meeting is appalled that changes in the junior doctor contract will disadvantage women, particularly those who are training part time, or who are carers or lone parents.” Doctors previously raised concerns that the new contract discriminated against women when the government published an equality analysis …

Junior contract will ensure fair weekend pay for part time trainees, says BMA

The proposed new contract for junior doctors in England is being changed to ensure that trainees who work less than full time (LTFT) receive a fair level of pay for working at the weekend, the BMA has said. The chair of the BMA’s Junior Doctors Committee, Johann Malawana, said that the Department of Health and NHS Employers had confirmed on Thursday 2 June that changes would be made to the proposed contract in regard to LTFT trainees. Writing on Facebook on Saturday 4 June, Malawana said, “On Thursday the DH/NHSE side were able to confirm a few modifications as to the intent with LTFT trainees. Particularly in regard to pro rating the weekend supplement for LTFT.” A BMA spokesperson confirmed that the government had agreed to respond to concerns that the association had raised over LTFT pay. “The …

Consultant trainers could face increased workload under junior contract

Consultants who supervise trainees could see an increase in their workload under the proposed new contract for junior doctors in England, doctors have warned. Under the proposed new terms and conditions for junior doctors, educational supervisors, who oversee the education of trainees, will be required to agree a personalised work schedule with their trainees and regularly discuss their progress.1 In changes to the way that junior doctors’ hours are monitored, educational supervisors will also be required to process exception reports submitted by trainees who have worked too many hours, and discuss what action is required. Nirmal Kumar, director of medical education at Wrightington, Wigan and Leigh NHS Foundation Trust, said that the …

What’s changed in the proposed junior doctor contract?

Tom Moberly looks at how proposals for a new contract for junior doctors have changed after last week’s announcement of a deal between the government and the BMA

GPs express support for junior doctors

GPs have expressed their support for junior doctors and have strongly condemned the imposition of a new contract on the junior workforce. GPs attending the BMA’s conference of local medical committees (LMCs) held in London on Thursday 19 May voted overwhelmingly in favour of a motion that “condemns the imposition of the new unsafe and unfair contract on junior doctors.” After the announcement that the BMA and the government had reached an agreement on a new contract for junior doctors in England, subject to a ballot of BMA members, the conference motion was amended.1 Rather than stating …

Junior doctor contract talks continue for fifth day

Talks between the BMA and the government on a new contract for junior doctors are continuing for a fifth day. The discussions, being held in a hotel in Lincolnshire, began on Monday 9 May. Talks reconvened after the government agreed to pause the introduction of a new contract for junior doctors in …

Royal colleges welcome renewed junior contract talks

Medical royal colleges have welcomed the renewal of talks between the BMA and the government on a new contract for junior doctors in England. The BMA announced on Saturday 7 May that it would re-enter talks with the government on a new contract, after the government said that it would pause the introduction of the contract for five days.1 The talks, which are scheduled to take place over …

Scotland and Wales have not seen increase in trainee applications

Scotland and Wales have not seen a significant increase in the number of junior doctors applying for foundation and specialty training in 2016 compared with previous years. Ahead of the introduction of a new contract for junior doctors in England in August, both countries launched recruitment drives to attract …