Wednesday, April 27, 2016

Doctors Strike

It seems anyone who criticise the NHS or wants change is a Demon. The NHS is not a sacred Cow it is there to serves the people of the UK (Notice I say UK) not there to serve the people who work in it. The NHS is desperately in need of change throwing money at it does not work.
The Doctors strike has caused untold damage to the credibility to their profession yet all we get in the Media, Press, Social Media is the view of the BMA so I have been online to see what the Government want to do see the article below and tell me what you think is wrong

Fairer for doctors
  • No junior doctor working within the current limits will receive a pay cut compared to their current contract. Around three-quarters of junior doctors moving to the new contract will see an increase in pay with the remainder getting pay protection. There are a very small minority – around 1% of junior doctors – who are forced to work excessive hours under the current contract and who will be better protected under the new contract against breaching hours limits.
  • Junior doctors will receive an approximate 11% increase to basic pay. A newly qualified junior doctor can expect to start on a basic salary of £25,500, compared to £22,636 in the current contract. As doctors advance through the stages of training and take on increased responsibility they will be rewarded through 5 pay progression points, reaching £55,000 in the final stage of training, compared to £47,175 in the current contract.
  • Pay increases based on successful progress through training and taking up a post at the next level of responsibility will replace automatic annual increments based on time served. The current system means all junior doctors get an automatic pay increase every year, regardless of achievement and performance, leading to examples under the current contract of high flying junior doctors supervising colleagues who are paid at a higher rate because they have progressed more slowly.
  • Junior doctors will be paid for all hours worked and will be paid at a higher rate for hours worked in unsocial periods. The government has decided that plain time will be extended until 7pm Saturday instead of 10pm Saturday. Doctors will receive time and a half for any hours worked Monday to Sunday between 10pm – 7am, and time and a third for any hours worked between 7pm-10pm on Saturday and 7am-10pm on Sunday.
  • Junior doctors will receive on-call availability allowances, ranging from 2% to 6% of basic pay, as well as payment for work undertaken as a result of being on-call.
  • Putting a greater proportion of earnings into increased basic pay mean doctors will benefit from higher pension contributions from the NHS, as basic pay is pensionable, whereas other elements of pay are not counted when calculating pension contributions.
  • We will offer new flexible pay premia for those training in hard-to-fill training programmes where there is the most need: general practice, emergency medicine and psychiatry.
  • Junior doctors who take time off for academic research that is part of their NHS training, or which contributes to the wider NHS and improvements in patient care, will get additional pay premia to make sure they don’t lose out. But we will stop the existing situation where a junior doctor can take time out to do an unrelated degree and continue to get an automatic pay rise.
  • Junior doctors taking maternity/paternity leave will continue to get the same leave and pay entitlement from the NHS as they do already but we will remove the current situation where they continue to get an automatic pay increase, meaning in the future pay on return will be the same level as other trainees working at the same level of responsibility. This is consistent with arrangements for other public sector staff.
1.2 Safer for doctors and patients
  • The average amount of hours junior doctors work will remain the same, at around 48 hours per week.
  • There will be a new absolute limit of 72 hours in any week, lower than the 91 hours that the current arrangements allow. Alongside this, we are removing the financial incentives in the current contract that encourage doctors to work unsafe hours.
  • Junior doctors who opt out of the working time directive will not be able to work more than 56 hours per week on average over the course of a rota.
  • No junior doctor will have to work more than 4 nights in a row or 5 long day shifts in a row and employers will be banned from scheduling any shifts over 13 hours.
  • There will be a limit of 7 days or nights on call.
  • We will introduce a new system of ‘work scheduling’ agreed between the doctor and their employer, with regular, routine reviews agreed with educational supervisors. Doctors will have the ability to trigger an urgent review if there is significant or regular variation from the work schedule.

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