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.
No comments:
Post a Comment
Note: only a member of this blog may post a comment.