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martyh 07-05-2016 08:33

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by denphone (Post 35836170)
l am not against a 7 day NHS but do we have enough staff? for it as the NHS are seriously overstretched now with not enough staff and even then they have to be brought in from abroad.

Probably not ,we should be investing more money and the public should be made aware that if we want a viable NHS for the future we will have to pay for it and if that means raising taxes then so be it

nomadking 07-05-2016 08:40

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836164)
Oh right that's the reason





And it does matter because this whole sorry mess could've been avoided if they're right.

Avoided? Based on the banners, there's meant to be more to it than that. There are to be restrictions on how much Saturday work they are allowed to do, a 30% addition for working a 2nd Saturday in a month, along with the 13.5% overall pay increase to covered reduced weekend rates. Why are Saturdays a problem for the BMA?

So all these studies over the years, by so many organisations, around the world are all skewed? Many have focussed on a single medical condition, often where there is NO question about whether somebody should be admitted or not.
Quote:

Higher mortality in patients hospitalized for acute aortic rupture or dissection during weekends.
BACKGROUND:
The management of acute aortic aneurysm rupture or dissection (AARD) requires specific medical expertise, diagnostic techniques, and therapeutic options, not always available in all hospitals through the entire week. The aim of our study was to evaluate whether an association exists between weekday (WD) or weekend (WE) admission and mortality for patients with ARRD.
CONCLUSIONS:
Our findings show that hospitalization for AARD on WE is associated with a significantly higher mortality rate than hospitalization on WD. Further studies are needed to investigate whether ensuring optimal diagnostic and therapeutic approaches during the entire week might improve the overall survival of patients with ARRD.
The Lancet, May 2015
Quote:

Increased mortality for hospital admissions at weekends has been reported for emergency admissions overall and for specific disorders, although the size of this effect varies across reports.
...
The sizes of the weekend effects on mortality in England and Wales were consistent for all 15 disorders and the Pearson's correlation for each disorder across the two countries was 0·57.The weekend effect was strongest for abdominal aortic aneurysm followed by other disorders with very high mortality during the acute phase; pulmonary embolism, stroke, and subarachnoid haemorrhage. Little or no weekend effect was observed for acute myocardial infarction and less acute disorders; chronic obstructive pulmonary disease, pneumonia, hip fracture, acute pancreatitis, and inflammatory bowel disease. No significant variation was observed in the weekend effect over time or across patient age groups.
These data provide new evidence as to the emergency disorders that are most strongly affected by the weekend effect and show that findings are quite consistent across two health-care systems. The weekend effect is most apparent for disorders with very high mortality that often require access to specialist investigation and care during critical acute phases.

Mr K 07-05-2016 08:43

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by martyh (Post 35836173)
Probably not ,we should be investing more money and the public should be made aware that if we want a viable NHS for the future we will have to pay for it and if that means raising taxes then so be it

So you want higher taxes now? A few weeks ago you were arguing that higher earners desperately needed tax cuts. Who are these taxes going to fall on? Which party is most likely to implement your radical plan? The Tories ? ;)

denphone 07-05-2016 08:51

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by martyh (Post 35836173)
Probably not ,we should be investing more money and the public should be made aware that if we want a viable NHS for the future we will have to pay for it and if that means raising taxes then so be it

Yes l quite agree with a lot of those sentiments.

---------- Post added at 08:51 ---------- Previous post was at 08:47 ----------

Quote:

Originally Posted by Mr K (Post 35836179)
So you want higher taxes now? A few weeks ago you were arguing that higher earners desperately needed tax cuts. Who are these taxes going to fall on? Which party is most likely to implement your radical plan? The Tories ? ;)

l am no lover of the Tories but the public can't have it both ways as we either want a properly funded NHS for the future or our NHS could go the way of America wonderful health system and l don't think many of us want that do we?.

Mr K 07-05-2016 08:58

Re: Junior Doctors Prepare For First Full Walk-Out
 
I agree with increasing taxes too; however the Govt. is dogmatically opposed to raising taxes. The public aren't innocent here. Despite what they say to pollsters, they don't vote for parties that promise tax rises. Demands are increasing on the NHS quicker than its budget growing, yet they are expected to expand further. Its an impossible task and I suspect the Govt. knows it i.e. its being set up to fail.

Maggy 07-05-2016 09:01

Re: Junior Doctors Prepare For First Full Walk-Out
 
If we want the NHS to be open 24/7 then we will have to employ not just junior doctors but everyone else with specialist skills.Doctors need lab technicians,radiographers,nurses and all the other myriad professions that keep the NHS working Monday to Friday..plus the missing extra doctors and nurses/midwives the NHS currently has shortages of.

However that costs and trying to provide on a shoestring won't cut it..

Also the best way to keep people out of A&E on any day is to make sure we address the acute shortage of GPs..My friend has just made an appointment to see her GP about her sinus headaches but can't have an appointment until the 2nd of June.

I'm pretty sure Hunt isn't really interested a 24/7 NHS but it merely trying to find ways and means of introducing us to the benefits of a privatised system based on the US nightmare of a healthcare system...

And I'm more than willing to pay higher taxes to fund the NHS..

martyh 07-05-2016 09:18

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Mr K (Post 35836179)
So you want higher taxes now? A few weeks ago you were arguing that higher earners desperately needed tax cuts. Who are these taxes going to fall on? Which party is most likely to implement your radical plan? The Tories ? ;)

Actually Labour are the party most likely to increase taxes .

Realistically though (and not in the socialist dreamland you seem to occupy)we will need to invest billions more in the NHS to maintain the service given the increased population and the increased age of the population.At some point we will have to raise more money to pay for it ,we could privatise it and have a service for the well off only or raise taxes and keep the service for everyone .

---------- Post added at 09:18 ---------- Previous post was at 09:11 ----------

Quote:

Originally Posted by Mr K (Post 35836186)
I agree with increasing taxes too; however the Govt. is dogmatically opposed to raising taxes. The public aren't innocent here. Despite what they say to pollsters, they don't vote for parties that promise tax rises. Demands are increasing on the NHS quicker than its budget growing, yet they are expected to expand further. Its an impossible task and I suspect the Govt. knows it i.e. its being set up to fail.


What benefit for any government could there possibly be in letting the NHS fail ?

nomadking 07-05-2016 09:21

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35836187)
If we want the NHS to be open 24/7 then we will have to employ not just junior doctors but everyone else with specialist skills.Doctors need lab technicians,radiographers,nurses and all the other myriad professions that keep the NHS working Monday to Friday..plus the missing extra doctors and nurses/midwives the NHS currently has shortages of.

However that costs and trying to provide on a shoestring won't cut it..

Also the best way to keep people out of A&E on any day is to make sure we address the acute shortage of GPs..My friend has just made an appointment to see her GP about her sinus headaches but can't have an appointment until the 2nd of June.

I'm pretty sure Hunt isn't really interested a 24/7 NHS but it merely trying to find ways and means of introducing us to the benefits of a privatised system based on the US nightmare of a healthcare system...

And I'm more than willing to pay higher taxes to fund the NHS..

But you can't do the rest of it without doing ALL of it, otherwise nothing could ever get done. The junior doctors are first, that's all. Others will follow.

TheDaddy 07-05-2016 20:05

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836177)
Avoided? Based on the banners, there's meant to be more to it than that. There are to be restrictions on how much Saturday work they are allowed to do, a 30% addition for working a 2nd Saturday in a month, along with the 13.5% overall pay increase to covered reduced weekend rates. Why are Saturdays a problem for the BMA?

So all these studies over the years, by so many organisations, around the world are all skewed? Many have focussed on a single medical condition, often where there is NO question about whether somebody should be admitted or not.

The Lancet, May 2015

All these studies aren't the one hunt has been citing as the rationales for his proposals, the one he keeps using is wrong.

---------- Post added at 20:05 ---------- Previous post was at 20:02 ----------

Quote:

Originally Posted by martyh (Post 35836168)
I think we are focusing too much on one thing here .Putting the "weekend effect" aside ,what's wrong with striving for a 7 day NHS anyway ? just about everything else in our lives is 7 days so why not our health care ?

Nothing is wrong with it if it can be staffed but if we haven't got the staff for 5 days 7 is going to prove tricky especially if you actually believe the hours are going to be cut

nomadking 07-05-2016 20:53

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836271)
All these studies aren't the one hunt has been citing as the rationales for his proposals, the one he keeps using is wrong.

---------- Post added at 20:05 ---------- Previous post was at 20:02 ----------
Nothing is wrong with it if it can be staffed but if we haven't got the staff for 5 days 7 is going to prove tricky especially if you actually believe the hours are going to be cut

What nonsense. The policy of a 7 day NHS came along LONG BEFORE that report. It was cited simply because it was recent.

Quote:

The research by University Hospital Birmingham NHS Foundation Trusts and University College London, examined the effect of hospital admission day on death rates across NHS England hospitals for 2013-2014.
Quote:

When these figures were adjusted, to account for patients’ higher levels of sickness, there was still a relative difference of up to 15 per cent.
Still higher death rates based on that report.
Quote:

The Royal College of Surgeons said patients needed better access to senior staff and key tests at weekends.
Its president, Clare Marx, said: “Patients that need treating at the weekend are less likely to be seen by the right mix of junior and senior staff and experience reduced access to diagnostics.
Quote:

Even in Accident & Emergency departments, there were twice as many senior doctors working during the week, compared with weekends.
A study of heart attack patients presented to cardiologists last week found those who were admitted on Saturdays had death rates 20 per cent higher than those who arrived at hospital during the week.

TheDaddy 07-05-2016 22:19

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836278)
What nonsense. The policy of a 7 day NHS came along LONG BEFORE that report. It was cited simply because it was recent.



Still higher death rates based on that report.

And it's simply wrong but what does that matter when it can be used to bolster an argument and I think you'll find it wasn't how recent it was that appealed but who wrote it.

nomadking 07-05-2016 22:35

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836282)
And it's simply wrong but what does that matter when it can be used to bolster an argument and I think you'll find it wasn't how recent it was that appealed but who wrote it.

This new report is meant to have removed the lower levels of sickness during the week. The original DID account for that as I QUOTED.
Quote:

Some of this was because patients admitted at weekends are likely to be sicker, given that less hospital treatment is planned for this period.
...
When these figures were adjusted, to account for patients’ higher levels of sickness, there was still a relative difference of up to 15 per cent.
A difference of 15% even when variations taken account of, doesn't matter? We are talking about MORE deaths.

The report came out AFTER negotiations had started.

The Royal College of Surgeons says there is a "weekend effect", as would probably the BMA before these negotiations.
And guess what I've found from BMA website Oct 2013.
Quote:

As such, the BMA has
welcomed the establishment of the Seven Day Forum
by NHS England Medical
Director Prof Sir Bruce Keogh in December 2012, and looks forward to the Forum’s
findings
...
Quality
Evidence shows hospitals are not delivering equally high standards of care to
patients at night and at weekends compared to during normal working hours.
There is also evidence of higher mortality rates for hospital patients admitted at
the weekend.
The Hospital Standardised Mortality Ratio (HSMR), which indicates
whether mortality rates are higher than would be expected for each hospital, is
produced annually by Dr Foster Intelligence and published in the Dr Foster Hospital
Guide. The 2012 Guide, Fit for the Future?, found that mortality rates for patients
admitted at weekends are higher than for those admitted on weekdays and that
higher levels of senior medical staffing at weekends are associated with lower
mortality rates.
...
The BMA position
Fundamentally, the BMA believes that NHS care should be of the same high quality
across seven days.
The RCP and AoMRC quality standards for the care of acutely ill
patients set out a clear aspiration of what should be achieved in all NHS hospitals,
but it is clear that there are significant resource implications that require close
examination.
In order to achieve this, the BMA stands ready to work with all stakeholders to
achieve a clear understanding of what working patterns will be required, especially
for hospital consultants, as well as the resource implications. We will support GPs
taking part in the recently announced pilots that aim to extend access, although we
remain concerned that the current workforce is stretched trying to provide high
quality care within current access arrangements. We must ensure that the pilot is
used to assess the most cost effective way of improving patient outcomes by
extending access to general practice.
So how come the BMA suddenly disagree with all that?:confused:

TheDaddy 08-05-2016 01:27

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836287)
This new report is meant to have removed the lower levels of sickness during the week. The original DID account for that as I QUOTED.
A difference of 15% even when variations taken account of, doesn't matter? We are talking about MORE deaths.

The report came out AFTER negotiations had started.

The Royal College of Surgeons says there is a "weekend effect", as would probably the BMA before these negotiations.
And guess what I've found from BMA website Oct 2013.
So how come the BMA suddenly disagree with all that?:confused:

They don't disagree with all that, they disagree with how it's being implemented and it's not them that's disagreeing it's their members, the actual people being expected to do the job and the latest press release goes as far as saying this isn't simply about Saturday pay as we've been led to believe, who'd have thought it, politicians not being truthful.

http://web2.bma.org.uk/pressrel.nsf/...3?OpenDocument

nomadking 08-05-2016 01:47

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836292)
They don't disagree with all that, they disagree with how it's being implemented and it's not them that's disagreeing it's their members, the actual people being expected to do the job and the latest press release goes as far as saying this isn't simply about Saturday pay as we've been led to believe, who'd have thought it, politicians not being truthful.

http://web2.bma.org.uk/pressrel.nsf/...3?OpenDocument

"does not discriminate against women or any other group"What is that supposed to mean?
The statement is incredibly vague and non-specific. How does anything mentioned there justify a strike?

TheDaddy 08-05-2016 20:53

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836293)
"does not discriminate against women or any other group"What is that supposed to mean?
The statement is incredibly vague and non-specific. How does anything mentioned there justify a strike?

I'd say staff retention is important, it is vague though, they should have just come out and said a third of A&E staff have left in the last five years. When it comes to the machinations of politics they have a lot to learn, although it's probably why the public believe and support them and wouldn't spit on a politician if they were on fire.

nomadking 08-05-2016 21:23

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836394)
I'd say staff retention is important, it is vague though, they should have just come out and said a third of A&E staff have left in the last five years. When it comes to the machinations of politics they have a lot to learn, although it's probably why the public believe and support them and wouldn't spit on a politician if they were on fire.

Still vague and non-specific, with no specific proposals to remedy it. Perhaps the new contract should reduce hours? Oh what a surprise, it does exactly that.

TheDaddy 08-05-2016 21:28

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836398)
Still vague and non-specific, with no specific proposals to remedy it. Perhaps the new contract should reduce hours? Oh what a surprise, it does exactly that.

Perhaps the new contract should ensure as much as possible that they earn less to, that'd encourage even more of them to stay

nomadking 08-05-2016 21:37

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836399)
Perhaps the new contract should ensure as much as possible that they earn less to, that'd encourage even more of them to stay

:confused: a 13.5% increase isn't enough? I thought it wasn't about money. Where they are leaving A&E they are staying in medicine, therefore will be paid the same basic as if they has stayed. Perhaps the new contract should pay a Premia for certain grades and above in emergency medicine. Guess what, £1,500 for grades ST4 and above.

TheDaddy 08-05-2016 22:04

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836401)
:confused: a 13.5% increase isn't enough? I thought it wasn't about money. Where they are leaving A&E they are staying in medicine, therefore will be paid the same basic as if they has stayed. Perhaps the new contract should pay a Premia for certain grades and above in emergency medicine. Guess what, £1,500 for grades ST4 and above.

Most aren't getting an increase they're getting a decrease and they're not staying in medicine not ours at any rate they're emigrating

nomadking 08-05-2016 22:10

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836404)
Most aren't getting an increase they're getting a decrease and they're not staying in medicine not ours at any rate they're emigrating

Any that are getting a decrease, are because they are the ones overdoing the overtime. Silly question, but what have the BMA suggested be done about it?

Ramrod 08-05-2016 22:37

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35836187)
If we want the NHS to be open 24/7 then we will have to employ not just junior doctors but everyone else with specialist skills.Doctors need lab technicians,radiographers,nurses and all the other myriad professions that keep the NHS working Monday to Friday..plus the missing extra doctors and nurses/midwives the NHS currently has shortages of.

However that costs and trying to provide on a shoestring won't cut it..

I agree with your sentiments but I disagree that we are running the nhs on a shoestring. I think that we are chucking a vast amount of cash at it already

---------- Post added at 22:37 ---------- Previous post was at 22:32 ----------

Quote:

Originally Posted by nomadking (Post 35836278)
The policy of a 7 day NHS came along LONG BEFORE that report. It was cited simply because it was recent.



Still higher death rates based on that report.

And that's before you consider that many doctors and nurses are deeply, deeply ***** when it come so diagnosis and care.

TheDaddy 09-05-2016 01:06

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836405)
Any that are getting a decrease, are because they are the ones overdoing the overtime. Silly question, but what have the BMA suggested be done about it?

No they aren't, what was it the shadow health secretary said no one with a gcse in maths can believe no junior doctor working within the legal limits will not lose money because the sums don't add up iirc

---------- Post added at 01:06 ---------- Previous post was at 01:03 ----------

Quote:

Originally Posted by Ramrod (Post 35836410)
I agree with your sentiments but I disagree that we are running the nhs on a shoestring. I think that we are chucking a vast amount of cash at it already.

Iirc we spend less of our GDP on health than any other developed nation or G7 nation, one of the two

nomadking 09-05-2016 01:28

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836421)
No they aren't, what was it the shadow health secretary said no one with a gcse in maths can believe no junior doctor working within the legal limits will not lose money because the sums don't add up iirc
---------- Post added at 01:06 ---------- Previous post was at 01:03 ----------
Iirc we spend less of our GDP on health than any other developed nation or G7 nation, one of the two

It has never been claimed that nobody will lose out. That was said on 28th October and there have been improvements in pay since then.

SO WHAT. That has nothing to do with this. Even Germany has problems recruiting doctors.

Quote:

Speaking to the BBC the next day, Hunt admitted that some junior doctors would see a pay cut.
“There’s a very small minority of doctors who will be working more than an average of 56 hours, and at the moment they get paid what’s called colloquially in the NHS ‘danger money,’” he said.
“We think that’s wrong. Actually, we shouldn’t be allowing that to happen. It’s not safe for patients, and, frankly, I’m not sure it’s safe for doctors either. But what we are saying is that for the vast majority of doctors who are working within the legal limit there will be no pay cut. We’ll make sure that happens.”
So the ones that might see a pay cut are the ones working unsafe hours, which is something the junior doctors are bleating about. Anyway as they are NOT working within the limits, the statement doesn't apply to them in the first place.

TheDaddy 09-05-2016 18:47

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836424)
It has never been claimed that nobody will lose out. That was said on 28th October and there have been improvements in pay since then.
[

There would've had to have been considering I remember hearing a lot of them would have had pay cuts of up to 40% back then, that was when hunt was still saying they were getting a rise and yet this is the man whose word you still want to take as gospel

Quote:

SO WHAT. That has nothing to do with this. Even Germany has problems recruiting doctors.
I was actually replying to ramie but seeing as you're saying so what I actually think we should be keeping our doctors, we give them subsidised education on the understanding that they work for the nhs for a while and if they're not prepared to do that they should be asked to pay back some of the cash, not that hunt has bothered to deal with that issue instead he seems to want to make the exodus worse, what was it the shadow health secretary called him the greatest recruiting sargent Australian medicine ever had


Quote:

So the ones that might see a pay cut are the ones working unsafe hours, which is something the junior doctors are bleating about. Anyway as they are NOT working within the limits, the statement doesn't apply to them in the first place.
Or the ones that work only unsocial hours because of the job requirements

Hugh 09-05-2016 20:25

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836421)
No they aren't, what was it the shadow health secretary said no one with a gcse in maths can believe no junior doctor working within the legal limits will not lose money because the sums don't add up iirc

---------- Post added at 01:06 ---------- Previous post was at 01:03 ----------



Iirc we spend less of our GDP on health than any other developed nation or G7 nation, one of the two

But no one ever mentions that most of the other G7 countries fund their Health Services with a mixture of State Funding and personal Health Insurance.

France - http://about-france.com/health-care.htm
Quote:

The French health care system is funded in part by obligatory health contributions levied on all salaries, and paid by employers, employees and the self employed; in part by central government funding; and in part by users who have to pay a small fraction of the cost of most acts of health care that they receive.
Germany - http://www.germanyhis.com/
Quote:

The German Health Care System has some important points to consider. First, it is obligatory to be insured when living, working or studying in Germany – except from some work or population groups. Second, the German system is a so called dual system containing a compulsory insurance and a private insurance.

Osem 09-05-2016 20:30

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Hugh (Post 35836556)
But no one ever mentions that most of the other G7 countries fund their Health Services with a mixture of State Funding and personal Health Insurance.
France - http://about-france.com/health-care.htm

Germany - http://www.germanyhis.com/

Is that what's called an inconvenient truth?

nomadking 09-05-2016 21:25

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836533)
There would've had to have been considering I remember hearing a lot of them would have had pay cuts of up to 40% back then, that was when hunt was still saying they were getting a rise and yet this is the man whose word you still want to take as gospel

I was actually replying to ramie but seeing as you're saying so what I actually think we should be keeping our doctors, we give them subsidised education on the understanding that they work for the nhs for a while and if they're not prepared to do that they should be asked to pay back some of the cash, not that hunt has bothered to deal with that issue instead he seems to want to make the exodus worse, what was it the shadow health secretary called him the greatest recruiting sargent Australian medicine ever had

Or the ones that work only unsocial hours because of the job requirements

Well the junior doctors are going on about unsafe hours and the dangers of being tired, when in TRUTH their hours are being reduced and working patterns that have been AGREED with the BMA. And the evidence that they will all get 40% pay cuts is...................nowhere to be found. They would be constantly screaming it out if there was any evidence. Let's suppose that if you look at a particular OCCASIONAL shift pattern of full weekend working. That PEAK earning week might go down, but with the 13.5% increase for all the other days, the average won't change. Apparently the BMA only want a basic increase of 4-7% and not the 13.5% offered. Sounds like the BMA ALSO agreed to whatever pay cuts there turns out to be. The NHS has the doctors working hours data and can carry out "what if" scenarios and other modelling to check the impact. They are better placed to identify the true level of impact. The November offer has "time off in lieu for additional work", whereas the current offer pays the appropriate rate until the hours limits are hit, and then it is time and a half.

Channel 4 factcheck from Nov 2015

Quote:

Mr Hunt says about three quarters of junior doctors will get a net raise, while about 500 (roughly one per cent) will lose out because they are currently working illegally long hours and that practice will end with the new contract.
...
Any number of newspaper stories allege that Britain is haemhorraging junior doctors – who are apparently heading to Australia in droves thanks to the government’s attempt at changing working hours.
But we can’t find any database that actually proves whether doctors are actually physically leaving the UK in greater numbers than at any other time.
Similarly, claims that junior doctors are going to suffer a real-terms pay cut are hard to stand up.

Arthurgray50@blu 09-05-2016 21:43

Re: Junior Doctors Prepare For First Full Walk-Out
 
I was actually in A& E one night. And there was NO DOCTOR on duty. They had to call in an agency Locum

I ask members of this forum, IF you were a Doctor, Nurse. Would you work in the NHS

Answers please

Hugh 09-05-2016 21:52

Re: Junior Doctors Prepare For First Full Walk-Out
 
Well, since the NHS employs* 150,273 doctors and 377,191 qualified nursing staff, out of a total of 1,161,884 employees, which is 1 in 32 of the U.K. working-age population, some probably do...

*figures from January 2016

Arthurgray50@blu 09-05-2016 22:21

Re: Junior Doctors Prepare For First Full Walk-Out
 
Hugh.,

Anyone who works for the NHS, has my upmost respect

ianch99 09-05-2016 22:44

Re: Junior Doctors Prepare For First Full Walk-Out
 
Maybe we should just be paying more for this service, i.e. as much as some of our peers in Europe:

UK health spending as a share of GDP

Quote:

Although it has made some gains, over this entire time period the UK has consistently spent less of a share of its GDP on health than either the EU average or the OECD average.
List of countries by total health expenditure per capita

TheDaddy 10-05-2016 03:25

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836567)
Well the junior doctors are going on about unsafe hours and the dangers of being tired, when in TRUTH their hours are being reduced and working patterns that have been AGREED with the BMA. And the evidence that they will all get 40% pay cuts is...................nowhere to be found. They would be constantly screaming it out if there was any evidence. Let's suppose that if you look at a particular OCCASIONAL shift pattern of full weekend working. That PEAK earning week might go down, but with the 13.5% increase for all the other days, the average won't change. Apparently the BMA only want a basic increase of 4-7% and not the 13.5% offered. Sounds like the BMA ALSO agreed to whatever pay cuts there turns out to be. The NHS has the doctors working hours data and can carry out "what if" scenarios and other modelling to check the impact. They are better placed to identify the true level of impact. The November offer has "time off in lieu for additional work", whereas the current offer pays the appropriate rate until the hours limits are hit, and then it is time and a half.

Channel 4 factcheck from Nov 2015


Perhaps I should've tried shouting you might have realised I was describing the early negotiations that way, I thought I was being quite clear using words like back then etc and here's a link going back then to, wasn't that hard to find either

http://www.theguardian.com/society/2...ay-40-per-cent

nomadking 10-05-2016 07:58

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836603)
Perhaps I should've tried shouting you might have realised I was describing the early negotiations that way, I thought I was being quite clear using words like back then etc and here's a link going back then to, wasn't that hard to find either

http://www.theguardian.com/society/2...ay-40-per-cent

Quote:

which they fear will cut their pay by up to 40%,
So still no evidence.
Quote:

One junior doctor said the move would mean that his pay goes down significantly, from about £31,000 – his basic salary of almost £23,000 plus 40% more for working one evening until 9pm and one weekend in four – to close to his basic earnings. “None of us feel we need to be paid more. We already work far longer than our allotted hours for free as patients’ care requires it.
With the 13.5% the basic goes up to 26,105. Difficult to be sure what day of the week he is referring for the evening work(until 9pm). Under the current contract, only Mon-Fri 7-9pm and weekends attract any extra. Under the new contract the 5-9pm on Saturday and all day Sunday attracts an extra 33% on top of the 13.5% basic. That gives 51% extra for just those hours. Any basic rate(at the extra 13.5%) Saturday 7am-5pm, should possibly more than be made up with the extra 13.5% for the Mon-Fri. As for the working for free, the proposal is to pay at the "prevailing rate" for those extra hours, and if it puts them over the 48hr average or 72hr weekly limits they get time and a half. The main impact to him seems to be the basic(ie+13.5%) for the one Saturday in 4, but just think of all the other Mon-Fri work days with 13.5% raise. Just 3 days of that cover the 40% gap and the other Mon-Fri work days in that 28day period will add even more. An average of 4.5hrs/week, affected on the new basic(+13.5%). Unless those are pretty much the only hours he works, sounds like he will be in for a pay rise rather than a pay cut.

The only real differences to the BMA proposals seem to be the 2 hours 7-8am and 8-9pm Mon-Fri and 7am-5pm Saturday. But at the same time they are only looking for a 4-7% basic raise and not the 13.5% offered.

Does that sound like anything to get worked up about and go on strike for?

Ignitionnet 10-05-2016 10:39

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by ianch99 (Post 35836578)
Maybe we should just be paying more for this service, i.e. as much as some of our peers in Europe:

UK health spending as a share of GDP

Maybe we should start funding healthcare the same way the rest of the developed world does rather than in a manner emulated only by communist states.

Much of the rest of the first world may have a point with funding through a combination of single payer and private insurance.

As Hugh identified we spend about as much taxpayer money on healthcare as many of our peers but lack the private sector funding that compliments it elsewhere.

TheDaddy 10-05-2016 19:29

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836612)
So still no evidence.
With the 13.5% the basic goes up to 26,105. Difficult to be sure what day of the week he is referring for the evening work(until 9pm). Under the current contract, only Mon-Fri 7-9pm and weekends attract any extra. Under the new contract the 5-9pm on Saturday and all day Sunday attracts an extra 33% on top of the 13.5% basic. That gives 51% extra for just those hours. Any basic rate(at the extra 13.5%) Saturday 7am-5pm, should possibly more than be made up with the extra 13.5% for the Mon-Fri. As for the working for free, the proposal is to pay at the "prevailing rate" for those extra hours, and if it puts them over the 48hr average or 72hr weekly limits they get time and a half. The main impact to him seems to be the basic(ie+13.5%) for the one Saturday in 4, but just think of all the other Mon-Fri work days with 13.5% raise. Just 3 days of that cover the 40% gap and the other Mon-Fri work days in that 28day period will add even more. An average of 4.5hrs/week, affected on the new basic(+13.5%). Unless those are pretty much the only hours he works, sounds like he will be in for a pay rise rather than a pay cut.

The only real differences to the BMA proposals seem to be the 2 hours 7-8am and 8-9pm Mon-Fri and 7am-5pm Saturday. But at the same time they are only looking for a 4-7% basic raise and not the 13.5% offered.

Does that sound like anything to get worked up about and go on strike for?

I thought we'd already established Hunt was lying when he said the strike was all about money

nomadking 10-05-2016 20:30

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836781)
I thought we'd already established Hunt was lying when he said the strike was all about money

:confused: You were the one talking about 40% cuts in pay. If it's not about pay, what can it be about? The concessions from the Dept of Health have mainly been pay related. The hours related parts of the contract have been agreed.
Quote:

Originally Posted by TheDaddy (Post 35836421)
No they aren't, what was it the shadow health secretary said no one with a gcse in maths can believe no junior doctor working within the legal limits will not lose money because the sums don't add up iirc


Chrysalis 10-05-2016 22:21

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35836187)
If we want the NHS to be open 24/7 then we will have to employ not just junior doctors but everyone else with specialist skills.Doctors need lab technicians,radiographers,nurses and all the other myriad professions that keep the NHS working Monday to Friday..plus the missing extra doctors and nurses/midwives the NHS currently has shortages of.

However that costs and trying to provide on a shoestring won't cut it..

Also the best way to keep people out of A&E on any day is to make sure we address the acute shortage of GPs..My friend has just made an appointment to see her GP about her sinus headaches but can't have an appointment until the 2nd of June.

I'm pretty sure Hunt isn't really interested a 24/7 NHS but it merely trying to find ways and means of introducing us to the benefits of a privatised system based on the US nightmare of a healthcare system...

And I'm more than willing to pay higher taxes to fund the NHS..

I feel for your friend, the insane headaches I had a few weeks back was sinus related, and the pain was absolute insanity. I can barely walk but I stood waiting outside my gp office to make sure I got an appointment that day on the tuesday it opened following the horrible 4 day easter holiday period. Really shocking for a GP to only offer a june date now, no same day appointments?

Also regarding 7 day services, its not quite what it seems e.g. if the nhs is open more days a week its not as if it will be used more, it simply prevents people waiting till the following monday, so e.g. GPs are most busy on mondays as there is a backlog of people who have had to wait over the weekend, so a 7 day nhs will sort of balance of the other 5 days.

This brings me to another point.

I wonder how much appointments would be saved at GPs if drugs were made not needing a prescription?

e.g. increase the dosage of co codamel a chemist can provide without doctor authorisation, allow other drugs that normally need a prescription and bam lots of workload gone from GPs. Anti biotics e.g.

ianch99 10-05-2016 22:56

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Ignitionnet (Post 35836647)
Maybe we should start funding healthcare the same way the rest of the developed world does rather than in a manner emulated only by communist states.

Much of the rest of the first world may have a point with funding through a combination of single payer and private insurance.

As Hugh identified we spend about as much taxpayer money on healthcare as many of our peers but lack the private sector funding that compliments it elsewhere.

We should look at the best solution in our peer economies and see if these are a better fit than our current model which doesn't deliver the necessary funding.

As for Hugh's point, this seem to show that there are a number of our EU neighbours that spend more public monies on healthcare:

https://en.wikipedia.org/wiki/List_o...-percapita.svg

TheDaddy 11-05-2016 07:12

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836794)
:confused: You were the one talking about 40% cuts in pay. If it's not about pay, what can it be about? The concessions from the Dept of Health have mainly been pay related. The hours related parts of the contract have been agreed.


You've read the statement from the bma, it even says in there it's not all about pay

nomadking 11-05-2016 08:14

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836843)
You've read the statement from the bma, it even says in there it's not all about pay

As I pointed out, you were the one saying that the junior doctors were complaining about a supposed 40% drop in pay. I pointed out that using your sole example, they would probably end up earning more. I also asked the question, if not about pay, what is it that "deserves" a strike? Still unanswered, of course.

Chrysalis 11-05-2016 16:15

Re: Junior Doctors Prepare For First Full Walk-Out
 
to add to my previous comment regarding anti biotics, this is what I would do.

1 - change some prescription drugs to no prescription needed. To relieve pressure on GPs.
2 - Add a system that these drugs when acquired from a chemist the nhs medical card and photo id needs to be presented.
3 - chemist clerk enters onto system drugs have been issued.
4 - repeat drugs cannot be issued for next 6 months without prescription.

so this prevents abuse.

TheDaddy 11-05-2016 16:28

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35836849)
As I pointed out, you were the one saying that the junior doctors were complaining about a supposed 40% drop in pay. I pointed out that using your sole example, they would probably end up earning more. I also asked the question, if not about pay, what is it that "deserves" a strike? Still unanswered, of course.


Well no not of course as it was answered days ago

junior doctors concerns extend far beyond pay

http://web2.bma.org.uk/pressrel.nsf/...3?OpenDocument

Hugh 11-05-2016 16:42

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836946)
Well no not of course as it was answered days ago

junior doctors concerns extend far beyond pay

http://web2.bma.org.uk/pressrel.nsf/...3?OpenDocument

tbf, the others are pretty wooly (like wanting world peace and love to all)

Quote:

“Junior doctors’ concerns extend far beyond pay, and our principle in talks will be to deliver a fair contract that does not discriminate against women or any other group, one which addresses the recruitment and retention crisis in the NHS and which provides the basis for delivering a world-class health service.
Those are all subjective, rather than objective.

And it's amusing the BMA talking about recruitment, when they were the ones in 2008 that stopped doctor training being expanded.

Osem 11-05-2016 17:39

Re: Junior Doctors Prepare For First Full Walk-Out
 
... and if they can't get their way, rather than giving those they claim to care so much about an almost 'world class health service', they'll effectively make it even worse by resigning en masse and going to work abroad in countries which don't have an equivalent NHS...

nomadking 11-05-2016 20:56

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35836946)
Well no not of course as it was answered days ago

junior doctors concerns extend far beyond pay

http://web2.bma.org.uk/pressrel.nsf/...3?OpenDocument

That was just 4 days ago from today, even less days from when I asked the question.
Quote:

“The BMA has agreed to re-enter talks with the government on outstanding issues in this dispute, which include, but are not limited to, unsocial hours.
“Junior doctors’ concerns extend far beyond pay, and our principle in talks will be to deliver a fair contract that does not discriminate against women or any other group, one which addresses the recruitment and retention crisis in the NHS and which provides the basis for delivering a world-class health service.
And ALL of that is connected to pay. That still leaves the key issues of, if it's not about pay, what is it all about and does it justify strikes. They are being amply compensated for the changes in definitions of unsocial hours and have received a concession of an EXTRA 30%(on top of the 13.5%) for Saturdays when working more than one weekend in a 4 week period. By only asking for a 4-7% basic rise, the BMA are admitting that the 13.5% offer, financially covers Saturdays being treated as "plain time".

TheDaddy 13-05-2016 20:41

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35837009)
That was just 4 days ago from today, even less days from when I asked the question.

Yes and I posted it on the day you asked the question as well

Quote:

And ALL of that is connected to pay. That still leaves the key issues of, if it's not about pay, what is it all about and does it justify strikes. They are being amply compensated for the changes in definitions of unsocial hours and have received a concession of an EXTRA 30%(on top of the 13.5%) for Saturdays when working more than one weekend in a 4 week period. By only asking for a 4-7% basic rise, the BMA are admitting that the 13.5% offer, financially covers Saturdays being treated as "plain time".
Staff recruitment and retention isn't all about remuneration you know

nomadking 13-05-2016 21:16

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35837486)
Yes and I posted it on the day you asked the question as well

Staff recruitment and retention isn't all about remuneration you know

Well that's specific isn't it.:rolleyes: So what is, or isn't the new contract in relation to that? What has anybody, including the BMA said is required? And it all comes back to, does that justify a strike?

TheDaddy 13-05-2016 21:49

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35837496)
Well that's specific isn't it.:rolleyes: So what is, or isn't the new contract in relation to that? What has anybody, including the BMA said is required? And it all comes back to, does that justify a strike?

It's pretty specific if you want a service at all at the end of the day and yes it does justify a strike in the opinion of their members who voted overwhelmingly in favour of strike action.

nomadking 13-05-2016 22:18

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35837509)
It's pretty specific if you want a service at all at the end of the day and yes it does justify a strike in the opinion of their members who voted overwhelmingly in favour of strike action.

I REPEAT, "So what is, or isn't the new contract in relation to that?" It's a simple question. If it's the basis of the strike then it will have had be made public and widely known.

TheDaddy 13-05-2016 22:37

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35837515)
I REPEAT, "So what is, or isn't the new contract in relation to that?" It's a simple question. If it's the basis of the strike then it will have had be made public and widely known.

So you're saying it's not forming part of the negotiations, wonder why the contracts legality is going to be questioned in court regarding discrimination if so.

Hugh 13-05-2016 23:20

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35837520)
So you're saying it's not forming part of the negotiations, wonder why the contracts legality is going to be questioned in court regarding discrimination if so.

Actually, it's whether the Health Secretary has the power to impose a contract that is being challenged, not whether the contract itself is legal.

http://www.independent.co.uk/news/uk...-a6988831.html
Quote:

The revelation comes ahead of a High Court Challenge on Monday, which initiates a judicial review of the lawfulness of the Health Secretary’s right to impose the contract.

TheDaddy 14-05-2016 00:07

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Hugh (Post 35837525)
Actually, it's whether the Health Secretary has the power to impose a contract that is being challenged, not whether the contract itself is legal.

http://www.independent.co.uk/news/uk...-a6988831.html

Or it could be there's a lot of legal action going on

The BMA, in its legal claim, alleges that the government failed to "pay due regard" to the equalities impact of the new contracts and is calling for a judicial review.

http://www.bbc.co.uk/news/health-35959865

nomadking 14-05-2016 00:17

Re: Junior Doctors Prepare For First Full Walk-Out
 
We're not talking about shelf stackers here. If somebody has spent 2 of the last 5 years away from medicine, IT MATTERS. They are in TRAINING. If actually being present doesn't matter, why aren't the ones that stay there, given the same level of credit? If somebody has spent 2 of the last 5 years away, shouldn't that make them equivalent to somebody who has spent a full 3 years, and certainly not ahead of somebody who has spent a full 4 years. That would be the real discrimination.

papa smurf 18-05-2016 17:08

Re: Junior Doctors Prepare For First Full Walk-Out
 
http://news.sky.com/story/1698292/ju...ct-deal-agreed


http://www.independent.co.uk/news/uk...-a7036376.html



Junior Doctors To Vote As Contract Deal Agreed
No further strikes will be called ahead of the vote which follows 10 days of "intensive" talks aimed at breaking the deadlock.

denphone 18-05-2016 17:12

Re: Junior Doctors Prepare For First Full Walk-Out
 
At last common sense has prevailed hopefully..

Osem 18-05-2016 17:50

Re: Junior Doctors Prepare For First Full Walk-Out
 
It'll be intriguing to find out what has changed to make the contract acceptable and render the accusations that it was unsafe for patients no longer applicable.

Hugh 18-05-2016 20:19

Re: Junior Doctors Prepare For First Full Walk-Out
 
Good news for all involved.

Maggy 19-05-2016 09:39

Re: Junior Doctors Prepare For First Full Walk-Out
 
Well they have only agreed to put it to a vote..Let's wait until the ballot is finished and keep our fingers crossed in the mean time.

nomadking 19-05-2016 10:18

Re: Junior Doctors Prepare For First Full Walk-Out
 
Will be interesting to see whether the changes were enough to justify a strike. The differences seemed to be fairly minimal, and the Dept of Health had already made concessions in their favour, eg increased %age pay rise, some increases for Saturday working.

Osem 28-05-2016 12:41

Re: Junior Doctors Prepare For First Full Walk-Out
 
Well it seems that, according to leaked BMA emails, pay was the main reason for their stance on the strikes and it was an opportunity to stick it to HMG:

http://order-order.com/2016/05/26/se...real-red-line/

Quote:

A massive leak of private WhatsApp messages reveals pay was “the only real red line” for the BMA junior doctors leadership. Despite the BMA publicly claiming the strike was about patient safety, senior BMA junior doctor committee member Kitty Mohan admitted:


“It [pay] is the only real red line. It’s the thing 99 per cent of juniors told us they were upset about in August...”


... Committee chair Dr Johann Malawana said drawing out the dispute was the “best solution… to impose [the contract] against our support”. Dr Malawana said he “had nothing to talk about” with the Department for Health, despite the BMA publicly calling the government to the table. He also said:


“I don’t care about anything apart from extracting the best contract. Don’t give a **** about anything else.”
http://www.telegraph.co.uk/news/2016...blame-the-bma/

http://www.hsj.co.uk/topics/workforc...ontentID=15303

Hugh 05-07-2016 14:27

Re: Junior Doctors Prepare For First Full Walk-Out
 
http://www.bbc.co.uk/news/health-36714792
Quote:

Junior doctors and medical students in England have voted to reject the contract that has been offered to them by the government.

British Medical Association members voted 58% to 42% against accepting the deal.

BMA leaders had urged members to accept the terms, which were announced in May after talks with the government resumed following six strikes.

BMA junior doctor leader Johann Malawana immediately resigned.

Mr K 05-07-2016 14:36

Re: Junior Doctors Prepare For First Full Walk-Out
 
Mmmm. Seems the Doctors are more ****ed off that we and their Union leaders thought. That's bad news for all of us, on top of the anticipated exit of foreign staff.. NHS RIP.

denphone 05-07-2016 14:43

Re: Junior Doctors Prepare For First Full Walk-Out
 
Not so sure its the death of the NHS Mr K....

Kursk 05-07-2016 16:58

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35838443)
Well they have only agreed to put it to a vote..Let's wait until the ballot is finished and keep our fingers crossed in the mean time.

You were right to be cautious :).

Gavin78 05-07-2016 17:04

Re: Junior Doctors Prepare For First Full Walk-Out
 
I think they are from a generation of spoiled brats we seemed to have have bred this day and age.

They want everything for nothing and don't want to work for anything. I certainly don't support them I think they are being greedy and its about time we start putting our foot down

Maggy 05-07-2016 17:20

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Gavin78 (Post 35848224)
I think they are from a generation of spoiled brats we seemed to have have bred this day and age.

They want everything for nothing and don't want to work for anything. I certainly don't support them I think they are being greedy and its about time we start putting our foot down

Good job not everyone thinks like you..And good luck getting treatment if they all do decide to go work somewhere else..

Gavin78 05-07-2016 17:23

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35848233)
Good job not everyone thinks like you..And good luck getting treatment if they all do decide to go work somewhere else..

Under the agreed terms, junior doctors who work seven or more weekends a year will receive premium pay on Saturdays and Sundays.

Night shifts lasting for more than eight hours would also be subject to an enhanced pay rate of 37%, and a basic pay increase of between 10% and 11% was also agreed.


So what do you propose they should get then?

martyh 05-07-2016 17:32

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Gavin78 (Post 35848237)
So what do you propose they should get then?

We should demand a "return of service" from them .They need to be made to realise that their training costs a lot of money and most other countries make them pay themselves

Gavin78 05-07-2016 19:05

Re: Junior Doctors Prepare For First Full Walk-Out
 
I work for the NHS and these guys while I agree are way up there from what I do but we don't get any good deals...what 1%

Working for the NHS and seeing the inside of what happens I think they are being greedy and want for nothing

martyh 05-07-2016 19:09

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Gavin78 (Post 35848271)
I work for the NHS and these guys while I agree are way up there from what I do but we don't get any good deals...what 1%

Working for the NHS and seeing the inside of what happens I think they are being greedy and want for nothing

I don't know what more the government can do ,they have given them everything they wanted and more .

Chrysalis 07-07-2016 00:26

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35848233)
Good job not everyone thinks like you..And good luck getting treatment if they all do decide to go work somewhere else..

Maggy there has to be limits, the contract been offered is extremely generous.

Difficult to deal with this, but imposing the contract seems the most logical way forward.

TheDaddy 27-08-2016 17:05

Re: Junior Doctors Prepare For First Full Walk-Out
 
It's not gone away despite Mr hunts best efforts to avoid being scrutinised and soon he'll be in court rather than the Andrew Marr show where you can only hope he and his fictitious claims can be tested by someone with more expertise than a tv presenter

http://www.justiceforhealth.co.uk/

nomadking 27-08-2016 18:21

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35856217)
It's not gone away despite Mr hunts best efforts to avoid being scrutinised and soon he'll be in court rather than the Andrew Marr show where you can only hope he and his fictitious claims can be tested by someone with more expertise than a tv presenter

http://www.justiceforhealth.co.uk/

Still missing the bit where it says what on earth are they striking about? Long hours? No can't be that as the hours are being REDUCED.

Maggy 28-08-2016 11:37

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35856232)
Still missing the bit where it says what on earth are they striking about? Long hours? No can't be that as the hours are being REDUCED.

And how does that work with a shortage of staff?:confused:

nomadking 28-08-2016 11:45

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35856299)
And how does that work with a shortage of staff?:confused:

And what on earth has that got to do with the CLAIMED reasons for the strike?:confused::confused::confused:

Maggy 28-08-2016 14:46

Re: Junior Doctors Prepare For First Full Walk-Out
 
The real issue that there isn't enough staff to provide the 5 day care in hospitals let alone 7 days which is what the initial strikes were about. No amount of fiddling about with schedules will ever solve that..We need more staff to cover the shortages there are alrady.

nomadking 28-08-2016 14:51

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35856314)
The real issue that there isn't enough staff to provide the 5 day care in hospitals let alone 7 days which is what the initial strikes were about. No amount of fiddling about with schedules will ever solve that..We need more staff to cover the shortages there are alrady.

None of the banners said that. The ballot form didn't say that. The BMA and the Royal College of Physicians have said that a 7-day NHS is a good idea. Any new schedules have NOTHING to do with the junior doctors and the new contract. The new contract is just something that will help enable it to happen at some time in the future.

Mr K 28-08-2016 15:28

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by nomadking (Post 35856315)
None of the banners said that. The ballot form didn't say that. The BMA and the Royal College of Physicians have said that a 7-day NHS is a good idea. Any new schedules have NOTHING to do with the junior doctors and the new contract. The new contract is just something that will help enable it to happen at some time in the future.

Is this some mythical far off future, where they have much more staff and a lot more money? There isn't enough resources for 5 days a week let alone 7. Amazingly my hospital seems to be open this weekend, so maybe its a one off weekend opening event.

Pierre 28-08-2016 16:56

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Maggy J (Post 35856314)
The real issue that there isn't enough staff to provide the 5 day care in hospitals let alone 7 days which is what the initial strikes were about. No amount of fiddling about with schedules will ever solve that..We need more staff to cover the shortages there are alrady.

No it's not, it's about pay, like it always is in any dispute.

TheDaddy 28-08-2016 18:10

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Pierre (Post 35856328)
No it's not, it's about pay, like it always is in any dispute.

For me it's about the blatent lies hunts told, the dodgy reports he's wheeled out that will be exposed in court with a little luck. This country, sit on the floor of a train and all hell breaks loose but mishandle something as important as the health service and no one bats an eye lid, unless of course you're a now cheesed of member of staff or a terrified patient.

Pierre 28-08-2016 22:11

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by TheDaddy (Post 35856342)
For me it's about the blatent lies hunts told, the dodgy reports he's wheeled out that will be exposed in court with a little luck. This country, sit on the floor of a train and all hell breaks loose but mishandle something as important as the health service and no one bats an eye lid, unless of course you're a now cheesed of member of staff or a terrified patient.

Yeah.........but it's about pay.

Chrysalis 30-08-2016 17:02

Re: Junior Doctors Prepare For First Full Walk-Out
 
Didnt the boss of the union quit as he even was disgusted with the vote result of the new contract?

Arthurgray50@blu 02-09-2016 23:09

Junior Doctors
 
http://news.sky.com/story/majority-b...rikes-10562560

Even though Junior Doctors have imposed further and longer strikes. I still support them.

What we have here is a Government, who wants to impose longer hours on Drs, especially Juniors. And will make Consultants who are probably are on six figures, to pull there fingers out and help there colleagues

Hospitals are overstretched as it is. A very dear friend of mine is in hospital and has been told he has Cancer. And the chances of survival are minimal. The Nursing/ Drs surrounding him are marvellous.

I have actually told them they deserve Double money. Remember, these Drs are saving lives. Not pen pushers from Whitehall or local authorities. Who sit and give out orders.

What Theresa ay has to do is SACK the Health Secretary, sit down with these Junior Doctors and sort this matter out. Listen to there grievances. And then deal with it.

They have my 100% support

nomadking 02-09-2016 23:18

Re: Still support them
 
Longer hours?:confused:
Quote:

Maximum average 48 hour working week (reduced from 56) with doctors who opt out of the WTR capped at maximum average of 56 working hours per week.Maximum 72 hours’ work in any seven day period (reduced from 91).Maximum shift length of 13 hours (reduced from 14 hours).
Maximum of five consecutive long (>10 hours) shifts (reduced from seven) with minimum 48 hours rest after a run of five consecutive long shifts (up from 11 hours rest).
Maximum of four consecutive night shifts (reduced from seven) with minimum 46 hours rest after a run of either three or four consecutive night shifts (up from 11 hours rest).
Maximum of four consecutive long, late evening shifts (>10 hours finishing after 11pm) with minimum 48 hours rest after four consecutive long, late evening shifts (up from 11 hours rest).

Quote:

Overall average earnings are expected to remain the same and individual pay will be more predictable and less variable between placements. Doctors will be paid more accurately for actual work done, with an increase in basic pensionable pay, additional pay for additional rostered hours, enhanced rates for unsocial hours, allowances for weekend working, on-call availability supplements for those required to be on-call, pay for anticipated work done whilst on-call and (where appropriate) flexible pay premia.
Some doctors may require transitional pay protection to maintain their level of pay under the 2002 new deal arrangements (protected at the level of banding for their current post as it was on 31 October 2015 excluding band 3). These are likely to include those on working patterns which were unfairly advantaged under the new deal banding system (e.g. those receiving a band 1B supplement for a 42.5 hour week in which all hours of work fall between 9am-5.30pm Monday to Friday), as well as those doctors whose current basic salary is significantly out of line with their current level of training, perhaps as a result of switching training programmes or training less than full time. These examples represent an inherent unfairness in the new deal contract that the 2016 contract seeks to rectify going forward.
Same or more pay for less hours and better rest periods.

TheDaddy 03-09-2016 07:55

Re: Still support them
 
Quote:

Originally Posted by nomadking (Post 35857505)
Longer hours?:confused:



Same or more pay for less hours and better rest periods.

Hunts lied all the way through, what makes you think this contract is worth the paper it's written on, shorter hours but with no extra staff and two extra days to cover, you do the maths and as much as I support anyone's right to withdraw labour I hope we would never hear of a doctor leaving a patient in need of treatment because they'd gone over hours

Hugh 03-09-2016 08:32

Re: Junior Doctors Prepare For First Full Walk-Out
 
Interesting....

http://www.thetimes.co.uk/edition/ne...ract-wpzxxjq9r

Quote:

The junior doctor who is leading the most disruptive strikes in NHS history previously praised the contract she is fighting against as “safe” and “fair”, it can be revealed.

Ellen McCourt, who said that doctors had been left with no choice but to stage walkouts in protest at the “catastrophic” working contract, championed the deal three-and-a-half months ago.

Her comments emerged as NHS bosses warned for the first time that hospitals cannot cope and said the strikes would be dangerous. A five-day strike is planned to start on September 12, with walkouts every month until the end of the year, totalling 20 days.

Dr McCourt, the British Medical Association’s junior doctor leader who co-led negotiations with the government, supported the revised contract in an interview in May. “We have managed to reach an agreement on a contract that we believe is safe for both patients and doctors, and is also fair for junior doctors,” she told PM on Radio 4.

Praising the “really good package of things for equalities”, Dr McCourt said the revised contract was “safer for our patients, and it is also safer for our junior doctors”. The revelation will be an embarrassment for Dr McCourt as gender inequality of the new contract has been one of her key justifications for strike action.

nomadking 03-09-2016 08:38

Re: Still support them
 
Quote:

Originally Posted by TheDaddy (Post 35857525)
Hunts lied all the way through, what makes you think this contract is worth the paper it's written on, shorter hours but with no extra staff and two extra days to cover, you do the maths and as much as I support anyone's right to withdraw labour I hope we would never hear of a doctor leaving a patient in need of treatment because they'd gone over hours

The new contract DOES NOT implement 7 days working. That is a matter for EACH hospital when and where it can deliver it. Let's assume for the sake of your ridiculous and spurious argument that shorter hours won't happen. Why would that matter according to them as the CURRENT/OLD hours are longer anyway.:rolleyes: According to the banners, the junior doctors already work weekends. That is in part what they are complaining about.:rolleyes:

martyh 03-09-2016 09:14

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Hugh (Post 35857529)

Yes ,Dr Ellen McCourt ,she just makes stuff up as she goes along .She was on the BBC yesterday morning and when told that her figure of 98% of Dr's had voted to strike was a false claim and in reality only around 46% of Dr's balloted voted to strike she just kept repeating "the vast majority of Dr's support the strikes" .The truth is the BMA only balloted members who were affected by the contract ,they didn't ballot all their members ,they only balloted 37,000 ,it should be pointed out that there are upto 20,000 junior Dr's not in the BMA who's opinion is not known
There are also 9000 members who did not vote even though they where balloted

TheDaddy 03-09-2016 21:01

Re: Still support them
 
Quote:

Originally Posted by nomadking (Post 35857533)
The new contract DOES NOT implement 7 days working. That is a matter for EACH hospital when and where it can deliver it. Let's assume for the sake of your ridiculous and spurious argument that shorter hours won't happen. Why would that matter according to them as the CURRENT/OLD hours are longer anyway.:rolleyes: According to the banners, the junior doctors already work weekends. That is in part what they are complaining about.:rolleyes:


Why change it at all then if it's going to be the same

---------- Post added at 21:01 ---------- Previous post was at 20:57 ----------

Quote:

Originally Posted by Hugh (Post 35857529)

Could be the only reason she supported the deal was because she thought it the best they were going to get, the members thought different. It's quite good in a way as it proves the doctors weren't being led by the nose into strikes by a militant union

nomadking 03-09-2016 21:38

Re: Still support them
 
Quote:

Originally Posted by TheDaddy (Post 35857646)
Why change it at all then if it's going to be the same

"going to be the same":confused: Anyone would think the they've spent the past 3 years just talking about Saturday pay.:rolleyes:

Arthurgray50@blu 03-09-2016 22:04

Re: Junior Doctors Prepare For First Full Walk-Out
 
Members will NOT like what l am going to say.
I have been at West Middlesex Hospital for the past 4 days, with a neighbour who is dying of Cancer.
While l was there, l was shocked that there were only a couple of Drs on duty. Spoke with a Nurse and was told that a Drs had not turned up for work. Therefore Drs that were on earlier duty. Had to cover there shift.

There were nurses looking after 15 PATIENTS. And everyone was rushing round. I went up to a Dr and asked him about my neighbour, and he advised me that they had a patient in Cardiac arrest.
When l went up to the ward. There were 6 patients in the ward - there was ONE Dr covering THREE WARDS.

These Drs should not have to put up with the crap that Hunt is forcing upon them.

IF you have a dr working FIVE days, you cannot expect them to work SEVEN days on the SAME wage.
Its just stupid.

And l cannot even imagine that Drs would leave a patient who needs vital help, to go off duty. If another Dr wasn't there. Patient Care is paramount to them.

Like the Fireman who went on strike, and there was a major accident. They went to help.

What Hunt and May are doing is wrong. May should be ordering HUNT to sit round a table to the early hours if necessary to sort this problem out.

But, what l think Hunt and May are doing is trying to force the Junior Drs, into a scenario where the public will get on the back.

But that wont happen.

S_james 03-09-2016 22:07

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Arthurgray50@blu (Post 35857665)
Members will NOT like what l am going to say.
I have been at West Middlesex Hospital for the past 4 days, with a neighbour who is dying of Cancer.
While l was there, l was shocked that there were only a couple of Drs on duty. Spoke with a Nurse and was told that a Drs had not turned up for work. Therefore Drs that were on earlier duty. Had to cover there shift.

There were nurses looking after 15 PATIENTS. And everyone was rushing round. I went up to a Dr and asked him about my neighbour, and he advised me that they had a patient in Cardiac arrest.
When l went up to the ward. There were 6 patients in the ward - there was ONE Dr covering THREE WARDS.

These Drs should not have to put up with the crap that Hunt is forcing upon them.

IF you have a dr working FIVE days, you cannot expect them to work SEVEN days on the SAME wage.
Its just stupid.

And l cannot even imagine that Drs would leave a patient who needs vital help, to go off duty. If another Dr wasn't there. Patient Care is paramount to them.

Like the Fireman who went on strike, and there was a major accident. They went to help.

What Hunt and May are doing is wrong. May should be ordering HUNT to sit round a table to the early hours if necessary to sort this problem out.

But, what l think Hunt and May are doing is trying to force the Junior Drs, into a scenario where the public will get on the back.

But that wont happen.

If you don't support the NHS go private, if you can't go private shut up and understand the NHS is doing its best but is about to be broke by junior doctors!

An junior doctors should find another job if earning what they currently earn does not pay the gas and electric bill.

TheDaddy 03-09-2016 22:17

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Arthurgray50@blu (Post 35857665)
Members will NOT like what l am going to say.
I have been at West Middlesex Hospital for the past 4 days, with a neighbour who is dying of Cancer.
While l was there, l was shocked that there were only a couple of Drs on duty. Spoke with a Nurse and was told that a Drs had not turned up for work. Therefore Drs that were on earlier duty. Had to cover there shift.

There were nurses looking after 15 PATIENTS. And everyone was rushing round. I went up to a Dr and asked him about my neighbour, and he advised me that they had a patient in Cardiac arrest.
When l went up to the ward. There were 6 patients in the ward - there was ONE Dr covering THREE WARDS.

These Drs should not have to put up with the crap that Hunt is forcing upon them.

IF you have a dr working FIVE days, you cannot expect them to work SEVEN days on the SAME wage.
Its just stupid.

And l cannot even imagine that Drs would leave a patient who needs vital help, to go off duty. If another Dr wasn't there. Patient Care is paramount to them.

Like the Fireman who went on strike, and there was a major accident. They went to help.

What Hunt and May are doing is wrong. May should be ordering HUNT to sit round a table to the early hours if necessary to sort this problem out.

But, what l think Hunt and May are doing is trying to force the Junior Drs, into a scenario where the public will get on the back.

But that wont happen.

I like it art, all apart from the bit about your neighbour, I hope they don't suffer.

Arthurgray50@blu 03-09-2016 22:27

Re: Junior Doctors Prepare For First Full Walk-Out
 
Would you like to work 18 days a day, seven days a week.

WHY will the NHS go broke. Total rubbish.

The Tories would love the NHS to be private. Then they would not be spending BILLIONS each year on it.

You check all the PRIVATE companies that operate within the NHS, and you will find that the directors are mostly Tory donors.

Even private firms use the NHS for medical services. My sister in law, used a private Medical firm to have an operation. When it went wrong, she was sent to a NHS hospital as a patient to sort it out.

The NHS, would save plenty of money if they got rid of all pen pushers and private firms that operate within it. And carried out the work itself.

Prime example, the catering company where my neighbour is. serve meals to patients at a cost of £2.50 per patients.

And l have seen the crap given. Even a Nurse told us that, its not worth eating.

Parking money could be given to the hospitals. But is goes into greedy companies, that even charge nurses to park.

The NHS is the envy of the world. But there are too many time wasters going there.

Did you read yesterday, where a woman called for an Ambulance to take her to hospital as she had SORE FEET.

If yu go into any hospital - you are bound to find a Private company running some of the shops in there. And charging a lot of money for there products

Hugh 03-09-2016 23:49

Re: Junior Doctors Prepare For First Full Walk-Out
 
Arthur, no doctors work 18 hours a day, 7 days a week.

TheDaddy 04-09-2016 03:15

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by Hugh (Post 35857686)
Arthur, no doctors work 18 hours a day, 7 days a week.

What about 18 days a day

heero_yuy 04-09-2016 09:35

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Strike leaders now fear thousands of the medics will cross picket lines as they do not support the action.
Only 4.3 per cent of junior doctors supported the current round of strikes

The walkout, due to start next week, will cause 500,000 operations to be cancelled and four million appointments lost, hospitals association NHS Providers has said.

And sources have described the strikes as a step too far that will put patients’ lives at risk.
Sources have said this round of strikes could put patients lives at risk

Some 37,770 of England’s 55,000 junior doctors are members of the British Medical Association, giving them a vote on industrial action.

But just 20 per cent (7,540) returned an August ballot on the fresh strikes set to begin on September 12.

And only 31.5 per cent (2,375) of those who did vote backed the full five-day walkouts.
Source linky

This is looking more like a political strike by militants to try to get at the government. :(

It'll all end in tears as the miners found out.

papa smurf 04-09-2016 09:44

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by heero_yuy (Post 35857711)
Source linky

This is looking more like a political strike by militants to try to get at the government. :(

It'll all end in tears as the miners found out.

we had an alternative for coal not sure their is an alternative to doctors;)

martyh 04-09-2016 09:48

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by heero_yuy (Post 35857711)
Source linky

This is looking more like a political strike by militants to try to get at the government. :(

It'll all end in tears as the miners found out.

It's been political for some time imo ,the doctors got what they wanted some time ago but they allow the likes of Dr Ellen McCourt to have power ,she's the BMI version of Athur Scargill

---------- Post added at 09:48 ---------- Previous post was at 09:47 ----------

Quote:

Originally Posted by papa smurf (Post 35857712)
we had an alternative for coal not sure their is an alternative to doctors;)

doesn't mean we should be blackmailed a few militants though

heero_yuy 04-09-2016 09:50

Re: Junior Doctors Prepare For First Full Walk-Out
 
Quote:

Originally Posted by martyh (Post 35857713)
It's been political for some time imo ,the doctors got what they wanted some time ago but they allow the likes of Dr Ellen McCourt to have power ,she's the BMI version of Athur Scargill

Seems to me that if the doctors want the nuclear option then Hunt should just sack them. A few short weeks of no money and the sane, moderate majority will sign the new contract. The militants will have been weeded out and the shortfall should be made up by recruiting abroad.


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