The British Medical Council, NHS Employers, the Secretary of State of Health and the junior doctors committee has come to an agreement for the new junior doctor’s contract. The agreement is now subject to 40,000 BMA members vote, which should be collected till the end of June. The BMA has already published the agreed new junior doctor contract and other supporting information to its members. Here we have detailed some of the changed aspects in the new junior doctor contract.
Doctors who work extra-authorized hours for the sake of patient safety duties will be paid or given time off instead of compensating for that work. Authorization can be done in advance, during shift or at end calling. New system will be affective to make it easy for doctors to make claims. The whole act will be guarded by the champion of safe working hours for junior doctors. Employers will need to explain the reason if a claim is not authorized to the doctor and to the guardian of safe working. Junior doctors will be able to assess 3600 performance appraisal of the guardian of safe working.
Junior doctors will work for only one day in two weekends. Additional pay will be given to those who will work more than one weekend in a month. There will be five level of pay supplement, from 3% to those doctors who works one weekend in eight and 10% to those who works one weekend in two weekends. On-call availability allowance of 8% and basic pay increase of 10% to 11% is also available. The new pay supplement will depend on the outcome of a doctor’s final modelling calculations.
Trusts will take consideration over caring and family responsibilities when designing rotas. Doctors will have their pay protected if they change their specialty only because of caring responsibilities. Accelerated training support for doctors who takes extended leave such as maternity leave will be provided. These catch up program will include mentorship, special training scheme and study leave funding.
Family responsibilities will be considered while making decision on the allocation of training rotations. The Health Education England (HEE) will also review for couple doctors to apply for same training place and for those doctors with caring responsibilities to be trained near their living place.
A doctor will have 46 hours of rest period after a run of three night shifts. Shifts that start from 8pm and ends by 10 am next morning which is more than 8 hours of shifts will have an enhanced pay rate of 37% for all hours worked. If any doctor has no breaks of at least three quarters of four-week period, fines will be imposed on Trusts.
Junior Doctors will be appointed for a new role “Senior Clinical Decision Maker” for which will be given an additional pay. Experienced junior doctors who can assess patients need of admission or discharge from hospitals at weekends will be able to apply for the role.
The new contract has given junior doctors the right to raise concerns and a protection for doing so. They will also be able to raise concerns regarding the work of HEE without hindrance on their treatment by HEE or the employer.
A new system will allow recognition of a specialty doctor skills and competencies while changing to another specialty, making it much more easier for a doctor. The GMC, Royal Medical Colleges, junior doctors postgraduate medical education founders will support the developing new system for doctors who wants to move their specialties.
Junior doctors can undertake locum work beyond their work hour schedule. Those who wish to do so must do those additional hours wholly for the NHS via NHS staff bank.
Read more about New Junior Doctors Contracts 2016.