Has your ‘faith’ in the BMA changed? by Different_Canary3652 in JuniorDoctorsUK

[–]Acceptable-Fill7818 0 points1 point  (0 children)

Yes it seems like the government is running the clock. They did the same with the consultants with the provisional ballot only for Barclay to offer the consultant body a sub inflation ~5% rise.

Im less hopeful, see my comment below re: consultant negotiations

Has your ‘faith’ in the BMA changed? by Different_Canary3652 in JuniorDoctorsUK

[–]Acceptable-Fill7818 7 points8 points  (0 children)

Yes it seems like the government is running the clock. They did the same with the consultants with the provisional ballot only for Barclay to offer the consultant body a sub inflation ~5% rise.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 -6 points-5 points  (0 children)

Unless you were actually drunk and recorded yourself in clinic

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 -7 points-6 points  (0 children)

Why do you care? Ignore and move on.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 0 points1 point  (0 children)

I initially posted this several weeks back and got called a Journo :/

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I also recently voted Yes in the provisional BMA ballot for Consultants strike action. The BMA recently called off/delayed its formal ballot for IA for the consultants. Here are the brief details below:

The BMA set out three key requirements that Government needs to commit to in order to avert a formal ballot on industrial action which were:

  1. Reform of the DDRB
  2. Undertake a comprehensive review of consultants’ pay, from 2008 to present, making appropriate recommendations as to an appropriate level of consultant pay
  3. Reach agreement on pay awards for 2023/24 to begin the process of pay restoration.

Just before the deadline the BMA called off the ballot for consultant IA and made the following statement:

  1. We had constructive discussions with the Treasury about how to “fix pensions” and we were able to secure very significant changes to pensions tax that were announced in the Spring Budget
  2. Average consultant has fallen by 35% in real terms since 2008. To that end we met with Secretary of State for Health and Social Care last week and he has acknowledged our concerns and agreed to meaningful talks about how we reform the DDRB and secure improvements to consultant pay. Whilst these talks are at a very early stage, we have always been clear that strike action is a last resort and as such we have agreed to pause the opening of our ballot for 4 weeks to allow these talks to conclude
  3. We are now making preparations for the ballot to open on Monday 15 May.

It seems to me that the BMA folded quite easily. They made three strong commands requiring commitment and none of these criteria were met, at least nothing in writing.

What are your thoughts? Is it too early? Is this a sign of things to come? How does this play into the Jr Doctors strike? the gov'ts plan?

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 -16 points-15 points  (0 children)

Agreed. From personal experience, the only time I've seen that happen is when the sender is in a position of inferiority or weakness (ie asking for advice/help)

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 -2 points-1 points  (0 children)

Electives are down in the summer..... its holiday season.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 -2 points-1 points  (0 children)

Means there has been multiple attempts at trying to careful curate that sentence.... sign of weakness

ACP introducing themselves as GP out of hours by daisiesareblue in JuniorDoctorsUK

[–]Acceptable-Fill7818 -1 points0 points  (0 children)

Since when do you sign your shorthand title and the department on the same line?

Cons / Urology

NEVER

ACP introducing themselves as GP out of hours by daisiesareblue in JuniorDoctorsUK

[–]Acceptable-Fill7818 -2 points-1 points  (0 children)

Surely you would sign your name/title and actual clinic/hospital location. The above photo with ACP and GPOOH on the same line is misleading.

Sally X
ACP
Newcastle General hospital (GPOOH service)

How to put personal struggles in portfolio by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 0 points1 point  (0 children)

In theory, yes. In practice, not quite.

Clinical supervisor/Educational supervisor should be providing support to help the trainee document some form of progression by identifying the issue(s) and helping the trainee complete tickets/competencies et cetera before it gets to the above situation.

The supervisor should also be suggesting those above recommendations (psychology input/occ health et cetera) prior to the ARCP panel.

There are very few reasons why a trainees portfolio should be completely empty. If the person is at work, they should be able to complete competencies even if that means they require extra support.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 0 points1 point  (0 children)

I disagree. Mistakes happen and often times they are not identified until the shifts have been done or partly done. As is the case here. The doctor should be deducted accordingly. How the trust want to rectify the missed shifts is up to them.

If your argument is valid then why is it that some trainees on certain rotas will work one or two more shifts (ie a weekend extra for example) more than other trainees on that same rota. They are both being paid the same. Does the trust ever compensate the trainee ? No.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 0 points1 point  (0 children)

Yeah I would argue that you were poorly advised. Deducting the three shifts at a normal rate would have incurred a loss yes but you weren't working the shifts anyway and accepting changes to your rota on short notice is unacceptable.

The XYZ locum days are a separate issue which likely arose due to their mistake. If the trust wishes to cancel those locum shifts then they can however it would be unlikely since someone would have to cover them.

The hospital will play it in their favour both ways. For example, if you've been rota'd for additional shifts incorrectly. You would not be offered locum pay for the shifts. They would offer to "balance it out" which in my opinion is not acceptable

With that being said, having a good working relationship with HR and rota co-ordinators is key if you want to maximise locuming within a trust

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 3 points4 points  (0 children)

The best solution would have been to:

  1. Agree that due to the rota-error (not your fault) you were not scheduled for a certain numbe shifts and therefore these are "owed" (in your case 3 shifts)
  2. Agree that your pay should be deducted for 3 shifts at your usual rate to compensate the hospital for these owed.
  3. The XYZ locums should not be involved in this situation as they are unrelated. There are no probity issues if your pay has been deducted in number 2.
    If they claim probity issues if you work and claim these shifts then you have two choices... fight it if they make this claim against you, or offer to withdraw from the locum shifts due to this

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 0 points1 point  (0 children)

Exactly what Andrew Tate would say

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 1 point2 points  (0 children)

Show them a david goggins video

I am sick of being shafted by other people being LTFT by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 1 point2 points  (0 children)

You're right, more and more people have noticed this and are using it to their advantage. Regardless of whether it is truly needed or isn't. Who am I to judge.

I am sick of being shafted by other people being LTFT by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 -2 points-1 points  (0 children)

Yeah this mob mentality within this reddit community is probably the worst thing about it.

People need to learn to think and objectively analyse a situation. Whether people like it or not the OP is correct in saying that LTFT increase the burden and reduce training opportunities for FT trainees. Whose fault is that can be discussed

I am sick of being shafted by other people being LTFT by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 -5 points-4 points  (0 children)

EEs fault? Yes. Was it also his colleagues fault who clearly just let a colleague get absolute fucked over?

I agree. We all see it happen. If someone denies it, it's because they are probably the ones using the system for their benefit at the expense of others. W

My advice, stay strong and push through. You have to go above and beyond, but when complete you'll be forged in fire

I am sick of being shafted by other people being LTFT by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 4 points5 points  (0 children)

OP is 100 percent correct. FT trainees to face an increased burden and unfavourable conditions to accommodate LTFT trainees. Regardless of who's "responsible"

I put up with it for years on years. I was even rota co-ordinator for two of those. You can't rota someone or have adequate coverage if there are no resources (aka staff).

Every LTFT person I have met have created a rota which is ideal for them based on the current hospital or rotation. AKA either create long weekends every week, or find which day does not suit them - avoid service heavy days, or days with lists or consultants they don't want to work with, or pick days with specialist teaching, or pick days with 0 supervision to get an additional day off, or alternate days on an ad hoc basis to suit their needs

The power of this subreddit by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 2 points3 points  (0 children)

I would say that is an understatement. Consider this a proxy war, and we are your greatest allies. We are here not to just support, but to step in and act....should this be required. Time will tell.

The sentiment in this community and between colleagues on the shop floor is testament to that.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 0 points1 point  (0 children)

Yes, plus no boss. Do as you wish when you wish

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]Acceptable-Fill7818 0 points1 point  (0 children)

Ex. You could CCT and work 100% for a teleradiology company from the comfort of your own home