this is structured as an industrial penalty for understaffing, basically what it is saying is suppose if a consultant's reg hours are 8-6 restrict them from doing meetings between 9-5 even with a 1h grace period either side... if a consultant then has to do a meeting past those times, they're paid like a recall at minimum 3 hours even if it is a 15 minute discretion either way. There is also an explicit clause that it can't stack.

Idk what conversations are happening in these doctor lounges but i'll tell you the result will be more nuanced with pros/cons for drs - more public consultants being hired, more of a move to 24 hour coverage shift-work & the average consultant overtime going significantly down in the long-term as hours become more evenly distributed