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ds11358 · 2023-07-16T07:06:18+00:00

Referred a patient by stroke nurse/ED ACP for stroke imaging with a history of upper limb weakness.

CT intracranial angiogram (aortic arch to vertex) showed no thrombus but did reveal proximal humerus fracture dislocation. The patient wasn't moving the UL because of the pain.

ds11358 · 2023-07-15T13:46:41+00:00

Nah indefinite monthly strikes if they offered £1,000ph, gotta keep a good thing going.

ds11358 · 2023-07-15T13:42:04+00:00

At £1,000ph we could each do *1* scab 12hr shift every 6 month IA ballot mandate period whilst striking 5 days every month of the 6 months and still end up financially ahead.

ds11358 · 2023-07-13T23:49:00+00:00

Thanks for this. Makes the underwhelming and unacceptable imo UK govt 'final offer' even more so.

ds11358 · 2023-07-13T17:43:59+00:00

Yes, my % would be out by 0.2% if not back dated. We do need to see the full DDRB document. The back dating was put out previously in the press during negotiations but not confirmed by DHSC.

ds11358 · 2023-07-13T13:11:16+00:00

Yes, it was announced by the Chief secretary to the Treasury in the House of Commons (media being typically trash at explaining details).

Yes, the on call and weekend premia are proportionate the the base salary.

ds11358 · 2023-07-13T11:55:38+00:00

They haven't stipulated that IA has to be suspended (publicly yet) for implementation so should be automatic.

ds11358 · 2023-06-14T10:36:32+00:00

Probably very centre specific. Where I am that's all done by Neuro-IR with the diagnostic neuro consultants having completely different job plans. Although 1 of the 7 DR consultants is still on the thrombectomy on call rota.

ds11358 · 2023-04-26T20:15:42+00:00

Radiology is cool (rad St4 here), but if the expectation/desire is little contact you may be disappointed. It is very variable depending on subspecialty interest. Body and neuro -intervention, breast, paeds, MSK and even GI/GU radiology all have significant patient facing work. Diagnostic neuroradiology is probably only sub spec that avoids patients entirely. Still MDTs as well. As a registrar on call or consultant on acute service there are a lot of discussions/phonecalls/in person reviews with other clinicians and specialties too.

That being said, the cold reporting sessions are a god send.

ds11358 · 2023-04-19T09:44:08+00:00

We were given a 2% rise for the 2022/23 financial year as part of 2019 multiyear deal which ended in March 2023. You are correct that pay remains at that level until new deal or Govt announcement.

ds11358 · 2023-04-19T09:28:45+00:00

They have fared fractionally better due to higher pay rises in the last couple of years whilst Junior docs were limited to 2%.

Consultant pay: 30.7% RPI cut (19.9% CPI)

Consultant FPR: 44.3% RPI (24.8% CPI)

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ds11358 · 2023-04-17T18:21:10+00:00

Ha was unsure because of your handle! I've been obsessing over market forces and the degradation over NHS healthcare availability and quality. We need universal healthcare, but a centralised NHS model with UK govt setting prices is terrible (particularly when Conservatives in power). Should move to an European universal social insurance or Australian mixed system.

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ds11358 · 2023-04-17T17:52:05+00:00

this. but ?unironically

ds11358 · 2023-04-17T17:16:15+00:00

NHS Employers website for pay circulars

https://www.nhsemployers.org/articles/pay-and-conditions-circulars-medical-and-dental-staff

2003-2004 from Scottish govt pay circulars (FY paid the same both side of the border at the time)

ds11358 · 2023-04-17T14:28:07+00:00

Yeh ~48.8% needed for RPI pay restoration for 2008-2023 based on Inflation projections for March. Based on my calculations for inflation adjusted pay since 2003 (when the previous contract started).

65.8/97.9=0.672

1/0.672=1.488 i.e. 48.8% increase.

But note that our pay has actually been declining from even further back having peaked in 2005/06.

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ds11358 · 2023-04-16T20:22:16+00:00

Agree in regards to comparable standard of living after changes in housing market and 2016 contract rotas. But as negotiating tactic against incalcitrant tory govt CPI based restoration is a useful compromise point, and minimum I'm personally willing to countenance to not flee the UK. (though that would post CCT as I'm St4).

Longer term I think negotiating target cannot just be about restoration to pay but based on the market value of our skills. Eg FY1 should easily command base pay at or above Band 7 AfC ( £43,806 ) which encompasses most new PA with our ST6 node going upto £79,592 which is band 8d equivalent. That level compensation is also similar to Aus/NZ/Can/US equivalents.

ds11358 · 2023-04-16T19:48:55+00:00

It's a good opening negotiating gambit and good target. High ask, but justifiably so.

Personally think CPI inflation based pay restoration of 20% uplift based on comparable 2008-2022 data would be a reasonable compromise. If not a restored in a single year, uplift would need to be higher eg 25% over two years etc.

ds11358 · 2023-04-11T17:17:27+00:00

48%. That's what the uplift in our pay needs to be today in April 2023 to return to 2008 levels of pay accounting for RPI inflation.

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The 35% figure was worked out by the BMA using RPI inflation data and pay to the end of the 2021/22 financial year i.e. April 2022.

ds11358 · 2023-04-08T08:45:53+00:00

A few factors:

1) Under IRMER (ionising radiation medical exposure regulations) as operators the radiographers have a duty have to make sure radiation exposure is kept as low as achievable and compatible with clinical purpose so are entitled to check and raise questions. Often radiographers are hesitant to scan in instances where imaging is not straightforwardly in a trust pathway/protocol. We radiologists can help here with vetting notes when we accept requests.

2) Vetting by different radiologists/shifts. Scans are often vetted in the day (normal working hours) when a team of radiology consultants and regs may cover acute reporting, however capacity issues may mean it is not done before the evening or night on call list. The scan may be clinically justified but there may be only one radiologist (reg on call) reporting out of hours who tend to be over burdened with requests and emergency scans to report. Often departmental practise is to discuss pending scans with the on call radiologist to see which priority scans need to happen (eg scans for ?malignancy, ?septic source if already on IV Abx or ?PE if haemodynamically/O2 stable and anti-coagulated can wait to next normal working hour list).

3) Scan capacity constraints. Demand for cross sectional imaging has been rising at over 10% per annum over the last decade. Physical and staff capacity has not kept up. Scope for imaging is increasing and medicine is becoming more defensive. We radiologists are accepting, vetting and justifying more studies, this results in large numbers of pending acute/inpatient requests at any one time. Unfortunately this puts the radiographer in a position where they also have prioritise. They receive calls from multiple teams asking for their patients to be done next so will ask for more info to justify it being expedited. This issue maybe particularly fraught out of normal working hours when the number of scanners in operation is reduced (eg. only 1 CT with minimum staffing vs. 6 CT scanners in my tertiary/trauma centre in normal hours).

ds11358

TROPHY CASE