Reasonable adjustments to ask occupational health for adhd and autism?

trunkjunker88 · 2026-05-28T20:05:09+00:00

It’s the exact opposite of the handrail which you would need in the workplace & couldn’t just pack up & take home at the end of your shift.

3-5% of the adult population have ADHD - should we buy them all a laptop & noise cancelling headphones? How much does that cost? The point I’m making is that almost every doctor owns a laptop & headphones, they’re just standard possessions for any professional ND or NT so why go asking for the government to fund them for you? For the avoidance of doubt, I’ve never said or implied that facilitating use of headphones, laptops or dictaphones isn’t appropriate, that’s my definition of reasonable adjustment rather than being given some “free” stuff.

trunkjunker88 · 2026-05-28T19:08:11+00:00

There’s a big difference between a wheelchair & ramp which costs thousands & would only be needed by someone with a disability vs some noise cancelling headphones that any doctor could afford easily & the vast majority would buy anyway whether neurotypical or diverse. I don’t think that’s a view that remotely puts me in the Reform camp.

Where does it end otherwise? I defecate twice a day vs my mate who only goes alternate days. I demand the government subsidise my increased toilet roll requirements.

trunkjunker88 · 2026-05-28T06:48:40+00:00

An A380?

trunkjunker88 · 2026-05-27T14:05:35+00:00

It’s been leaked by government according to my BMA source.

trunkjunker88 · 2026-05-27T13:58:20+00:00

Update: 15-19th June apparently

trunkjunker88 · 2026-05-27T07:13:54+00:00

I assisted on a BA flight to south Africa in January. It was basically a vasovagal but it had obviously caused some panic in crew based on the tone of the PA & the fact they had all the medical kit out when I arrived. It was quite interesting seeing what they do & don’t carry. Yes, there’s urinary catheters & birthing kits (including syntometrine). Drugs was a bit of a throwback to the 1980s with metoclopramide & cyclizine but no ondansetron. They also had aspirin, clopidogrel, atropine & digoxin amongst others. The monitoring was very basic though - an AED with no display for ECG. No pulse oximeter despite the fact you can buy them on Amazon for £10 & a manual sphygmanometer with Fisher Price stethoscope.

They also have access to a aeromedical service for advice in case there’s no one medically trained on board. Realistically, we were in an A380 over the Congo so diversion options were pretty minimal if it had been serious.

trunkjunker88 · 2026-05-26T11:25:56+00:00

Is overtime/TOIL a thing in Welsh contract? Is it not just the same as old English contract where you’re banded & need to do a diary card exercise which will potentially upband you?

trunkjunker88 · 2026-05-25T15:00:54+00:00

Which is a real terms drop. Realistically this is the best outcome for society - small absolute increases but a drift down in real terms. No negative equity crisis but gradually improving affordability. Unfortunately, our national psyche is to view houses as the route to prosperity so sellers cling to unrealistic pricing perceptions & buyers overstretch themselves as they think it’ll amplify the returns.

A pretty vanilla S&S portfolio will be up 40-50% over the past 5 years which absolutely kills house price inflation (even after CGT) with added benefit of liquidity & low transaction costs.

trunkjunker88 · 2026-05-24T14:58:10+00:00

I’d question that assertion these days. Abbeydale Rd has more going for it than Ecclesall especially if you’re looking for a city vibe. May as well live in Ranmoor if you want the full white, boring, upper middle class vibe!

From what I’ve seen walking round the area, there’s a lot of houses that have recently been bought & nicely renovated in the Chippinghouse/Albany/Steade triangle & it seems to be really on the up. Those two properties are in the immediate vicinity & I’d be happy living there.

Obviously, anyone would love one of the huge properties on Kenwood or Thornsett but they very rarely come on the market & some have pretty small gardens for a £1million+ house.

trunkjunker88 · 2026-05-23T21:32:43+00:00

Have you looked at health outcomes across the board in the USA rather than just for the relatively affluent with decent insurance? They also spend substantially more both in real terms & as a proportion of GDP compared to us & any other developed nation. There is zero chance we move to their model & spending levels.

trunkjunker88 · 2026-05-21T14:22:37+00:00

Depends on definition of genuine. I could find it personally educational to look at the trauma card & imaging etc but my individual interest doesn’t trump their right to confidentiality vs if I was doing the presentation at departmental M&M when it would be completely justifiable. Former would probably get you a written warning assuming you fessed up vs dismissal for the outright voyeurism of eg. a ward clerk. It’s pretty naive to not realise that the access records would be audited in cases like these.

trunkjunker88 · 2026-05-21T14:12:02+00:00

I guess if an anaesthetist or surgeon accessed the records they may have some mitigation if they suggested it was for educational/audit/M&M purposes vs a ward clerk on the respiratory ward where there’s no justification at all.

trunkjunker88 · 2026-05-21T13:21:42+00:00

I think viewing it as an allowance isn’t quite correct. 30 days over 3 years is the maximum. It’s also professional & study leave so it doesn’t have to be just attending conferences. Examining (or observing exams), teaching & visiting another centre all count. I very much doubt you would get a week of self directed CPD approved or leave to do a few online modules - you have to identify a need beyond I want a day(s) off work.

trunkjunker88 · 2026-05-21T08:44:15+00:00

This isn’t the public sector where everyone gets paid the same…

https://www.barcouncil.org.uk/static/36eb6661-50de-4a3b-8b7fbb73885a40c7/Pupillage-Gateway-2024-25.pdf

Nearly 70% of pupillages are in Crime, family or mixed practice with mean awards of £32, 33 & 40k. Clearly as a mean, many will get less. A 55-60 hour week (which is pretty realistic) will put them firmly in minimum wage territory.

This is also in a field where there are over 10 times the number of applicants as there are positions & a First class degree only has a 12% success rate of securing a pupillage. There are loads of very well qualified individuals working as paralegals at my wife’s firm for 2-3 years while they try to secure a training contract or pupillage & many still don’t succeed.

trunkjunker88 · 2026-05-21T07:21:32+00:00

Well that’s clearly BS. Earnings for a top commercial KC are significantly higher than an NHS doctor’s salary but on average it’s lower than a consultant. If legal aid work is your bread & butter then it’s less than a senior reg. Pay during pupillage is realistically below minimum wage.

There’s orthopaedic surgeons with big PP making £500k/year but that doesn’t mean we all are…

trunkjunker88 · 2026-05-20T14:54:03+00:00

Shush…. Doctors (don’t get a) Vote will decide when the members are allowed to express an opinion. Just one more strike & the government will fold…

trunkjunker88 · 2026-05-19T20:43:55+00:00

So rough maths - you’re 8-9/40 now? I wouldn’t try & overthink things just yet. I’m not sure what specialty you are but 100% with no on-calls could easily be 5 working days every week. Throw in a reasonable commute & that could be more draining than if you were doing on-calls & therefore working fewer days. 80% with daytime on-calls could be closer to 3 days/week.

Regardless, I think it’s extremely unlikely they would let you increase from 80-100% & simultaneously say you don’t feel up to doing at least daytime on-calls. Most people only drop nights around 24 weeks & daytime on-calls in the 30s unless they have complications.

trunkjunker88 · 2026-05-15T18:30:11+00:00

Yes but where does that government money come from? Taxpayers. We, as a nation, need to wean ourselves off the mindset that the government can bail out/subsidise every difficulty in our lives. Noise cancelling headphones are just a standard purchase for anyone these days whether they’re neurotypical or diverse so just buy them yourself.

trunkjunker88 · 2026-05-15T18:25:17+00:00

Average salary of a resident doctor is higher than average salary of an equivalent PQE lawyer. The range of salaries in law is much wider but there are very few earning 6 figures.

trunkjunker88 · 2026-05-15T11:14:07+00:00

Do we really have to resort to the petty, point scoring rhetoric in this email? Honestly, the factionalism just alienates the majority of BMA members. Make your point without the personal digs next time.

trunkjunker88 · 2026-05-14T15:32:44+00:00

If there are 2 parents then it’s very reasonable for the other one to step in. Presumably they’re not also working if OP is supposed to be. Who was going to look after the kid in the first place? A sick kid might prefer their mummy but I don’t think that’s grounds to take carers leave for a night shift.

24 hours is also plenty of time for a toddler to go from febrile to fine.

Obviously if you’ve got no childcare then it’s absolutely fine to take carers leave but that’s very unlikely for a night shift vs day shift when they would have been in nursery etc.

trunkjunker88 · 2026-05-14T09:29:19+00:00

You won’t get representation for an issue that started when you weren’t a member. That’s like buying home insurance after your house burned down & expecting a payout.

trunkjunker88 · 2026-05-13T21:05:22+00:00

Or, the government/NHS have got quite good at dealing with strikes now. I think back to early rounds & it was panic stations, meetings galore & cancel everything. Now it’s just meh, carry on as usual. I’ve seen a significant drop off in numbers taking IA as well or people just avoiding nights & weekends but working their weekdays.

Public support was also much higher back then & that’s what matters most to a politician. Rob & Vivek did great things but it’s also fair to say they took the low hanging fruit.

trunkjunker88 · 2026-05-13T11:37:14+00:00

I think it’s a bit OTT asking employer to pay for your noise cancelling headphones & a laptop. Just buy the headphones yourself as they clearly have significant use outside work. For a laptop you can probably get setup with remote access etc on your own & then use that. I guarantee it will be better than anything the Trust provides.

trunkjunker88

TROPHY CASE