Please consider adding your name to the "no" letter to be found in the
Consultant's Contract section of "Forum" on the Doctors.net.uk website.
http://www.doctors.net.uk
Apologies to those list members for whom this has no relevance - it is vital
to reach as many consultants as possible.
Jeremy Harrison
Warwick Hospital
----- Original Message -----
From: "Howarth, Paul - RCHT" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, July 06, 2002 9:46 AM
Subject: Re: [ACAD-AE-MED] Consultant Contract
> very well put!
> paul howarth
> cons A/E
> cornwall
>
> -----Original Message-----
> From: Andres Izquierdo Martin [mailto:[log in to unmask]]
> Sent: Saturday, July 06, 2002 01:31
> To: [log in to unmask]
> Subject: Re: Consultant Contract
>
>
> Hi
>
> I am worry that the list is not debating the consultant contract enough.
For
> this reason, I would like to forward a few comments :
>
>
> 1 - A job plan can be forced if there is not agreement between the Trust
and
> a consultant. As the contract read, the job plan has to be agreed, "if
> possible". The appeal process will be local, but the framework of this
> appeal has not even been decided yet (Doh!).
>
> 2- The Trust has full power to link pay progression to consultant
> performance or "department performance " as the wording allow for this.
>
> 3 - Contractual activities could be scheduled at any time between 8am and
> 10pm on Monday to Friday and 9am to 1pm at weekends. This is just
insulting.
> I would be grateful if anybody could mention a single profession when
> working on Sunday is considered "normal working hours" and not being paid
> extra (...OK, apart from priests). It undermines anybody in Accident and
> Emergency trying to expand consultant cover to evenings, why to do that?
the
> pay is going to be the same.
>
> 4 - The increment in the pay scale is minimal. Most of new consultants do
> not start at the bottom of the scale (mostly because they have better
> negotiation skills than some of our colleagues). Consultants in the first
> few years will take a pay cut when current intensity payments are
withdrawn.
> For bigger increments (moderate) we will have to wait 15 years. Even
senior
> consultants, who in theory get a bigger increment, will not know if this
> will count for their pension as ...surprise, surprise, this "small point"
> still have not been resolved.
>
> 5- The BMA is lying saying that the ban in private practice has been
> avoided. For the first 7 years (if Trust feels like it) a consultant will
> have to work 48 hours a week to practice privately. The European Working
> Time directive stipulate that 48 hours a week is the maximum time allowed
to
> work, This is not actively enforced, but many competent lawyers must be
> waiting just for a doctor to make a mistake outside this limit; we will
see
> how we can defended it.
>
> 6- It is going to create a two tiers system, as a new consultant cannot
> refuse to take the new contracts. About the existent consultants, I cannot
> imagine too many surgeons queuing to sign the new deal, do you?
>
>
> I read that our leader Dr. P. Hawker said that 'they are being naive if
they
> believe we can go back and renegotiate this deal ... it is the opinion of
> myself and other very experienced negotiators that this was the best
> possible deal we could get.' Excuse me, but if this if the best deal they
> could get, please go!.
>
> Anything can be renegotiated with the adequate support. The junior doctors
> balloted their member on different plans of action if negotiations were
not
> successful. I do not believe they would have gone on strike if
unsuccessful,
> but they did not went to the negotiating table shouting it, as Dr. Hawker
> is being doing lately. Have these people ever play poker? You do not show
> your cards until the end.
>
> Also, why only thinking about strike as the only negotiating tool? If I
was
> a cardio thoracic surgeon I would be phoning my few colleagues around the
> country and starting selling my services to the NHS (e.g. chambers). A&E
can
> also do that, more complicated but very possible. More.
>
> Some A&E colleagues are worried about fighting the government on these
> premises. They think that they could decide to go ahead without A&E
> consultants. I would say, let them try!. I would be happy to see how my
> hospital (Royal Free, London) cope without us (A&E consultants), I would
> like to see the face of our friendly orthopaedic surgeons when they are
told
> that they have to cover A&E, I would like to see all the SHOs jobs
> accreditations withdrawn by the different colleges because we are not
there
> anymore.... Please, do not undervalue what we do everyday in our
> departments.
>
> This contract can be... must be renegotiated
>
>
> Andres Izquierdo Martin
>
> Consultant in Accident and Emergency
> Royal Free Hospital
> -
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