The cynic could look at this entirely another way. Downgrade the
training of Consultants enough while beefing that of nurses up enough
and eventually the lines will cross.
R
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Dunn Matthew Dr. (RJC)
ACCIDENT & EMERGENCY - SwarkHosp-TR
Sent: 08 January 2003 10:31
To: [log in to unmask]
Subject: Re: SHO supervision at night
> I reckon too that the college will back off. I have
> heard these threats used before and are used to exert pressure, often
> with the support of the ED Consultant.
>
My own post was created because the colleges said they would withdraw
recognition unless a fully accredited A and E consultant was appointed.
> The problem is things will have to change, and lone
> SHOs at night will have to stop as it is dangerous,
> but not having an ED for 30 miles is also dangerous.
> Getting middle grades is so hard isnt it, the staff
> grade post needs reinventing on a decent salary for a
> start. A government which recognises this problem
> would tackle middle grade recruitment - I'm sure BAEM
> have told them this.
I think this is one of the things in 'Unfinished Business'- the creation
of a new grade of 'generalist specialist' with a level of training below
that of current consultant appointments and a markedly reduced length of
specialist training along with recognition of time spent in staff grade
posts towards HST. It may turn out to mean regrading staff grades as
consultants after a short period of additional training, but keeping
them doing the same job they are doing (which is probably the only way
to move to a consultant based service). I think part of the consultant
contract framework as offered was a result of this- a definite
commitment to offering basic grade clinical work at unsocial hours.
> Yes, clearly this needs to be sorted, although we
> (consultants) need to sort
> out our remuneration pretty soon too, before the juniors overtake us!
Although I would say that it is reasonable for a staff grade with 5 or 6
years in post to be paid more than a first year consultant if working
longer or more unsocial hours. Decision as to whether you want to be a
staff grade or consultant should be based more on the type of work you
want to do than on the pay.
Matt Dunn
Warwick
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