-----Original Message-----
From: Accident and Emergency trainee list
[mailto:[log in to unmask]]On Behalf Of Gautam
Sent: Saturday, May 05, 2001 8:31 AM
To: [log in to unmask]
Subject: A&E middle grade 24 hour cover
Delighted you agree that A&E middle grades are the most useful,
flexible, safe, lovable, cuddly, good-looking doctors around. I would
also like to think that A&E Consultants should not see A&E middle grades
(particularly if life-long career grades) as "night workhorses". VERY
unsocial work patterns deserve serious compensation in terms of more-
than-equivalent time off in lieu. Does not the CCSC suggest that regular
NHDs worked after midnight should count for 3 times the equivalent
hours? I'm not suggesting extra pay necessarily: excessive soul-
destroying night work is unacceptable however well-paid the victim.
No-one ever died from having a non-life-threatening procedure deferred
until the next day - ask CEPOD.
Dr G Ray
Staff Grade
A&E
Sussex
Reply to [log in to unmask]
I agree that we need to look carefuly at how we provide 24 hour cover and
not look upon Staff Grades as "night workhorses".
That said, surely you are not suggesting that we should defer all
"non-life-threatening" procedures until the next day. This would mean
patients enduring unacceptable pain [displaced fracture,dislocated shoulder
etc]overnight, not to mention how much more difficult the procedure would be
the next day - if so remind me to be very careful when travelling through
Sussex!
Bill Bailey
A&E Chesterfield
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