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ACAD-AE-MED  February 2003

ACAD-AE-MED February 2003

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Subject:

Dont blame me!

From:

Andrew Hobart <[log in to unmask]>

Reply-To:

Accident and Emergency Academic List <[log in to unmask]>

Date:

Sun, 2 Feb 2003 18:44:43 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (108 lines)

The incompetence of the Consultants negotiating team was not my fault.
As has been pointed out Nizam Mamode is now chairing the Consultants
negotiators and I have great faith that he will help us to get a better
deal for Consultants.
The Staff and Associate specialists have broken away from the
Consultants within the BMA which is probably a good thing for them but
it will still take quite a while for them to put together a decent
package.
In the meantime many Trusts are offering to pay SGs the same as SpRs who
was doing that rota or shift would get.
A form of words can easily be written which means that if and when the
national scale for SGs improves then they will revert to this.
Technically this puts them outside National TCS but if you give them an
otherwise standard contract it does not matter too much.

As for juniors it has been suggested that the banding scheme had to be
complicated because otherwise the DoH would have been able to realize
how much it would cost them....
But it is a fundamental error to think that a payment of 150% of basic
salary for working 48 hours a week means that 8 hours are being paid at
5 times normal rate. The 1.5 banding only applies if working a
significant proportion of anti-social hours. The supplement is not a
payment for the 8 hours "overtime" but for these hours AND the
antisocial nature of many of the first 40 hours as well.
Someone working all their 48 hours between 8am and 6pm Monday to Friday
would receive a payment of 1.2 times basic salary ie standard time for
every hour.

Andrew Hobart
Long since retired junior doctors leader


-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Adrian Fogarty
Sent: 31 January 2003 01:16
To: [log in to unmask]
Subject: Re: Trick & Teat is Dead

----- Original Message -----
From: "Simon Odum"
Subject: Re: Trick & Teat is Dead

> I'm new to the site but I must agree with Danny. All of our Staff
Grades
are
> excellent and hard working, and are all earning significantly LESS
than
our
> SHO's. I think that some seroius thinking needs to be done if we are
to
> attract more high quality Staff Grades.
> Agree that AH DOES have a lot to answer for!!!!!!!!!!!!!

Hold on a minute, why is everyone suddenly criticising AH? He did a damn
good job for the juniors, and just 'cause the seniors and the career
grades
haven't got their house in order, is no reason to criticise his work.
Admittedly the banding system is irritating in its construct; I imagine
we'd
all have preferred to continue with ADHs but with enhanced rates. The
banding system was intended to be of a punitive/deterrent nature.
Unfortunately it's "backfired" a little as most juniors are still
working
long hours, they're just getting paid ridiculous sums now which causes
resentment elsewhere. Or else those who have reduced their hours have
only
done so at the expense of a sensible rota, i.e. now working split
weekends
or partial shifts or the like.

The remuneration loading is supposed to be prohibitive but it just
causes
huge anomalies. For example, my SHOs work approximately 20% over
standard
hours (48hrs v 40hrs) yet they receive an 80% enhancement in pay (band
2A)!
Similarly there are many who work 10% over standard hours (44hrs v
40hrs)
yet they receive a 50% enhancement in total pay! Basically this amounts
to
quadruple time or "time by 5" for on call work respectively! I'm on the
doctors' side yet even I think this is ridiculous!

This simply puts these inexperienced and relatively pampered first years
into the £40K+ bracket. This causes endless resentment among other
grades
who are more experienced, yet who only manage to earn in the low to mid
£30Ks for the same amount of work but with higher levels of
responsibility.
And we wonder why we have a recruitment crisis among non-consultant
career
grades these days!

But I'm still not sure we should somehow "blame" AH for this problem.
But
then again, maybe the Government were stung so badly by this, rather
perfidious, deal, that they're now anxious not to get bruised again, and
are
putting up a real fight with the seniors. That's very sad really, and
perhaps a touch short-sighted, especially when you consider that we are
juniors for a very short time in the overall scheme of things. And those
very juniors who won this particular battle are already now dug into the
trenches of the seniors' war, where they'll be holed up for a lot
longer...

Adrian Fogarty

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