Rota Design for 2009 - North Western Deanery

Contents page1. Introduction 21. Setting the scene 22. Importance of goodrota design 33. Caveats/assumptions 42. Basic New Deal and WTD Revision 6Financial Implications 73. Rota Design Life Cycle 8Seven steps to success 91. Problem Identification 92. Feasibility study 103. Analysis 104. Design 145. Implementation 156. Evaluation 157. Review 164. Good practice guidance 18Handover 18Bleep policies 18Exception reporting 18Rota information at induction 18Trust WTD policies 20Natural break policy 20Approval to change band proforma 20Approval to change band/work pattern 22Agreement of trainees to proposed changein work pattern 24Agreement of improving junior doctors’ workinglives team to proposed change in work pattern 25Educational approval for proposed changein work pattern 26Improving junior doctors’ working lives team– Trust evidence to support stage 3 277. Additional Advice 348. Support, Evidence and guidance alreadyavailable 381. Royal college guidance 382. BMA 383. NHS 384. ‘Cell Of 11’ 38Normal working day 39Conclusion 419. AppendicesAppendix A – Software tools available tosupport rota design 42Appendix B – Example Bleep Policies 43Appendix C – Sample WTD policy 52Appendix D – Example natural break policy 60Appendix E – Banding Appeal Guidance 62Appendix F – Further information 6510. References 665. Pitfalls to avoid 28Rotas monitoring into higher pay bands 28On call rotas 2824 hour partial shifts 28Management of Leave 29Use Of Junior Doctor Rota Masters 29Monitoring of trainees working away fromthe main trust site 296. Banding Appeals 30Official guidance 30At Banding appeal 321