Rota Design for 2009 - North Western Deanery

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7. Additional Advice1. If trusts employ junior doctor rota masters they mustensure that:i) Detailed training is provided on the New Dealand WTD requirements as well as covering areassuch as pay banding and the junior doctors’contractii) The junior doctor is given clear writteninstructions as to what is required of them fromthis post and the support that is available tothem, including appropriate lines of referral, toenable them to deliver on the agreed outcomes.2. Trusts should consider issuing the rota templatesagreed with the SHA at induction to all juniordoctors. Occasionally departmental rotas covering oncall requirements have failed to make it clear thatthe juniors have rostered half days or full days off onthe main rota template agreed with the SHA.Consequently rostered time off is not taken and therota monitor’s into Band 3. As the juniors were neverformally notified of the time off on the rota thesecases usually rule in favour of the juniors. A templateof the type of document that could be issued to alljuniors at induction is included in section 4d.When the juniors are issued with these templates atinduction it’s recommended that trusts keep a signedrecord of delivery and get agreement from all juniorsto exception reporting, ie that the juniors will reportany issues that lead to a deviation from the issuedwork pattern. This will allow trusts to identifyproblems on rotas rather than awaiting routine biannual monitoring data and encourages a proactivepartnership approach in modifying the rota.3. Trusts should implement clear department policiesspecifying the expected start and finish times forjunior doctor rotas within the department for thenormal working day and all out of hours shifts, aswell as the rostered time off on the rota. Anescalation policy in line with exception reportingprocedures should be included and be circulated tojuniors on induction.4. It may be possible to consider alternative residentworking patterns where local trust WTD policiesallow compensatory rest to be given in unpaid timeand New Deal requirements are likely to be met5. Remember that different stakeholders see the rotafrom a different perspective.34
Quantifying the risks - What the managers see:Potential RiskFull ShiftPS24(resident)On call(non-resident)FinancialNew deal non complianceFailure to meet o/n restFinancialNew deal non complianceBreech max shift lengthClinicalgoverance issuesChallenge by HSEChallenge byjuniorsVariableWhat the clinicians see:Potential RiskFull ShiftPS24(resident)On call(non-resident)Loss of educationand trainingopportunitiesLoss of the ‘firm’Poor continuityof careIncreasedworkload forconsultantsChallenge byjuniorsVariable35
Page 1 and 2: WORKING TIME DIRECTIVE 2009PUBLICAT
Page 3 and 4: Contents page1. Introduction 21. Se
Page 5 and 6: 2. Importance of goodrota designi.
Page 8 and 9: 2. Basic New Deal andWTD RevisionNe
Page 10 and 11: 3. Rota Design Life CycleRota desig
Page 12 and 13: 2. Feasibility studyAfter identifyi
Page 14 and 15: F1s Mon Tues Weds Thurs Fri Sat Sun
Page 16 and 17: 4. Design“There cannot be a ‘on
Page 18 and 19: 7. ReviewThe three possible outcome
Page 20 and 21: 4. Good Practice GuidanceHandoverMo
Page 22 and 23: Trust WTD policiesThere are many ar
Page 24 and 25: Approval to change band/work patter
Page 26 and 27: STAGE 1AAgreement of trainees to pr
Page 28 and 29: STAGE 1cEducational approval for pr
Page 30 and 31: 5. Pitfalls to avoidRotas monitorin
Page 32 and 33: 6. Banding AppealsThe following sec
Page 34 and 35: At banding appeal1. There is little
Page 38 and 39: Points to consider with other worki
Page 40 and 41: 8. Support, evidence andguidance al
Page 42 and 43: Taking this methodology further the
Page 44 and 45: 9. AppendicesAppendix ASoftware too
Page 46 and 47: 1.0 Roles and responsibilities:1.1
Page 48 and 49: Bleep Filtering ChartHospital At Ni
Page 50 and 51: Record of Changes to Document - Iss
Page 52 and 53: Example bleep policy 3Manchester Me
Page 54 and 55: Appendix CSample WTD policySouth Ma
Page 56 and 57: Pay Banding SupplementsBand: averag
Page 58 and 59: 2.2 Similarly to 2.1 above, where a
Page 60 and 61: Hours Breach ReportNameGradeDepartm
Page 62 and 63: Example natural break policy 2Guida
Page 64 and 65: Appendix EBanding Appeal GuidancePr
Page 66 and 67: Approval To Change BandTrust:Hospit
Page 68 and 69: 10. References1HSC 1998/204. Workin
Page 71 and 72: 69Notes

Rota Design for 2009 - North Western Deanery

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