Rota Design for 2009 - North Western Deanery

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Points to consider with other working patternsFor the craft specialties specifically● Must meet New Deal requirements, avoid Band 3● Rest (note this will be paid time)● Shift length.●Full shift working with optimal cell numbers wherethe true OOH workload intensity means no otherworking pattern is possible●●●Local WTD policy regarding compensatory rest● Paid vs unpaid time● Is a planned breech (PS24) legal?Clinical governance issues● Non resident working, is it safe?Different juniors prefer different rotas.●●●Resident PS24 where OOH is quieter but residentcover is requiredNon resident OCR where OOH is very quiet and nonresident working is safeHybrid rotas are complicated but may provide thebalance required <strong>for</strong> the WTD triad of patient care●Remove overnight cover if it’s demonstrated thatjunior doctors are not required.36
37Additional Advice
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 36 and 37: 7. Additional Advice1. If trusts em
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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