Rota Design for 2009 - North Western Deanery

More documents

Recommendations

Info

Example natural break policy 2Guidance on DirectorateProtocols For Natural BreaksDo You Give Your JuniorDoctors A Break?●●Have other colleagues been briefed whereappropriate ie senior colleagues and nursing staff, toexpect and respect that junior doctors will be takingthese breaks?Since education is counted as work under the NewDeal, if lunches are provided in connection withteaching sessions, are these lunches at least a halfhour duration, and before the commencement ofthe formal teaching?Under the New Deal Regulations for house officers,senior house officers and specialist registrars, thefollowing applies to the provision of ‘natural breaks’.“Within full shifts natural breaks will be needed awayfrom clinical duty. It is reasonable to provide at least a30 minutes break after approximately four hours’continuous duty. Trusts should devise working practiceswhich allow proper cover for these absences (thesenatural breaks must also, of course, be provided duringthe normal working day, for doctors on on call rotas orpartial shifts and should not be considered part of theirrest periods).” – Quote must be citedThis is a new requirement, and a change of culture, andneeds the trust to manage not just the work but thebreaks of the doctors. For normal working days, itmeans getting a lunch break of at least 30uninterrupted minutes at some time ideally between12pm and 2pm. Also for those doctors working alonger duty say 9am to 11pm, it means both a lunchand ‘teatime’ break. Uninterrupted means bleep free(except for emergencies / crash bleeps).Directorate Checklist●●●●Do junior doctors in your directorate have writtenprotocols in place for these breaks?Are these protocols robust and working in practice?For instance, what is done to ensure that the on calldoctor receives their breaks?Is the trust bleep policy adhered to, so that lunchtime break is protected apart from emergencybleeps?Are new doctors in February and August briefed andaware of the requirements and encouraged toobserve their breaks as part of the process of havingtheir duty patterns fully explained?●●●Travelling between sites is counted as work and notas a break. Is traveling time allowed for in additionto time for natural breaks when considering whenmorning duties end and afternoon fixedcommitments begin?Have the directorate’s written protocols on naturalbreaks been copied to the New Deal project officerfor reference when carrying out New Dealmonitoring of the junior doctors?Is there a mechanism for reporting any problems thejuniors may have in taking these breaks? Whoshould they report to? Is this included in the writtenprotocol?Why Treat This As Important?As the overall hours targets are met for junior doctors,the focus shifts to the rest targets under New Deal, andto the requirement to be able to take breaks. Breaksmust be taken to meet New Deal.From August 2003 they are a contractual requirementfor all junior doctors. The trust monitors junior doctors’hours at least once every six months and this includesthe taking of natural breaks. They must be taken on atleast 75% of occasions, during every type of duty thatthe doctor works.If natural breaks are not taken as required, the trustcould face a claim for Band 3 pay banding for all juniordoctors on that duty pattern. This is a significantfinancial penalty. Also continual non compliance ofposts and/or no action to resolve could lead to thepostgraduate dean removing training recognitiontemporarily and ultimately taking this away forever. Thiswould lead to the loss of 100% basic salary fundingand difficult to recruit to trust grade posts.The trust directorate management needs to firmlyimplement these breaks, and work with the doctors toimprove the protocols where they do not prove60
Appendicespractical, asking the doctors to flag up any problems, inwriting to the directorate, as soon as possible.JUNIOR DOCTOR – TAKE YOUR BREAKSRole of Medical HRAt the juniors trust induction day, natural breaks arediscussed in the context of New Deal regulations andmonitoring. We will point the doctors in the direction ofbeing aware of and adhering to their directoratesprotocols and policies in this regard.Any problems revealed through the regular monitoringcarried out by medical HR will be reported to thedirectorate.Please find enclosed a poster which may be used as partof the directorates induction process, or within thedirectorates written protocols, including for doctorsjoining at times other than the August/Februarychangeover dates ie specialist registrars etc.Roland TurnerNew Deal project officer - medical HRIt’s A Natural Break!IT’S A NATURAL BREAK !AT LEAST 30mins EVERY 4 HOURSDO YOU KNOW AND ADHERE TO THE BREAKPROTOCOLS WITHIN YOUR DIRECTORATE? IT ISREQUIRED IN YOUR CONTRACT, UNDER THE NEWDEAL RULES, TO TAKE THEM (EXCEPT INEMERGENCY OR EXCEPTIONAL CIRCUMSTANCES).NOT TEN MINUTES SNACKING A QUICK SANDWICHWHILST FILLING IN THE PAPERWORK AND GULPINGDOWN A QUICK DRINK ON THE WARD, BUT APROPER BREAK !For all Junior doctors, the following applies, to theprovision of “natural breaks”.“Within full shifts natural breaks will be needed awayfrom clinical duty. It is reasonable to provide at leasta 30 minutes break after approximately fourhours’ continuous duty. Trusts should devise workingpractices which allow proper cover for these absences.(These natural breaks must also, of course, beprovided during the normal working day, fordoctors on on-call rotas or partial shifts and should notbe considered part of their rest periods.)”SO FOLLOW THE PROTOCOL AND TAKE A BREAK.IF THE PROTOCOL ISN’T WORKING – LET THEDIRECTORATE KNOW IN WRITING AS SOON ASPOSSIBLE, SO ACTION CAN BE TAKEN.61
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 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 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
show all

Rota Design for 2009 - North Western Deanery

Create successful ePaper yourself

Delete template?

Save as template?