If you continue without changing your settings, we’ll assume you’re happy to receive all cookies from the BMA website. Find out more about cookies
When you visit any web site, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalised web experience.
Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.
These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.
You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.
These cookies are required
These cookies allow us to know which pages are the most and least popular and see how visitors move around the site. All information we collect is anonymous unless you actively provide personal information to us.
If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.
These cookies allow a website to remember choices you make (such as your user name, language or the region you're in) and tailor the website to provide enhanced features and content for you.
For example, they can be used to remember certain log-in details, changes you've made to text size, font and other parts of pages that you can customise. They may also be used to provide services you've asked for such as watching a video or commenting on a blog. These cookies may be used to ensure that all our services and communications are relevant to you. The information these cookies collect cannot track your browsing activity on other websites.
Without these cookies, a website cannot remember choices you've previously made or personalise your browsing experience meaning you would have to reset these for every visit. In addition, some functionality may not be available if this category is switched off.
Our websites sometimes integrate with other companies’ sites. For example, we integrate with social networking sites such as Twitter and Facebook, to make it easier for you to share what you have read. These sites place their own cookies on your browser as a result of us including their icons and ‘like’ or ‘share’ buttons on our sites.
Having seen up close how the government engages in negotiations over the last few months, it was interesting reading a few weeks ago about the Prime Minister's pragmatism and great skill at negotiating over the EU debate. It's obviously a skill that was not passed around the whole of government or around the Cabinet table. I was particularly interested to hear from a conservative MP that 80% of negotiations are simple and it's the last 20% that's always the difficult bit. Perhaps someone should tell the department of health that the last 20% is the bit that actually matters. Although as usual with Department of Health statistics bear little resemblance to reality.
It is also clear that rowing back from agreements is not something only the Conservative party should worry about with the EU. It seems the government is not impartial to doing a lot of rowing back from agreements itself, in a way that can only be assumed to be vindictive because the pesky junior doctors simply won't agree quietly to a damaging and destructive contract.
The parallels seemingly are endless. The complete shambles and incompetence that seem to now plague the Department of Health have spread across government. As a health professional, incompetence is always the most concerning criticism to have levelled at you. It's fortunate for some at the DH that apparently incompetence is not something that warrants escalation of input or supervision in the political arena.
We have saw a demonstration of that lack of competence in a crass attempt by NHS Employers, one would assume at the suggestion of a political advisor somewhere in government, to engage junior doctors via Facebook. The whole episode obviously collapsed into farce within 15 minutes as the questions became just slightly too hard. We then saw the prime minister reuse statistics that have proven to be false, accuse the BMA of misleading junior doctors with a pay calculator that was only up for a couple of hours, and yet within minutes of him sitting down the government was exposed for misleading doctors with their own pay calculator. The best the Prime Minister seemed to be able to offer was to insult Jeremy Corbyn’s dress sense. A bizarre display, reminding people of his privileged background and university drinking society days. You could just about imagine him flinging a pile of fifties across the dispatch box to reiterate the point.
It’s easy to look at the contract proposals and claim its all bad. We are glad the government has actually realised that a pay system that is simplified and addresses the long term deliverability of the NHS is needed. However the system the BMA put forward was designed with the idea that you deliver a whole package of remuneration across 56 specialties in a fair system that tries to retain staff in the UK for the long term. Those 56 specialties are all very different and if you get the system wrong the untold damage caused could take years to resolve. The workforce under question are a highly mobile workforce. The areas where we are so desperate to retain staff, such as A&E and Maternity services, are the very areas a system that does not account for the balance between social and unsocial hours falls down. When you undervalue out of hours, the danger is that the differential pay awards make these specialties less attractive. We then create a workforce crisis in the very specialties we are so desperate to recruit and retain. When the government ignores the complexity of the system, instead aiming for sound bite politics, they lose the respect of the professionals on the frontline. With that respect also goes the goodwill upon which the NHS was built.
Underlying all this is a chronic lack of doctors. We currently don’t have enough doctors to cover a 5 day elective service safely. The hospitals are obviously open 7 days so the idea of a “7 day NHS” being used to attack junior doctors is farcical. The question for the prime minister is what does he actually mean by a 7 day NHS? Its clear his Health Secretary doesn’t know what it is he wants. It would be really useful to have someone in government actually outline what they wanted and how they are going to fund it?
If this is the way government runs one of its largest departments, perhaps the prime minister needs to stop playing politics with Europe and his school friends, and concentrate on running the country. Junior doctors across the country have been clear that we want a properly negotiated settlement. As the government forces us into another round of industrial action, it seriously needs to think whether the pride that has got themselves into this appalling mess is really the legacy they want to leave, or whether trying to find a negotiated settlement is in the best interests of the government, the NHS, patients and all the people of this country.
It is fabulous game and you will be filled with full of joy and you will enjoy a lot while playing all the game http://bloonstd5.online is a classical to player game developed in the united states and it is still one of the country most popular game.