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.
Jeremy Hunt’s vindictive and politically motivated attack on the professionalism of hospital doctors didn’t just anger doctors and detract from unanswered questions about the feasibility of a seven-day NHS, it also distracted attention from other important proposed changes to consultants’ contracts. After talks broke down with employers last October, the UK Government, NI Government and Welsh Government asked the Doctors and Dentists Review Body to make ‘observations’ on pay-related proposals for reforming the consultant contract in England, Northern Ireland and Wales. The DDRB’s report makes a wide range of proposals, but falls far short of a blueprint. Some key areas are very light on detail. The DDRB wants the removal of schedule 3, paragraph 6 of the England and NI consultant contract, which gives the right to refuse non-emergency work at weekends and between 7pm and 7am on weekdays. It accepts – unlike many sections of the media which clearly have been briefed against doctors – that ‘many consultants are already working at weekends, and that this can go well beyond providing emergency care’. The BMA, which supports the same quality of services to patients in acute, emergency and urgent care seven days a week, was showing how such working patterns can operate sustainably a long time before Mr Hunt’s ill-considered words. The DDRB does not – because it did not fall within its remit – acknowledge the real barrier to expanding seven-day services, which is lack of resources. But while it may not have both elements of the sum, it comes to the answer. Consultants being stretched over seven days a week, on the one hand, combined with no extra resources, equals an obvious risk, and the only conclusion is that robust safeguards are needed. In its report, the DDRB stated: ‘It is very clear to us that the issue of contractual safeguards is of vital importance to the possible acceptance of any new contractual arrangements for consultants.’ It is a key priority of the BMA’s consultant negotiators that safeguards are in place that protect consultants from working hours that endanger patient safety and their own health. We will only accept a contract that we believe protects consultants’ welfare. While the DDRB is strong on the principle of putting safeguards into any new contract, there is no mention of compensatory rest, or other mechanisms for safeguarding consultants against unsafe practices. Working unsocial hours can impose a heavy personal toll. We believe the pay for working these hours should be higher than normal working hours to reflect this. While the DDRB report is at times rather vague, it at least lacks the prejudice and misdirection we have seen coming from the UK Government. It gives a basis for negotiation, but what is non-negotiable now, just as it always was and always will be, is the welfare of our members and the safety of our patients. The DDRB observations about the consultant contract negotiations are applicable to consultants in England, Wales and Northern Ireland
Find out more about the contract negotiations here
As for me, there are no more useful things during the hunt than expensive and highly specialized boots as described on righthunting.com/.../. Especially, if we talk about leisure in the mountains, even for doctors working in such harsh and dangerous conditions, you must have mountain boots.