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  • Train to work

    I get home frustrated and fed up; another day of discharge paperwork, high-speed admission clerking, and knowing I haven’t learned anything. I’m shattered, and I’ve got 11 hours until I’m back in. In that time, I need to eat...
  • Our goodwill should be valued

    Last year, I undertook a job on a busy medical ward. As is so often the case, I found a rota that was running almost entirely on the goodwill of the staff who worked it. It was tough. Now I won’t deny there were good aspects: the team of juniors...
  • Exception reporting can mean safe patient care

    Since I last wrote this column, much has changed and continues to change. I will give a number of examples, but (for colleagues who are reading this) these examples are composites of different cases drawn together to make points and not to identify individuals...
  • Complex but crucial: Why exception reporting really is key

    Just three months in my new role as guardian of safe working hours has been more than enough time to find out that making a success of exception reporting is going to be incredibly tough – but it remains absolutely vital. Since I last wrote here...
  • As a guardian, I'll stand up for safe working

    I recently took on the role of guardian of safe working hours at London North West Healthcare NHS Trust, one of the largest integrated healthcare trusts in the country. With the rose-tinted spectacles of age, I sometimes hark back to my years as a junior...
  • Speaking out is an essential skill

    Educational supervisors are on the frontline of exception reporting - the new way junior doctors can flag up concerns about their work. Each and every report will land on our desk, in the first instance. It will be up to us to read and discuss them...
  • Report it, without exception

    On Wednesday, the next round of junior doctors in England is facing the imposition of the new contract. We remain strongly opposed to the contract, and believe it could exacerbate the crisis in the NHS in its impact on recruitment and morale. There...
  • Six ways to get the best out of exception reporting

    Bring on exception reporting - our collective mechanism to record and report data on the realities of our working lives. Statements about working over hours or while under-staffed will no longer be anecdotal but rooted in hard evidence. The idea of...