guardian of safe working hours - bfwh.nhs.uk · cardiac services naomi simmons – 01253 95(7731)...
TRANSCRIPT
Nicola Di-Vito
Trainee Doctor Support Team Manager
People Centred Positive Compassion Excellence
Medical Workforce Issues
Guardian of Safe Working Hours
Dr Chris Dunkley Guardian of Safe Working Hours
2nd August 2017
People Centred Positive Compassion Excellence
Claiming Mileage/Pennine Employees Pennine Employee (ST1 to ST7) Managed by Employing organisations policy Must apply for any mileage within 3 months Any higher rate mileage requests to be made within 3 months of
commencement Accommodation requests are considered Expense forms authorised by Trainee Doctor Support Team
People Centred Positive Compassion Excellence
Rota Co-ordinators Service Rota Coordinator
A&E & AMU James Doran - 01253 95(6756)
Aligned to Lucy Currie:
Gastro, Haematology, Oncology, Stroke Medicine, Rheumatology, Dermatology
Thomas Handforth - 01253 95(5430)
Aligned to John A Turner:
Respiratory, Diabetes, Endo, Infectious Disease, Geriatrics, Palliative Care,
Critical Care, Ward C
Sophie Gee – 01253 95(3572)
Anaesthetics
Cardiac Anaesthetics
Lisa Lindsay – 01253 95(3499)
Natalie Taylor - 01253 9(57142)
General Surgery, Urology Jane Bentley – 01253 95(3444)
Trauma & Orthopaedics, ENT, Ophthalmology Emily Connor – 01253 95(3371)
Histopathology Dr Patankar – (secretary 01253 956949)
Cardiac Services Naomi Simmons – 01253 95(7731)
Radiology Michelle Woolford – 01253 95(6912)
Dr Martina Paetzel – [email protected]
Psychiatry Claire Jackson – [email protected]
Families Division (Consultant) Level Denise Alston – 01253 95(6940)
Obstetrics & Gynaecology Lower
Obstetrics & Gynaecology Higher
Dr Nicola Loster – [email protected]
Dr Safiyya Choudhri – [email protected]
Paediatrics Lower
Paediatrics Higher
Dr Lisa Tang – [email protected]
Dr Yogesh Kuba – [email protected]
People Centred Positive Compassion Excellence
EWTD and Monitoring You have a responsibility to abide by the EWTD You should not work more than an average of 48 hours (or if you
choose to opt out more than an average of 56 hours ) You should tell the Trust ( and sign a form ) if you wish to opt out
and work up to 56 hours Monitoring:
2002 TCS: Diary Cards twice per year 2016 TCS: Exception Reporting
If you want to improve your working lives and educational experience then please support monitoring
Any extra hours must be approved prior
People Centred Positive Compassion Excellence
Monitoring: 2002 TCS Diary Cards
Your responsibility and a Contractual Obligation
You will receive an email with details of how to complete your monitoring
Support is provided by Trainee Doctor Support Team
Happens twice a year
Do not stay longer than your approved hours of work
Any extra hours must be approved prior
People Centred Positive Compassion Excellence
Monitoring – Entering data
1. Put in day type
2. Start and End Time
3. No rest unless on call from home
4. Resident
5. Natural Break
6. Work Episodes
7. Notes
People Centred Positive Compassion Excellence
Monitoring – Entering data
Put in day type
• Day types are as below:
– Standard
– Full Shift
– On call
– Zero/rest day
– Leave
People Centred Positive Compassion Excellence
Monitoring – Entering data
Start and End Time
• Start and End times
– Enter the start of work time
– Enter the end of work time
– If 24 hour on call then enter for example start 9:00 and end 9:00
People Centred Positive Compassion Excellence
Monitoring – Entering data
Rest
• Rest periods
– Only enter if you are working off site – on call from home.
– Not Natural Break.
– Generally full shift/standard day will not include rest
People Centred Positive Compassion Excellence
Monitoring – Entering data
Resident
• Keep the box ticked if you are working on site
• Untick the box if you are working from home (i.e. on call)
People Centred Positive Compassion Excellence
Monitoring – Entering data
Natural Break - NB
• If you have been able to get a 30 minutes break approximately every 4 hours then tick the box
– Standard 8 hour day should have 1
– Long full shift 12 hour should have 2
People Centred Positive Compassion Excellence
Monitoring – Entering data
Work Episodes
• This is only used for on-call shifts
– Enter the episodes when working out of hours
People Centred Positive Compassion Excellence
Monitoring – Entering data Notes
• You do not have to enter any notes but it is sensible to do so. – This helps to explain why
you are unable to get natural breaks or why you are working over hours
– As it can be difficult to remember if you are questioned weeks and may be months later
• Click Save Notes
People Centred Positive Compassion Excellence
Monitoring – Entering data
Then press SAVE after each days entry!
People Centred Positive Compassion Excellence
Data Entry Ensure the Rota Template reflects your hours of work
If you work additional hours in agreement with your Rota Coordinator
and are paid separately by the Division Do Not Enter these hours onto your diary card
If you work outside your Rota Template – Provide A Narrative
The monitoring team will then investigate the circumstances
If you work extra hours ‘out of interest’ and without the knowledge of the Division this will be challenged
If there are any issues with your rota template – please raise it to your Division or the Trainee Doctor Support Team
The monitoring team are here to support you
People Centred Positive Compassion Excellence
Monitoring: 2016 TCS Exception Reporting
Electronic Reporting system on smartphone/tablet or PC
Report Regular or Significant Issues that deviate from work schedule
Hours / Rest / Supervision OR Education Discussion with CS/ES
Get TOIL or Payment if appropriate
Provide evidence to improve working hours and/or Educational content of
your post
The System is Working
People Centred Positive Compassion Excellence
Monitoring: 2016 TCS Exception Reporting
Oversight by: Director of Medical Education (DME) and Guardian Safe Working Hours (GOSW)
Report Regular or Significant Issues
Reported within 7 days (consideration for payment), 14 days (consideration
for TOIL)
Discussion with CS/ES
Swift Resolution to exceptions raised locally
Work Schedule Review (can go to Level 3)
People Centred Positive Compassion Excellence
Guardian of Safe Working Hours
New Role to support the 2016 Junior Doctor Contract Terms and Conditions
Ensure the hours you work are safe for you and your patients.
Supports a system that addresses issues of overworking / poor training and poor supervision in a local, responsive and timely manner
People Centred Positive Compassion Excellence
GOSW Act as the champion of safe working hours
Receive your exception reports and record and monitor compliance
against your terms and conditions.
Escalate issues to the relevant executive director, or equivalent for decision and action.
Intervene to reduce any identified risks to you or your patients’ safety.
Undertake a work schedule review where there are regular or persistent breaches in safe working hours
Distribute monies received as a consequence of financial penalties, to improve your training and service experience
People Centred Positive Compassion Excellence
Guardian of Safe Working Hours
Dr Chris Dunkley
Consultant Anaesthetist
Bleep 506
People Centred Positive Compassion Excellence
Guardian of Safe Working Hours
Getting Involved in your future and influencing how
you work and train
Representation on the Hospital Local Negotiating Committee
LNC
Participate in the JUNIOR DOCTORS FORUM
It has never been more important to get Junior
Doctor’s views
People Centred Positive Compassion Excellence
Sickness Absence and Reporting
Report as soon as practicable to your Rota Co-ordinator (medical workforce if you do not have a Rota Co-ordinator)
Recording and Monitoring
Policy on the OneHR
People Centred Positive Compassion Excellence
Annual Leave Please book in accordance with your departments requirements (via your
Rota Co-ordinator)
Book as early as possible to ensure you can get the leave you need (6 weeks notice required)
If you have rotations within the trust split your leave equally between
rotations to allow the equal educational opportunities
People Centred Positive Compassion Excellence
Revalidation and Appraisal
Blackpool Teaching Hospitals is not the Designated Body for Trainees (including Foundation Doctors)
Jane Mamelok is your Responsible Officer
Revalidation Manager
Happy to help, if any concerns
People Centred Positive Compassion Excellence
ANY QUESTIONS?
People Centred Positive Compassion Excellence
Trainee Doctor Support Team
OneHR portal on the intranet
Telephone: 01253 953726 or 01253 955028
E-mail: [email protected]
Based in the Education Centre – Please call in!
The Trainee Doctor Support Team are here for you