Another year, another extra Royal bank holiday

By Eleanor Draeger at May 23rd, 2012

It seems like only yesterday that we were celebrating the Royal Wedding with an extra bank holiday, but we are soon going to be celebrating another royal event as the government has announced that we will all benefit from an extra bank holiday for the Queen’s Diamond Jubilee.

Whether you’re celebrating the Queen’s Jubilee, visiting friends and family, or just relaxing at home, a bank holiday gives us all a bit of time to take a break from hectic working lives.

This time off is so important that it’s included in our terms and conditions of service. As well as your usual annual leave, all doctors are entitled to eight days of public holidays a year and it’s important to use them.

NHS Employers have announced that they expect the extra Jubilee bank holiday to be treated in the same way as the extra Royal Wedding bank holiday last year, so that employees who work on that day should receive a day off in lieu, and those not working should have it counted as an extra day of paid annual leave

If you have a ‘’zero hour day” which falls on a bank holiday, then you are also entitled to a day off in lieu under the terms of your contract. Remember that your colleagues who have other days off on the rota will also benefit from the bank holiday, and your contract should apply fairly to all of you.

If you’re working less than full time, you’re also entitled to an allocation of public holiday in proportion to the amount you work. So that if you work 70% of the time, then you should benefit from 70% of the public holidays – which would be 5.6 days in a normal year.

You can see our full guidance on the BMA website.

Remember, you’ve earned your bank holidays – so make sure you use them!

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Ever thought about humanitarian work?

By thebma at February 13th, 2012

The BMA’s  Humanitarian Fund provides NHS staff with grants of up to £3,000 to cover costs for things such as travel and accommodation while they work on projects improving healthcare in developing countries.

Three junior doctors explain how they put the money to good use working on projects ranging from working in a diabetes clinic in Boliva to sharing skills and experience with healthcare teams in Uganda:


 

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Stop shouting at the TV and get involved

By Eleanor Draeger at February 7th, 2012

There is more to being a doctor than medicine. The really big things that affect patient care are often political. Issues like the Health and Social Care Bill and the quest to find £20 billion in efficiency savings will have a huge impact on the service patients will receive in the next few years.

There are also issues affecting our income such as the reforms of the NHS pension scheme and interminable pay freeze both of which will have a bigger impact on junior doctors as we will be still be working in the NHS when today’s consultants and GPs are long retired.

It is easy to feel powerless, especially when you are too busy to think beyond the next shift or set of exams, but it is possible for junior doctors to get their voices heard – by getting involved with the BMA. If you are the sort of person who finds yourself shouting at Andrew Lansley on Newsnight from the comfort of your armchair or explaining to your friend exactly why the Daily Mail article about young doctors of today being rubbish is a pile of tosh then perhaps you should consider getting more involved in medical politics.

Getting involved is easier than you think. The BMA’s junior doctor committee operates a visitor scheme

that allows you to get a taste of the cut and thrust of medical politics without making a commitment to attend further meetings. It will show you how decisions are made and how the views of ordinary junior doctors can be used to solve problems ranging from banding appeals through to the government’s reforms of education and training. If after attending your first Junior Doctors Committee meeting you feel you have something to contribute then the next step would be to get involved with your regional junior doctors committee and stand for election to JDC

If you harbour serious ambitions to become a medico-political leader then you may want to consider standing for election to BMA Council. This is the main decision making body of the BMA and offers an opportunity to influence the direction of the whole association. Details of the elections can be found on the BMA website – you will have to be quick though as nominations have to be in by Friday 10th of February.

The BMA often polarises opinion amongst junior doctors, but whatever your opinion is, the only way to ensure your voice is heard is to get involved. So, if you are angry about the Health and Social Care Bill, apoplectic about the changes to the NHS pension scheme or frustrated at the way junior doctors are being treated in your own hospital – why not get involved with the BMA and make a difference.

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Why you should fill in the BMA pension survey

By Thomas Dolphin at January 12th, 2012

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Decision Time

By Alan Robertson at December 30th, 2011

It’s decision time.   Talks on massive changes to our pensions have concluded and the UK government has made its ‘final offer’ on the England & Wales scheme (we’re still waiting to hear what happens in Scotland & Northern Ireland but barring a minor miracle aren’t expecting anything too different).

Either we accept huge changes to our pensions, or we prepare for the first ballot of doctors on industrial action since the seventies.   As new Chair of the Pensions Committee (and what impeccable timing I displayed there!) the most important thing I’m going to ask you to do is to complete the survey on the offer being posted to all BMA members in early January.

There are a lot of ironies to the current situation.  There’s the fact that NHS staff are facing massive contribution hikes despite the fact that our pension scheme is delivering billions to the Treasury while other schemes are in deficit (estimated £10bn over the next five years).  Or that we’re being told our pensions need an overhaul to make them affordable, when they already underwent a massive overhaul only three years ago that included a cost-sharing agreement so the general public wouldn’t have to pay for any increase in the cost of the scheme.

But as a registrar probably the biggest irony to me is that the people who are going to be hardest hit by these changes often seem to be less aware of what’s happening than their senior colleagues.  This is a great worry when the changes will have such a significant impact. Pensions can seem a long way off when you’re starting out your career, but they’re deferred pay after all and for many it will feel like a further pay cut.

From next April, pension contributions will increase – very sharply in some cases. The changes mean that a junior doctor could typically pay over £200,000 in additional contributions over the course of their career.  That career will be longer, like it or not – you’ll have to work to 68 before you can draw a full pension.  And the deal you get on retirement is likely to be worth less – a junior doctor aged 25 can expect their overall pension benefits to be worth 16.5% less over the course of their retirement.

You can see how you might be affected by checking out our online Pensions Calculator or attending one of our pensions roadshows taking place across the UK in January.

Contrary to some of the media reports, the health unions, including the BMA, have not agreed to this ‘final offer’ announced by the government on the 20th December.  We are gauging the views of our members before we decide on the next step.   So please complete the survey – if you don’t, you’re risking someone else making a decision about your future.

 

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Pensions betrayal

By Eleanor Draeger at November 24th, 2011

As I listened to the Government minister going on about how the public sector pensions needed to be reined in to make them affordable, I felt betrayed. Under four years ago, the NHS Pension Scheme was renegotiated precisely to make it affordable into the future, and it still is affordable. And yet here was a minister giving the impression that our pension scheme is running on empty.

If I hear one more person use the phrase “gold plated public sector pension” I might just plate them. Yes, the returns on our pensions are good; at least, they are at the moment, though clearly the Government intends to put a stop to that. But that return is part compensation for the limitations of working in the public sector, and the expectation of lifelong service.

We’re generally a bright bunch, and had we not chosen to work for the NHS, we could have pursued a career in another profession such as law or finance, likely earning higher salaries. But here we are with our comfortable but not spectacular NHS salaries and the NHS pension there to provide us with the comfort of future financial security. Pensions are part of the overall pay package for your lifetime career… and we’re being given a particularly blatant pay cut.

As a junior doctor, I barely feel any affiliation to the hospital I work in as it is. My rootless feeling that I don’t belong to an employer, that I’m not really an employee, is only going to be exacerbated by the strong signal that the NHS no longer cares what happens to its workers when they are worn out and ready to retire.

The Government is seeing how far it can push us, or so it seems. Attacks on pensions, pay freezes and real-terms pay cuts, constant chatter about a subconsultant grade, threats to the CEA scheme… it goes on and on.

On pensions, their sums are badly worked-out, and their policy is driven as much by ideology and an attempt to tax our pensions as any desire to render the pension scheme affordable – not least because it already IS affordable, but they can’t admit that!

They’re gambling that doctors will not consider industrial action. On this, as with so much else, their judgement may well turn out to be flawed.

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Put up, or shut up

By Ben Molyneux at October 3rd, 2011

Last week, I had the misfortune to be sent an article by Dr Martyn Lobley published in the Daily Mail, criticising young GPs. Carrying the headline, “They are very caring but young GPs can’t diagnose for toffee” it was filled with anecdotes about yesteryear and how the medical profession has declined since the golden days of Dr Lobley’s training.

Fighting the futility of the exercise, I wrote a letter to the Daily Mail in response -they are yet to publish it. I think the most frustrating aspect of the article is that it made no attempt to acknowledge the transformation in training that has taken place in the last 30 years.

GP training, and indeed specialty training for all doctors, has been transformed completely since Dr Lobley’s day. We now have standardised curricula; quality assurance by the GMC, the Care Quality Commission monitoring the quality of our care and a continuing professional development requirement –to name a few improvements.

At this year’s BMA Annual Representative Meeting both Hamish Meldrum (Chair of BMA Council) and Tom Dolphin (Chair of JDC) uttered the words ‘put up, or shut up’ following a debate on the issue of the quality of today’s junior doctors. I think Dr Lobley may have missed this as his article has no evidence to support his claims, and it only serves to damage our professional reputation. I think he may also have missed the GMC’s guidance on treating colleagues with professional respect.

If he is so concerned about the quality of care provided by young GPs, I wonder if he has taken it upon himself to address the issue, or even to highlight the problems he has seen. Perhaps he has become a GP trainer? Perhaps he has contributed to the curriculum via the College? Perhaps he has even reported poor treatment to the GMC or CQC?

Or perhaps this is a cynical exercise to deliberately court controversy with the aim of publicising a book he has recently written.

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From mouldy walls to deputy chair

By Ayesha Rahim at August 11th, 2011

In this short interview former deputy chair of the BMA’s Junior Doctor Committee, Dr Ayesha Rahim, explains how the success of managing to secure £90,000 to improve hospital accommodation for junior doctors inspired her to get more involved with the BMA. She also talks about the team working, conflict resolution and negotiating skills she has picked up as a result of her involvement with the BMA.

The BMA is currently running elections for its junior doctor committee. If you are interested in find out more about becoming a representative on the BMA’s junior doctor committee you can find out more on the BMA website.

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Changeover – don’t reinvent the wheel

By Thomas Dolphin at July 29th, 2011

One of the most important things to learn as a doctor (especially but not exclusively as a trainee) is to know when to ask for help. There is no point reinventing the wheel when asking a simple question can save you a lot of time and aggravation.

An issue like the contents of your contract is never going to be top of your list of priorities, but it is worth taking advantage of the BMA’s contract checking service to ensure your employer is not trying to pull a fast one. Once a contract is signed, the contents are binding and it may be impossible to make changes. Various undesirable things have been known to appear in new contracts come the August changeover in years past.

Moving jobs is essential for our training but it can be a real hassle and if you have to up sticks and move home it can be expensive. It is worth knowing that you may be entitled to relocation expenses if you have had to move to further your training.

If you are staying in hospital accommodation, you do not have to put up with mouldy bathrooms or broken furniture. Your employer has an obligation to provide a decent, specified standard of accommodation. If you think it is not up to scratch, have a look at the BMA website, which details the standards to which hospital accommodation must adhere.

When you actually start a new post you will have to complete an induction programme. Induction can be tedious but it is a legal requirement of your employment. This cuts both ways and whilst you are contractually obliged to do it, if you have to do it “in your own time” (i.e. before you start the new job) you should also be paid for that time, or given time off in lieu.

And whilst I’m on the subject of pay, make sure you check your pay slip. Errors are most likely to occur when you move jobs and you should also be checking that you have received your incremental pay rise this year. For the majority of junior doctors, this will come into force in August, although there will be some individual variation.

The BMA has a wealth of information to help you through changeover. You can print out the handy checklist from the BMA website to make sure you have everything covered. If you are confused about anything just ask: support@bma.org.uk. And if you are starting your first post it is well worth reading the BMJ’s free ebook “You Will Survive – the Guide for Newly Qualified Doctors”. Best of luck!

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Childcare vouchers – Junior doctors disproportionately affected

By Eleanor Draeger at July 27th, 2011

Prior to 6th April 2011 all parents were eligible for childcare vouchers – a salary sacrifice scheme whereby up to £243 pcm could be paid to you from your pre-tax salary, giving a potential saving of almost £1000 per year per parent.

This benefit has now changed, so that those in the higher and top rate tax bands can save less money per year.  People already in the scheme are unaffected, but those who are new starters to the scheme will be subject to the new rules.

The HMRC guidance is clear that junior doctors are not exempt from this rule, so that trainees who rotate into new posts will be treated as new starters, even if that job is simply the next part of a training rotation.

We believe that this is disproportionately unfair to trainee doctors, many of whom will have prudently budgeted beyond the length of each job on a rotation. As such, we have written to HMRC asking them to exempt junior doctors. Unfortunately the specific circumstances that we find ourselves in were not acknowledged in their response.

The next step for individual members affected by this change would be to write to your MP, as they may be able to help, either by writing to the HMRC on your behalf, or by referring the situation to the parliamentary ombudsman.

In case you are not already aware of your MP’s contact details,  you can find them on the write to them website. And one last thing – if you do get a positive result after writing to your MP, please let us know – info.jdc@bma.org.uk

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