guardian of safe working hours - bfwh.nhs.uk · cardiac services naomi simmons – 01253 95(7731)...

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


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


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)

[email protected]

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]

mailto:[email protected]











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


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


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



Put in day type

• Day types are as below:

– Standard

– Full Shift

– On call

– Zero/rest day

– Leave



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



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



Resident

• Keep the box ticked if you are working on site

• Untick the box if you are working from home (i.e. on call)



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



Work Episodes

• This is only used for on-call shifts

– Enter the episodes when working out of hours


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



Then press SAVE after each days entry!


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


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


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)



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


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



Dr Chris Dunkley

Consultant Anaesthetist

Bleep 506

[email protected]





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


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


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


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


ANY QUESTIONS?

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=&url=http://getfullyfunded.com/the-7-questions-your-fundraising-plan-must-answer/&psig=AFQjCNHJBlWTI6QYla_IoeQgcwJNv8tK1w&ust=1501596903567006


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




guardian of safe working hours - bfwh.nhs.uk · cardiac services naomi simmons – 01253 95(7731)...

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