hcsa issue 47 - august 2013

the hospital consultant and spec ial i st

Surgical LeagueTables: Fact or Fiction – but here to stay?

July 2013 views | people | contactsbi-monthly journal of the

Hospital Consultants and

Specialists Association

Opinion: Private practice;Social partnership3

Report: NHS safe at 65;NHS principles4

Advice: Know your rights;Dual qualification8

Happy 65th Birthday NHS

editorial

2 | t h e h o s p i t a l c o n s u l t a n t & s p e c i a l i s t

the hospitalconsultant

and spec ial i st

bi monthly magazine ofthe Hospital Consultants and Specialists Association

Editorial: Eddie Saville Nick Wright

01256 [email protected]

www.hcsa.com

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Where links take you toother sites, the Editor,

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chief executive’s notes

Communicating. The issue of HCSA communication is onevery close to my heart. As such, the very first staff appointment Imade was in the communications field. I am delighted thereforethat HCSA officers were out and about meeting members at theACPGBI annual meeting in Liverpool this month. It was a greatopportunity for us to promote the association and hear first-handfrom members and non-members. We are planning to do muchmore of this in the future.

Sustaining. It is never a good time to review the association’ssubscription levels, however we did so last month. We havenoticed that – in the past year – employers are now moreinclined to go straight into formal procedures than in years past.This has led to an increase in the demand for ourrepresentational services and to ensure that the associationmaintains its reputation as a safe pair of hands when it comes tothis core activity, we felt an increase in subscriptions wasappropriate. More on this on page 9.

Representing. The HCSA took its seat at the June meeting ofthe NHS staff council. It was an important milestone in ourhistory. The knock-on effect is that we will now take a seat at theWelsh Partnership Forum, which engages with the WelshAssembly Government. Our applications to join the Scottish andNorthern Ireland Forums have now been formally logged, and Iam optimistic that we will be invited to take a seat on each ofthese representative bodies. If all goes well 2013 will be a yearwhen the HCSA will take further strides in its objective toincrease presence and gain greater influence.

No decision. At a recent meeting at the ACCEA the nominatingbodies heard a wash-up of the 2012 awards round. However thekey question on all our lips was what will happen with the 2013round. We were told that no ministerial decision had been made.We will keep pressing the authorities on this point as – althoughwe recognise that discussions on the CEA scheme are ongoing –keeping the whole process up in the air is most frustrating.

Fragmenting. The recent discussions at the G8 conferencearound the officially titled Transatlantic Trade and InvestmentPartnership (TTIP) may not mean much to most members rightnow, but if this trade agreement is realised it could have farreaching effects on the NHS. Some commentators believe such anagreement will open the door to widespread fragmentation of thehealth service as US corporations look for profitable sections of theUK public sector to exploit. More on this in our next edition.

3 health service

NHS Social Partnership Forum

Chris Khoo asks is private practice

on the way out?

4 NHS birthday

NHS safe at 65?

Ahmed Sadiq on NHS principles

6 briefing

Surgical league tables

HCSA on the road

7 policy

Taking centre stage at the TUC

Patients first

8 advice

Know your rights

Ian Smith on the new NHS constitution

9 retirement

Working Longer Review

Notices

10 HCSA contacts

contents

A very warm welcome to new

council members: Dr John West,consultant cardiologist, Yorkshire andHumber region. Mr Ayman Fouad,consultant obstetrician andgynaecologist, South East Coast region. Dr Mujahid Kamal, consultantradiologist, East Midlands region.

Vacancies remain in other areas, so ifyou are interested in joining the HCSAcouncil please get in touch with theOverton office.

Welcome

health service

t h e h o s p i t a l c o n s u l t a n t & s p e c i a l i s t | 3

In April 2012, the Competition

Commission (CC) was asked by the

Office of Fair Trading (OFT) to look

into the provision of private

healthcare, because of concerns that

restrictions or distortions could be

affecting competition, to the

disadvantage of patients.

The CC identified seven ‘Theories of Harm’

which might all have an eVect on the cost

and provision of care. Their initial focus was

on healthcare providers, but in addition,

hospital groups, health insurers, patient and

professional groups have made submissions.

HCSA is represented through FIPO, (the

Federation of Independent Practitioner

Organisations), which has been actively

engaged in representing specialist

associations and professional bodies

throughout the entire process.

In April this year FIPO met face to face

with the Competition Commission at their

headquarters, highlighting the role of Private

Medical Insurers (PMIs) in the process of care

provision. PMIs have the power to reduce

benefits unilaterally and restrict access to care

by controlling referral pathways thus both

consultants and patients are vulnerable.

The CC was open to submissions until the

end of June: their website presents

statements from 244 consultants. Many

themes are repeated: clinical care is

compromised and patients are suVering

detriment. They are denied their choice of

Is Private Practiceon the way out? asks Chris Khoo

consultant, experience delays in treatment,

have diWculties at preauthorisation and they

have been redirected, sometimes

inappropriately.

Continuity of care is being disrupted:

longstanding relationships between patient

and trusted clinician are broken while patient

benefits, and their levels of insurance cover,

are being reduced, often without their

knowledge and without any premium

reduction.

FIPO fully agrees with the CC that a

necessary precondition for an open market is

the patient’s right to choose their consultant

and hospital, and to pay any diVerence

between PMI reimbursement and the cost of

care. If all PMIs were to impose fee levels

based on fixed reimbursement, it would

abolish competition in the market.

FIPO presented the results of its

economic survey, of nearly 1,400 consultants,

covering the period 2009- 2011. Gross fee

income has remained broadly level, and as

expected, newly appointed consultants who

are subject to contract restrictions earn

substantially less.

Practice costs have increased, between

9% and 14% with the highest rises being in

London. While indemnity costs also

remained broadly level during this period,

this was because many specialists were

moving away from traditional MDOs to

newer and cheaper insurers. However,

malpractice indemnity costs are set to rise

because of progressive increases in:

Numberundertakingprivatepractice

% of totalconsultants

16,3492000 67%

15,7542012 39%

� the frequency of claims

� the costs of dealing with large claims

� compensation awards

In February this year, the National Audit

OWce (NAO) published a report entitled

“Managing NHS Hospital Consultants…”

focussing on the extent to which the expected

benefits of the 2003 Consultant Contract

have been realised. The contract was

“designed to provide …. Increased consultant

commitments to the NHS, for example by

preventing an increase in private practice

work”. NAO statistics show that 97% of

consultants are now on the 2003 contract.

The remaining 3% who chose to remain on

the old contract did so to “maintain a greater

degree of control of their working life and

their private practice commitments”.

“Why bother with private practice?” asked

a senior anaesthetist recently. “You can do

waiting list work for two thirds of the industry

rate without admin or indemnity costs”.

And of course decline it at any time. Will

the power of the providers and the PMIs

mean that private practice is on the way out?

The final CC Report is due in April 2014.

� Chris Khoo is an Independent Healthcare

member of the HCSA Executive and Vice

Chair of FIPO

Social Partnership Forum Speaking to the NHS Social

Partnership Forum Gavin Larner, the

policy lead on the Francis Inquiry at

the DoH, outlined the work needed

following the publication of the report.

The government’s first response only

covered around a third of the

recommendations. Subsequently, the DoH

have been carrying out events during June

and July in order to engage with the service

on its response to the Francis Inquiry

Report. Other reviews that are currently

being undertaken as a result of the inquiry,

include:

� Valuing and Supporting Healthcare and

Care Assistants, led by Camilla Cavendish

� Patient Safety in the NHS, led by

Don Berwick

� NHS Complaints Process, led by Ann

Clwyd MP and Professor Tricia Hart

� Persistent Mortality Outliers, led by

Sir Bruce Keogh

� Reducing Bureaucratic Burdens on the

NHS, led by the NHS Confederation

It was reported that the Care Bill will,

amongst other things, introduce criminal

sanctions for NHS providers that provide

false and misleading information about their

performance. In addition, the DoH is

working with CQC on regulations in relation

to a statutory duty of candour.

The Social Partnership Forum has also

convened a Francis sub group.

� The NHS Social Partnership Forum gives the

HCSA the opportunity to meet with the

minister of health and his key DoH team.


NHS birthday

“Celebrate its work and

actively defend its

existence” Ahmed

Sadiq, consultant ophthalmologist

and HCSA North West Council

member, told a North West TUC

rally celebrating the 65th birthday of

the NHS.

Ahmed addressed the rally as one of four

serving NHS workers each invited to express

their view of the NHS - its achievements,

values and future. He noted how the

integrated nature of services within the NHS

made possible the coordinated care of

complex comorbidity to each citizen.

Referring to the survey results of a private

American organisation which surveyed

health services in eleven developed

countries, he said it found the NHS to rate

higher than the USA, Canada, Australia and

The TUC’s campaignto keep our NHS safein its 65th birthdayyear is well underway. You can lend yoursupport by:

� Getting involvedwith local issues –cuts, privatisationof local services orfinancially-drivenclosures

� Lobbying your MPto keep our NHSsafe from cuts andprivatisation

� Getting togetherwith unions,patients’ groupsand anti-cutscampaigners in yourarea to celebratethe NHS

Join the campaign attuc.org.uk/nhs65

‘Celebrate its actively defend

:Ahmed France on a range of measures – including

access to services, better coordinated care

and fewer medical errors.

Ahmed told the audience that it was

because there is a national health service that

he and his colleagues at every level of the

service have been able to give the best care

they can to each and every patient who has

needed it.

He said the NHS was Britain’s greatest

social achievement but was now under a

sustained attack from an ill judged cost

cutting squeeze, from a strategy to fragment

services and a deliberate amplification of bad

news to undervalue the idea of the NHS.

He said that on its 65th birthday it was even

more important to celebrate its work and

actively defend its existence. He reminded

those gathered of the words of Anuerin Bevan

– that the NHS will exist as long as there are

those with the faith to fight for it.

Safe at 65?Let’s keep it that way

Mr Sadiq (second from left) with TUC regional leadership

The birthday celebrations for the NHS in

hospitals throughout the region – organised

by the regional TUC – culminated in this

splendid North West TUC rally in the Lord

Mayor’s Parlour at the imposing Manchester

Town Hall.

Attendance far exceeded expectations

and as many more again as were inside the

Parlour, gathered outside to hear the

speakers and join the discussions via the

public address system. The evening rally

followed birthday celebrations held in

hospitals all over the North West, especially

at the TraVord General Hospital – the first

hospital to be commissioned and opened by

the NHS.

Speakers to the gathered hospital staVs,

general practitioners, patients, hospital

supporters and health service union

representatives included Dave

Prentice, general secretary of

Unison, and Gail Cartmail,

assistant general

secretary of Unite.


NHS birthday

work and its existence’Sadiq

“the NHS will exist as long as there arethose with the faith

to fight for it”

19482013

19482013

briefing


The publication of surgical performance data has led to healthy debate across the board. Whilst there is agreement with the goal – to drive up quality of care – there is a mixed view on how this can easily be achieved.

Surgical League TablesFact or Fiction – but here to stay?

the Association of Coloproctologists of UK

& I to discuss this matter in detail. Mr

Michael Kelly, HCSA Trustee and Chairman

of our Clinical Governance Board, suggested

that the way to fix these disparities is for all

surgeons to be given access to their own

data which they will be expected to check

both contemporaneously and then annually

before it is uploaded to the national system.

Kelly tells of his experience: “in Leicester we

have been doing this for some twelve years,

and our data are both accurate and

validated by each of us. We also hold an

annual in-house meeting where each

surgeon’s results are displayed by name for

all to see.”

At the time of going to press there is a

rolling programme in place to make data

available to the public for the following

surgical specialities:

Jenifer Davis andAnnette Mansell-Greentook the association’smessage to six hundredparticipants in a keyprofessional gathering.

The HCSA has begun a programme of

activity as set out in our strategic plan.

‘Supporting consultants and specialists in

their practice, employment and

development; being the doctors’

advocate professionally and politically’

HCSA on the road means increasing the union’s visibility and

accessibility by attending key professional

events and reaching out to more people

where they work, through lunchtime

meetings and similar events.

The first of these initiatives took place

at the annual conference of the

Association of Coloproctology of Great

Britain and Ireland (ACPGBI) in July

reports Annette Mansell-Green.

The ACPGBI has around 1000

members professionally engaged in

research and practice in the treatment of

bowel diseases. The conference attracts as

many as six hundred delegates, many of

whom are specialists and consultants,

making this an ideal opportunity to reach

out to existing and potential members.

The conference had a very busy

programme of plenary sessions along with

smaller specialist seminars and a poster

exhibition. This presented an ideal

opportunity to meet delegates as they

wandered between the stands chatting

and networking. We were pleased to

answer questions about the role of the

Speaking with HCSA members, it is

plain to see that huge variation

exists in the current compilation of

the data, and in the extent to which

surgeons are able, or have wished, to

verify its accuracy. HCSA members

have had different experiences, with

some surgeons unable to recognise

their own procedures in those

recorded by Dr Foster, and some

happy that the published data

reflects their work accurately.

One point on which everyone is agreed is

that surgeons themselves are the best

people to ensure that data are accurate and

easily interpretable by potential patients. So,

how do we achieve this?

Extended time was given in plenary

session at the Annual Scientific Meeting of

� Adult cardiac � Vascular � Thyroid

and endocrine � Bariatric � Orthopaedic

� Urological

In keeping with the anecdotal evidence

we have been hearing, the 2% of surgeons

who have not agreed to have their data

published overwhelmingly cite data

quality/completeness as the reason. This

backs the view that, as a profession,

surgeons are not averse to information

being available, but it should be as accurate

as possible – with correct coding being the

key to this.

Although it will take time and investment,

working with the Department of Health to

make the data more reliable is essential, and

the end goal of increasing transparency to

ensure better outcomes for patients will

make it well worth it in the long term.

HCSA; where its stands on current issues

facing the profession such as threats to

incremental pay progression, the future of

the contract, seven day working and

whistle blowing.

It was encouraging to hear that the

HCSA has become the union of choice for

many consultants and specialists and that

its reputation for service to members is

deserved.

Many delegates were interested in

finding out more about the association and

were keen to join, so I look forward to

welcoming more members from ACPGBI

in the future.

� Members and prospective members

who would like to host a meeting in

their hospital or who have a suggestion

for an event we could attend please get

in touch with Jenifer Davis on 07711

405128 or email [email protected].

� If you are attending future professional

events at a local or national level then

please look out for the HCSA and

encourage colleagues to find out

more about us.


policy

Taking centre stage at the TUC

HCSA president Dr John Schofield

and chief executive Eddie Saville will

represent the association at the

Trades Union Congress in

Bournemouth this coming September.

Our two motions are on topical issues and

hopefully will stimulate debate amongst the

delegates. If they are carried, the motions go

on to become national TUC policy. We will

update you in the next issue as to the fate of

our motions.

Whistle Blowing The whistle blowing motion argues that

hospital consultants and specialists – like all

other healthcare workers – are primarily

committed to the welfare and safety of the

patients they treat, however many fear that

their jobs and careers will be aVected by

speaking out and whistle blowing.

“There should be no need for hospital

consultants to become whistle blowers but

experience shows that when financial targets

become the mantra corners are cut,

leadership loses clinical focus, and bullying

becomes the norm. Often when a

consultant or specialist speaks out, it is they

who become the subject and focus of an

investigation. They become isolated,

sometimes, unsupported by their colleagues

and excluded from practice” says the

motion.

In addition to the fear of being bullied,

consultants have little faith that action will be

taken if they do speak out. Procedures are

often lengthy and complex, invariably not

followed properly and intimidating.

HCSA will argue that there should be

clear blue water between the employer and

the investigator when dealing with whistle

blowing claims; often they are one and the

same.

Noting that the Coalition Government

has recently created the post of Chief

Inspector of Hospitals, who will be

responsible for assessing and judging the

quality of care for patients and assuring safe

and eVective care, HCSA asserts that the

oWce of the Chief Inspector could be

extended to investigate cases of whistle

blowing as well and that this would ensure a

truly independent investigation, led by

clinicians whose only remit

would be the interests of

patients.

Professional values lie at the centre of the HCSA appeal to the TUC

HCSA motion on theFrancis Report

Congress notes the tragic events at Mid

StaVordshire NHS Trust and [overall]

welcomes the Francis report. The

question is how will this report drive the

change needed and eradicate such events

from happening in the future. Across the

NHS there will be diVerent

interpretations of the Francis

recommendations, however congress

agrees to following five themes:

1 Always put the patient first

2 Zero harm and patient safety

3 Creating outstanding leadership and

working together as teams of

professionals

4 Regulation, inspection and

accountability

5 Metrics and outcomes

Congress believes:

� Healthcare workers must ensure they

interact with patients with dignity,

compassion and respect as set out in

the NHS Constitution

� Good multidisciplinary team working

in Strategic Clinical Networks will help

improve care and the patient

experience

� Future service developments and

reconfigurations be based solely on

the needs of the community and only

made after full clinical involvement

� Royal Colleges should have a role in

hospital visits by regulators and

external reviewers, to ensure that high

quality standards in medical education,

training and service provision are

maintained. Current statutory reviews

by Monitor and the CQC do not

include measures that are covered by

the Royal Colleges’ roles and

responsibilities

� Individual clinicians and Trusts must be

enabled to submit accurate and truthful

data to the NHS on patient care

Congress welcomes that the DoH is

working with NHS unions on the Francis

report and calls on the General Council

to adopt these five themes to

compliment this partnership working.

Patients first

“when financial targetsbecome the mantra

corners are cut,leadership loses clinical

focus, and bullyingbecomes the norm”

Eddie Saville speaking at the 2012 TUC © Stefano Cagnoni/reportdigital.co.uk

advice

Doubling upThe HCSA advisory service often receives

questions on dual qualification. The

consultant contract terms and conditions

provide for additional seniority (in some

circumstances) for those who have

undertaken lengthened training because of

undergoing dual qualification. Furthermore,

dual qualification is necessary for some

consultant posts (e.g. maxillo-facial surgeons

need dental and medical degrees) but

another question we are asked is whether

that is the same as dual accreditation?

Schedules 13.7 and 14.6 provide for

additional seniority if a consultant’s training

has been lengthened as a result of

undergoing dual qualification, if this would

prevent the consultant reaching the pay

threshold they would have attained had they

trained on a single qualification basis. This

provision and the term “dual qualification”

should be interpreted as applying only to

those posts that require the holder to

possess two undergraduate degrees, as in the

maxillo-facial surgeon example. Dual

accreditation is not, therefore, the same as

dual qualification.

Ian Smith unpicks the facts on dual qualification and dual accreditation

Further details and advice is available from the Overton o�ce.

StaV have extensive legal rights embodied

in general employment and discrimination

law. In addition individual contracts of

employment contain terms and conditions

giving further rights. The rights are there to

help ensure that staV:

� Have a good working environment with

flexible working opportunities, consistent

with the needs of patients and with the

way people live their lives

� Have a fair pay and contract framework

� Can be involved and represented in the

workplace

� Have healthy and safe working conditions

and an environment free from

harassment, bullying or violence

Know your rightsThe Department of Health recently

published an updated NHS

Constitution following a consultation

that sought views on a number of

proposed changes. Important areas

that have been improved in the NHS

Constitution include patient

involvement and feedback;

complaints and patient information

and the duty of candour. There is

greater clarity over end of life care

and integrated care and the issues of

dignity, respect and compassion.

The new NHS constitution also

spells out staff rights, responsibilities

and commitments.

In addition to strengthening areas of the

NHS Constitution, various technical

amendments have been made to ensure that

it was up-to-date for the introduction of the

new health and care system on 1 April 2013.

Specifically in regard to staV rights,

responsibilities and commitments, the revised

Constitution states that: “All sta5 should have

rewarding and worthwhile jobs, with the freedom

and confidence to act in the interest of patients.

To do this, they need to be trusted, actively

listened to and provided with meaningful

feedback. They must be treated with respect at

work, have the tools, training and support to

deliver compassionate care and opportunities to

develop and progress. Care professionals should

be supported to maximise the time they spend

directly contributing to the care of patients”.

The Constitution applies to all staV, doing

clinical or non-clinical NHS work - including

public health - and their employers. It covers

staV wherever they are working, whether in

public, private or voluntary organisations.

Ian Smith analyses how the new NHS Constitution clarifies our rights and duties

� To provide a positive working

environment for staV and to promote

supportive, open cultures that help staV

do the job to the best of their ability

� To provide all staV with clear roles and

responsibilities and rewarding jobs for

teams and individuals that make a

diVerence to patients, their families,

carers and communities

� To provide all staV with personal

development, access to appropriate

education and training for their jobs,

and line management support to enable

them to fulfil their potential

� To provide support and opportunities

for staV to maintain their health,

wellbeing and safety

� To engage staV in decisions that aVect

them and the services they provide,

individually, through representative

organisations and through local

partnership arrangements. All staV will

be empowered to put forward ways to

deliver better and safer services for

patients and their families

� To have a process for staV to raise an

internal grievance

� To encourage and support all staV in

raising concerns at the earliest

reasonable opportunity about safety,

malpractice or wrongdoing at work,

responding to and, where necessary,

investigating the concerns raised and

acting consistently with the Public

Interest Disclosure Act 1998

� Are treated fairly, equally and free from

discrimination

� Can in certain circumstances take a

complaint about their employer to an

Employment Tribunal

� Can raise any concern with their employer,

whether it is about safety, malpractice or

other risk, in the public interest

In addition to these legal rights, there are

a number of pledges, which the NHS is

committed to achieve. Pledges go above and

beyond the legal rights. This means that they

are not legally binding but represent a

commitment by the NHS to provide high

quality working environments for staV.

Pledges the NHS is committed to achieve

The following list gives illustrative

situations or qualifications that are NOT

covered by the definition as set out above,

and WOULD NOT increase seniority.

� Dual accreditation for a consultant post

� The possession of MD/PhD/MS

� Subspecialty qualifications

� Medical Royal College fellowship

/membership

� GP training for subsequent DPH’s

� Intercalated undergraduate degree

� Switch from one career or course to

another, e.g. Science to Medicine



retirement

October this year. The increased revenue

will be used to employ additional staV for

our core function of representing and

supporting members in the workplace.

In addition we want to step up our

communication and visibility and encourage

more involvement of local HCSA

representatives.

We do not take lightly an increase in

subscriptions at a time of pay and pension

pressures. This represents a cost of £1.25

per month, which we believe continues to

make membership of the HCSA good value

for money.

The HCSA is also going through a

transition: new leadership, new objectives,

and a new and modern drive to improve our

services, increase our presence, gain more

influence, and develop the consultant role.

We hope you will continue your support for

the HCSA as together we take further steps

towards our goals and ambitions.

At the July meeting of the finance

committee we considered the issue

of annual subscriptions. We know it

is important that when increases in

subscriptions take place there is a

direct result in improved services for

members.

In recent times we have experienced a

marked increase in individual and collective

representation, and there is now more

demand on the service we are providing. We

have noticed in particular, many more cases

of bullying, harassment and whistle blowing

have been reported, and we are seeing that

employers are more likely now to move to

instigate formal procedures rather than try to

deal with minor issues on an informal basis.

In order to provide for this increased

demand in service, HCSA subscriptions are

to increase from £210 per year to £225 per

year. The new rate will apply from the 1st

Subscription increase

HCSA will be attending Acute

& General Medicine from the

27 -29 November at the Excel,

London.

Members can purchase

discounted passes at £99

(reserved for clinical and

NHS members only) – this

promotional price will run

from July to October 2013

and will be available by using

the promotional code HCSA

when registering.

Working longer?The new Public Service Pensions Act

2013 means that from 2015 NHS

staff will have a normal pension age

equal to their state pension age.

Whilst some staff are protected

from this change, up to 70% of the

workforce will now have a pension

age of between 65 and 68 depending

on their date of birth. This could

increase again in the future if the

government raises the state pension

age further.

The issue of NHS staV working longer is

contentious. The NHS Working Longer

Review has been set up to consider the

possible impact of a raised pension age. It will

consider how the NHS will be able to provide

a high quality service with an ageing workforce.

It is a joint review between the NHS

Employers, NHS Trade Unions and the Health

Departments for England, Wales and Scotland.

Some staV think they will not be able to

work longer and some NHS organisations

are not prepared for an ageing workforce.

To enable employees to work longer, it is

vital that employers put in place practices

that will facilitate this. People and job roles

are diVerent and some staV may find

working longer more challenging than others,

employers in the NHS will therefore need to

find solutions to suit these diVering work

needs.

The Review is now seeking evidence from

NHS organisations, trade unions, NHS

employees and interested stakeholders to

identify any examples of good practice that

enable staV to continue working. The review

team are keen to hear your examples,

suggestions or ideas that you feel should be

considered as part of this review.

In addition, they would like to hear about

any issues and/or barriers that may make

working to a higher pension age more

diWcult. The review would value your

feedback on the following key questions:

1 What happens in your organisation that

makes it easier for people to stay longer

in work?

2 What makes working longer more

diWcult and why?

3 Are there special issues for particular

groups of staV?

4 What do you think could be changed to

support people working longer and how?

Please also feel free to provide other

evidence or information that you think will be

relevant to the review, even if not mentioned

in one of the questions above. Evidence about

The NHS Working Longer Reviewwants to hear your views

notices

the proven eVectiveness of policies and

practices, whilst not a requirement, would be

gratefully received if it is available.

The review welcomes responses from

employing organisations and staV side

groups, in partnership or separately as well

as from individuals and external groups

with an interest in this area. You can send

your response in writing to the HCSA and

we will compile them and send them oV

to the review team. However, if you would

prefer to contact the review team directly

you can send a written submission to: Call

for Evidence, Working Longer Review,

NHS Employers, 2, Brewery Wharf,

Kendell Street, Leeds, LS10 1JR. You can

also contact them via email at:

[email protected]

� An electronic version of the letter

and a cover sheet is available at

http://tinyurl.com/mfhtd79

How to give evidence?

NHS Trade Unions are surveying their

members in order to form a response to

the Working Longer Review’s Call for

Evidence, you can help by completing this

survey: https://www.surveymonkey.com/

s/NHSWorkingLongerSurvey


Executive Committee

President Dr. John Schofield Chairman of Executive Professor Ross Welch

Immediate Past President Dr. Umesh Udeshi

Honorary Treasurer Dr. Mukhlis Madlom

Honorary Secretary Mr. Gervase Dawidek

Honorary Secretary Dr. Bernhard Heidemann

Honorary Secretary Dr. Cindy Horst

Honorary Secretary Dr. Claudia Paoloni

Chairman – Ed & Stan S-C Prof. Amr Mohsen

Independent Healthcare Mr. Christopher Khoo

Education & Standards Sub-Committee

Acting Chairman - Dr. Bernhard Heidemann

Dr. Mukhlis Madlom Dr. C Morgan

Mr. Olanrewaju Sorinola Dr. Bernhard Heidemann

Dr. Umesh Udeshi Dr. Bernard Chang

Dr. Hiten Mehta Mr. Christopher Welch

Dr. T Goodfellow Dr. S Ariyanayagam

Finance Sub-Committee

Chairman Dr. M.M. Madlom

Mr. M.J. Kelly [Trustee] Dr. U. Udeshi

Mr. R.M.D. Tranter [Trustee] Dr. J. Schofield

Dr. R. Loveday [Trustee] Professor R. Welch

Dr B. Heidemann

HCSA OMcers and StaL

General Secretary/Chief Executive Mr. Eddie Saville [email protected]

Manager, Northern Region Mr. Joe Chattin [email protected]

Business Manager Mrs. Sharon White [email protected]

Manager, Advisory Service Mr. Ian Smith [email protected]

Membership Secretary Mrs. Brenda Loosley [email protected]

Midlands Regional OMcer Mrs. Annette Mansell-Green [email protected]

Employment Services Adviser Mrs. Gail Savage [email protected]

Head of Communications and Web Services

Mrs. Jenifer Davis [email protected]

Temporary Accountant Mrs. Edidta Bom [email protected]

OWce Telephone: 01256 771777

Facsimile: 01256 770999

E-mail: [email protected]

North East Area

Dr. Paul D. Cooper, MRCA [email protected]

Dr. Olamide Olukoga, FFARCSI [email protected]

North West Area

Dr. Magdy Y. Aglan, FFARCSI FRCA [email protected]

Dr. Syed V. Ahmed, FRCP [email protected]

Mr. Ahmed Sadiq, MRCOphth FRCS [email protected]

Mr. Augustine T-M. Tang, FRCS [email protected]

Deputy - Mr. Shuaib M. Chaudhary, FRCOphth FRCS [email protected]

Yorkshire and The Humber Area

Dr. Mukhlis Madlom, FRCPCH FRCP [email protected]

Professor Amr Mohsen, FRCS(T&O) PhD [email protected]

Mr. Peter Moore, MD FRCS [email protected]

Dr John West [email protected]

East Midlands Area

Dr. Cindy Horst, MB ChB DA FRCA [email protected]

Dr. Mujahid Kamal, MRCP FRCR [email protected]

West Midlands Area

Dr. A.R. Markos, FRCOG FRCP [email protected]

Dr. Pijush Ray, FRCP [email protected]

Mr. Olanrewaju Sorinola, FRCOG [email protected]

Dr. Umesh Udeshi, FRCR [email protected]

East of England Area

Mr. Rotimi Jaiyesimi, FRCOG LL.M (Medical Law) [email protected]

Mr. Andrew Murray, FRCS [email protected]

London Area

Mr. Gervase Dawidek, FRCS FRCOphth [email protected]

Mr. Andrew Ezsias, FDS RCS FRCS [email protected]

South East Coast Area

Dr. Paul Donaldson, FRCPath [email protected]

Mr. Ayman Fouad, MB BCh MSc MD MRCOG [email protected]

Dr. John Schofield, FRCPath [email protected]

Dr. Sriramulu Tharakaram, FRCP [email protected]

South Central Area

Mr. Callum Clark, FRCS(Tr&Orth) [email protected]

Mr. Paul A. Johnson, FRCS, FDSRCS [email protected]

Mr. Christopher Khoo, FRCS [email protected]

Dr. Sucheta Iyengar, MRCOG [email protected]

South West Area

Dr. Claudia C.E. Paoloni, FRCA [email protected]

Professor Michael Y.K. Wee, FRCA [email protected]

Professor Ross Welch, FRCOG [email protected]

Mr. Subramanian Narayanan, MRCOG [email protected]

Wales

Mr. Simon Hodder, FDS FRCS [email protected]

Scotland

Dr. Bernhard Heidemann, FRCA [email protected]

Mr. Sean Laverick, FDS FRCS [email protected]

Deputy - Dr. David Watson, FRCA, DipHIC [email protected]

[email protected]

Northern Ireland

Dr. William Loan, FRCS FRCR [email protected]

Specialist Registrar National Representative

Vacancy

Non-Consultant Career Grade National Representative

Mr Anthony Victor Babu Bathula, MS; DNB; FRCS; Dip Lap Surg;

MBA (Health Executive) [email protected]

HCSA contacts


join the association

Hospital Consultants & Specialists Association

Number One, Kingsclere Road, Overton, Basingstoke, Hampshire, RG25 3JA

Tel: 01256 771777 Fax: 01256 770999 e-mail: [email protected] website: www.hcsa.com

Membership Application 2013/14Title Surname

Forenames

Male/Female Qualifications GMC No

Speciality Year Qualified Year of Birth

Main Hospital

Preferred Mailing Address

Post Code E-Mail

Contact Telephone Number

Grade: Consultant a

Associate Specialist a Please tick as appropriate

Specialist Registrar Within two years of CCT a

Staff Grade/Trust Speciality Doctor a

Signature Date

IMPORTANT Please Note

We are not normally in a position to provide personal representation over issues that have arisen prior to joining

the HCSA.

Please DO NOT fax or e-mail this application form - we need an original signature on the Direct Debit Mandate

for your bank to authorise payments.

Current Subscription Rates

Annual - £210 per annum commencing 1 October 2012

(pro rata for first year of membership)

Monthly - £18.25 per month Please tick preferred payment choice

Please complete the Direct Debit Mandate overleaf and send it to the Overton OLce address above.

Introduced by (If applicable)

a

a

HCSA

1 Kingsclere Road

Overton

BASINGSTOKE

Hampshire

RG25 3JA

TheDirect DebitGuarantee

� This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.

� If there are any changes to the amount, date or frequency of your Direct Debit. The Hospital Consultants and Specialists Association

will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request The Hospital Consultants and

Specialists Association to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

� If an error is made in the payment of your Direct Debit, by The Hospital Consultants and Specialists Association or your bank or building

society you are entitled to a full and immediate refund of the amount paid from your bank or building society.

� If you receive a refund you are not entitled to, you must pay it back when The Hospital Consultants and Specialists Association asks you to.

� You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required.

Please also notify us.

Instruction to your bank or building societyto pay by Direct Debit

Instructions to your bank or building society

Please pay The Hospital Consultants and SpecialistsAssociation direct debits from the account detailed in thisinstruction subject to the safeguards assured by the directdebit guarantee. I understand that this instruction may remainwith The Hospital Consultants and SpecialistsAssociation and, if so, details will be passed electronicallyto my bank or building society.

9 9 7 5 7 2

Name(s) of account holders Payment reference (To be completed by HCSA)

Bank/Building society account number

Branch sort code

Name and full postal address of your bank or building society

To the manager Bank or building society

Address

Post code

Signature(s)

Date

Please fill in the whole form using a ball point pen

Banks and building societies may not accept Direct Debit instructions for some types of accounts

Detatch

Here


direct debit form

�

hcsa issue 47 - august 2013

Documents

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