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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

to wish doctors weren't going on strike

721 replies

MissTriggs · 19/11/2015 14:01

After 5 months of misdiagnoses, being sent to the wrong person, explaining why suggestions weren't helpful, holding my GP's hand and fighting to get to the right person I'm now booked in to have the test I need on 2nd December, the day after the strike.

If my test was on 1st December I'd be pretty upset

I then read a post on here from a junior doctor claiming s/he could make more money "as a manager at Greggs" and that tipped me over the edge.

I saw lots of posts from doctors saying they already work weekends but it turns out they get paid extra for this at present.

I think doctors have no idea what it is to work in a job where you can be sacked easily, where you don't know whether work is coming in from day to day, where your employers have no interest in getting you back to work after a career break and where you either have no pension or the value of your pension can fall from year to year and be worth nothing.
I also think they don't realise that, whilst a generation ago doctors might have been unusual in working antisocial hours, nowadays all professionals are expected to be available all the time.

I might be wrong, but I don't think I'm being unreasonable here.

OP posts:
HicDraconis · 21/11/2015 01:52

If doctors were only in it for the money they wouldn't be striking. They wouldn't be starting the #saveournhs campaigns. They'd go with the flow, leave for better working conditions elsewhere, let the govt start on the nursing and allied professions - and then come back, to the same jobs but better salaries and working conditions within the large private corporations that will have been established.

The govt recently paid 800million pounds to 3 private companies to pick up some of the NHS workload. I'm sure if they'd put that sort of money into NHS staffing - frontline and back office / support staff - it wouldn't be as bad as it is. But they want it to crumble and fall, so it can be privatised.

mamadoc · 21/11/2015 01:56

Vs 22,000 basic pay for 40hrs for a junior dr (banding supplement varies from 0-50% on top of that 48hrs inc nights and weekends)

The junior dr has A levels and a 5 year university degree. Entry is massively competitive. They have incurred tuition fees etc.

Squaddies don't need GCSEs as far as I know. No debt. Free food and accommodation all in.

I am in no way denigrating their bravery. For many reasons I could not do their job. Just pointing out that it is not a good comparison in terms of competitive entry and qualifications.

Want2bSupermum · 21/11/2015 02:03

Ok so the accountant is coming out! Basically you are both wrong and both right. When you see these numbers such as trillions will need to be paid out in pensions, that trillion number is an estimate. They make certain estimates and extrapolate.

As an auditor I've done my fair share of auditing final salary pension plans. Nearly always the estimated liability is understated and we have to go back and argue with the actuary with how they came up with their estimates. We then have to use their model with our inputs and determine the difference.

What people are currently paying is irrelevant because that's not what is due to be paid out when you have a final salary scheme. So right now, yes they have a £2bn surplus in terms of cash position so they can say they don't have a funding problem. However that's not the projected liability so to say the pension is fully funded is false if it's the case that the growth of the funds being paid in now are not going to grow at the projected rates. So, hate to be the bearer of bad news, the doctors pension, if final salary, is most probably underfunded because I bet they are using an average rate of return from rates that were previously much higher. Using actual rates of 1-2% growth of contributions instead of historical rates of 5-6% which are frequently used, there probably is a deficit. I will say that I doubt it's a £1 trillion deficit.

DimpleHands · 21/11/2015 02:15

The £1 trillion figure was from a lecture by an Economics professor at LSE. Many economists have put the figure higher - some as high as £1.7 trillion!

Want2bSupermum · 21/11/2015 02:22

Yes and those rates are probably calculated using FT wages and doesn't accurately take into account the gaps due to maternity leave, the increase in PT workers and the attrition rate of doctors either moving to locum work or emigrating.

I'm very sure there is a deficit, I just think that number is exaggerated.

DimpleHands · 21/11/2015 02:28

I think I am going to have to agree to disagree with the doctors on here as I think we're probably coming at it from fundamentally different political and ideological standpoints!

Interesting argument though!

Baconyum · 21/11/2015 02:29

Dimple your posts are becoming increasingly arrogant, patronising and offensive!

There WOULD be more money if the banks repaid the bailout, private companies paid the tax they're legally supposed to!

wonkylegs · 21/11/2015 02:30

The drs pension scheme is career average not final salary

DimpleHands · 21/11/2015 02:33

OK Baconyum I am bowing out... I think you and I really are coming at things from different standpoints.

Baconyum · 21/11/2015 02:35

I'm also from a military family and no it's not comparable to drs. Yes there are times when it's extremely difficult and stressful and dangerous but that's not constant. In addition all the military folk I know are supportive of the drs, seeing as how that's who treats them when they're injured/suffering from PTSD etc

Mamadoc have loved your posts so far but need to correct a few of your misunderstandings re military. Servicemen usually need min 4 GCSE's. Depending on the service arm and trade they enter they can be very highly qualified in fact. Also accommodation and food is not free this is deducted at source if they live in. Ie they get their pay minus these and other costs. Inc pension contributions.

If they don't live in they pay rent and food and bills same as everyone else (and tax). It's a sadly common misunderstanding.

Want2bSupermum · 21/11/2015 02:52

wonkeylegs thanks for clarifying that. If career average then I would def say yes it is an underfunded pension but by less than £1 trillion.

Sadly the only time you don't see an underfunded pension scheme is when it's defined contribution. While you are making contributions it's not one of these schemes as the payments made out to participants at the end of service is what is defined, not the payments made into the system during the term of service. It's why private companies don't have these types of schemes anymore.

Want2bSupermum · 21/11/2015 03:03

bacon Private companies are paying the right amount of taxes due. It's our politicians who don't have the gonads to close loopholes for foreign companies which put British firms at a disadvantage.

Baconyum · 21/11/2015 03:22

Want2b we'll have to disagree there as I believe British companies also exploit loopholes. Employing specialist accountants just to do this is imho immoral and not in the spirit of the law.

Want2bSupermum · 21/11/2015 03:26

That's the problem. It's within the law. Our politicians need to make it clearly illegal. Also, accountants are not the ones finding the loopholes, it's lawyers. In the UK if an accountant finds a loophole they advise a client to use you have to report the loophole to the Inland Revenue. Such a stupid rule because it's always been tax lawyers who did this sort of work, not tax accountants.

ottothedog · 21/11/2015 03:57

I cannot believe the utter rubbish and self centred whining about "the city" and "lawyers" and how hard they work compared to doctors. Poor babies. Someone should do something to help them Hmm

nocoolnamesleft · 21/11/2015 04:47

I would have to disagree with one of the doctors above (possibly hic):

Sometimes prescribing drugs is actually quite hard. When it involves multiple steps of maths in order to dilute down from a vial designed for adults to a dose that can be used for an infusion on a critically ill preterm (and thus tiny) neonate, born at a small unit who may only need to use that drug once or twice a year, but the tertiary retrieval team has not yet arrived...and the doctor doing that maths has already been working more than 24 hours straight?

Actually, at that point, I can personally attest that correctly prescribing drugs can get quite hard. As can staying functional for the next 28 hours...

Which is why I do not want to see my juniors working those hours. It is not safe. And Jeremy's threatened imposed contract removes the safeguards against those hours. (Yes, okay, some of us consultants are still stuck working them, but we do have a little more chance of at hopefully catching a nap at some point....just, sadly, not the weekend above!)

Senpai · 21/11/2015 05:06

Lots of us have worked retail. It's not as dire as you make it out to be, even here in the US where they can fire you "just cuz". Even here, you get more as manager at retail than an EMT who saves people's lives every night. That's worrying.

Over here in the US doctors are paid a ridiculous amount, and it really goes right back into their eye gouging loans they have to take out. But, putting aside our health insurance bullshit that's still getting reformed, we have some of the best medical care in the world. If you want intelligent driven people to work in a field you need to pay them what they're worth.

You pay peanuts, you get monkeys.

HicDraconis · 21/11/2015 05:37

nocoolnames completely agree with you on calculating infusion rates, dosages for something very small - however the poster I was replying to was talking about GP prescribing which is a very different kettle of fish.

We are very lucky in NZ in that the tertiary children's hospital (starship) has all its infusion guidelines on the internet - you input the child's name, date of birth, weight and hospital number and it will produce a PDF prescription with all the calculations, dilutions and infusion rates that can be printed out and signed.

I can still remember having worked 48h straight, going through a basic drug calculation with a calculator and 2 ICU nurses step by step, to make sure I hadn't cocked up by a factor of 10 or worse.

ivykaty44 · 21/11/2015 06:58

The WHO would disagree with the US providing some of the best medical care in the world. They rank US health care 48th while they rate UK health care 10th

ForalltheSaints · 21/11/2015 07:21

I think that if Jeremy Hunt was replaced with someone else as Health Secretary, then a strike might be averted. He seems even less tactful than Michael Gove was when Education Secretary.

stoppingbywoods · 21/11/2015 08:52

mamadoc You have NO idea what it's like to be a lawyer!!! Grin at the idea of a lawyer telling my BILs they've had enough for the night and would like to take it home and work from there! They are left in one room and when my BILs return in the morning, rested, they are still there. And they didn't have a choice. Yes, they could cry with tiredness too. No, they don't always have time to eat. No, the contracts could not 'wait until the morning' and even if they could, the point was that they aren't given the choice! And if they make a mistake, they get into massive trouble and quite possibly are out on their ear. The pressure is unreal. So are the hours. I have a friend who is a lawyer in the city and has, for the last fifteen years, worked 14 hour days as standard, often including Saturday, and sometimes more. He would lose his job if he didn't. I've never heard him complain, either. It's the life he chose. I'm only mentioning it now because doctors refer to lawyers as if it's easier.

Most of us are paid a fair wage but nothing extravagant
Tell that to the rest of the population who are looking at your pay and pension relative to everyone else's. It's rather lacking in integrity to talk about a junior doctor's starting salary as if it's the career average.

I'm sure we'd all like doctors to be paid as much as possible, but it's ridiculous to claim they're not paid 'properly' when doctors live amongst us and their comfortable lifestyles are on show for everyone to see. It's widely known that there simply isn't enough money to run the NHS anymore. If doctors weren't driven by some unseen force greed to work against their will it would seem as they really only care about the patients we would have enough of them and that would be one problem solved. The 'you have to pay us more or we'll be forced to work privately simply because we'd be better off that way' sounds a little ridiculous to the patients who walk past the doctors' big shiny cars on their way into a hospital for an appointment they've waited six months for. (Teachers know they'd often be paid more in a private school but there a mystifying majority of them working in state schools).

Anyway, a report found that once the pension perks have been factored in, you're better off in the state sector anyway. I would like to see doctors holding up their hands and saying 'yes we admit that in some ways we're rewarded and the sweet pension is one of them so thanks for your taxes'. Because to listen to you all one would think you're fed on crusts of bread and chained to a drain pipe.

On this thread we have had doctors claiming they couldn't possibly do extra work privately because they are too busy in their NHS work and others they do work privately and deserve to do so, doctors claiming they struggle to get by on what they earn but others saying they are well paid for what they do (and must continue to be or they'll walk), still others saying they don't give a damn about the money but are purely interested in the deal the patients getting - yet there isn't enough money in the pot and they won't consider accepting less. Fair enough but the NHS suffers. I would like to see doctors paying for their education or else being obliged to work x number of years full-time in the UK.

The NHS was never supposed to deliver market rates because it's not a capitalist system and was never intended to support rich people at the top. It may not work, but that's another issue. It can't deliver something it wasn't set up to deliver. Perhaps the problem is our outlook. A more socialist model works by all individuals being valued in a more equal way and having a shared interest in the good of all. So nobody does something just because it would be better for them alone.

Sadly, there isn't a way that the NHS could reform without affecting the patients so saying it's a bad reform for this reason begs the question of what a good reform would look like.

If doctors care so deeply about the NHS, why didn't they point out when GPs got that massive payrise and great overtime deal that it was hugely expensive, probably unsustainable and rather over the top, given what was happening to other salaries? They must have been aware of it. If they genuinely care about the patients more than the money? And where were they when nurses were treated appallingly? Was it not so dreadful because nurses couldn't earn more elsewhere? How ridiculous.

Where do doctors suggest that Jeremy Hunt should find the extra money required to pay them enough to carry on as they're doing? And are more doctors needed - is that's what's being said? Or are you saying we should simply pay the ones we have more money so the consultants will work extra and the ones we have will continue to work anti-social hours? I'm genuinely confused about your proposed solution to all this.

mamadoc There's nothing subjective about a three day waiting time versus 6-9 months. That made a huge difference to my recovery. Likewise, I don't for one moment think my consultant put me through unnecessary tests or treatment because I was paying him, but thanks for the suggestion Hmm

stoppingbywoods · 21/11/2015 08:54

If doctors weren't driven by some unseen force to work for whoever pays most, we would have enough of them and that would be one problem solved.

ChatEnOeuf · 21/11/2015 08:54

Thank you Deo and Bacon. I'm hoping I can use my experience to help others, hence the return to NICU next month.

I agree, neonatal drug calculations are a bit tricky! We have some NICU/PICU algorithms available - but by no means for everything we prescribe. I've also had calculations sense-checked when tired, too frightening what can happen when it goes wrong.

Private healthcare is no guarantee of a good outcome. Nor is it a guarantee of no wait times (my consultant was often running late), scans when you like (my detail scan was cancelled while I was in the waiting room and they really struggled to rearrange it before 22w), well-timed follow-up (consultants go on holiday), etc. It is probably only as nice as it is now because there are relatively few people using it. A private system is at risk of being poorer for lack of cohesive thinking - there are not even any hospital guidelines here, as each doctor sets their own. It means things are missed. I am proof of that.

Dimple, if you don't like the hours you are forced to work by your company then you can leave and look for another job doing what you are qualified to do. I can't do that without leaving the country.

ChatEnOeuf · 21/11/2015 09:18

Put simply, some consultants have the motivation to spend their free time doing private work, others don't. I have no desire to do so (not that there's a huge call for private NICU consultants), I prefer to spend what weekends I don't work, with my family.

merrymouse · 21/11/2015 09:18

stopping your BIL's lawyer could decide not to be a lawyer. There is no shortage of lawyers.

(And I have to say that while I don't know much about doctors, I know even less anecdata about the working practices of my in-laws, and while I have been treated by many medical professionals over the years I know absolutely nothing about what cars they own.)