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Supporting nhs consultant doctors industrial action

453 replies

Lapland123 · 31/01/2023 13:54

I hope this has public support. Consultants have seen the largest pay erosion in public services- now 35 % pay erosion since 2010.

Add the pension debacle, where we are asked for real money now for a theoretical glitch in how pensions are calculated. The ‘real money ‘ bill now can be 6+ months of your take home pay annually. Yes, really.

Vacancies exist in multiple specialties and the day to day job is more and more difficult in the context of vacancies throughout the nhs

I hope we have support for industrial action due to this government’s disgraceful erosion of our pay though we are working harder than ever

OP posts:
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C8H10N4O2 · 05/02/2023 10:28

Lapland123 · 04/02/2023 17:11

Hardly anyone is aware of how poorly OOH is paid. I’d do far better off financially babysitting like when I was a teenager for just one evening a month than being a consultant of 20 years experience on call on my current rota (1:12).
So glad we are finally looking at industrial action. I don’t know what it’s taken so long to come to this.

I don't get paid at all for OOH/extra hours whether emergency or planned. That is normal in most jobs once you reach upper end of the profession with the higher salary and benefits.

Doctors shouldn't have to work FTH if they don't want to. However if you choose to work less hours for family reasons then like everyone else you make a choice. In practice the part time GPs and Consultants I know do a day or two in private clinics rather than because they are overwhelmed by their NHS days.

You didn't answer my question about your previous thread - where you hadn't realised just how good the total benefits package in the NHS could be compared to the private sector with the higher base salary.

C8H10N4O2 · 05/02/2023 10:39

EffortlessDesmond · 04/02/2023 20:06

Referring you all back upthread to Prof Pat Price. One of the main issues is the stranglehold of bureaucracy and bureaucratic empire building that blocks the NHS from making use of IT advances. There are so many more streamlined and cheaper ways to take effort and admin out of the systems that are just ignored. And it is ridiculous that qualified GPs should routinely work only 2 days a week. I understand a 4 day week for a very demanding job, but less than half time?

Do you mean this article?:

www.telegraph.co.uk/news/2023/02/04/professor-pat-price-nhs-cant-run-full-capacity-bureaucracy/

Unfortunately its behind a paywall but I recognise the problems from the first couple of paragraphs. The business model for the NHS was designed in the 50s and then bastardised to protect the interests of consultants and gp partners of the era.

Every little fiefdom works differently. I can think of no other sector where I've met the top layers of management who boast about having no other experience outside that one small fiefdom and are so resistant to any modernisation of business and technology processes. Its 2023 and paper records are still in use in many fiefdoms and the quality of data in digital records is often shocking.

Gerry Robinson did a series of documentaries on the business processes and commercial management of NHS 15 years ago and how to make the business operations better both for patients and for the staff trying to deliver services. He wasn't the first to do this kind of review and Pat Price won't be the last. Its hard to see it ever changing when the "sacred caste" status holds it back.

EffortlessDesmond · 05/02/2023 16:06

That was the article I wanted to link, but as it's behind the paywall.... It is a really important part of understanding why the NHS doesn't work.

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