@Heather37231 @FarmGirl78
NHS consultants have contracts and job plans, divided into 'sessions', with each session being around half a day / 4 hours. Our basic pay is calculated based on how many sessions we're contracted for.
However, this doesn't take into account several other factors...
If I'm in the middle of treating someone, I'm not going to just down tools and walk out at 5pm. Emergency operations, interventions, assessments, etc can't just be postponed for clinicians' convenience. And it's often not possible to safely hand over to someone else - if there even is someone else that could take over.
If I've spent all day seeing patients and managing emergencies, I still need to get the necessary information to do my job effectively the next day. Whether I do that preparation the night before or get up early and do it in the morning, it's still needing to be done before my working day starts.
Another issue for OP's husband will be that he's not yet in a substantive post - he's a locum consultant. That means he doesn't have much job security and will rely on having a competitive CV and references if he wants to get a permanent post in the future. If he clocks in and out as per the minimum terms of his contract, that won't happen. There'll be patient complaints, colleagues won't feel he's a team player, he'll miss out on being able to do the additional work that's really crucial for career progression. If he wants to stay as a locum in less desirable vacancies, he could probably get away with doing the bare minimum. But if he wants better opportunities and potentially a substantive post in an area suitable for his family, then he needs to put in a lot of time and effort now.
Management structures are often not particularly supportive of reality-based job plans, requests for resources, etc. I'd say about 90% of consultants I know (including CDs) work way more hours than are in our job plans.
(Oh, if anyone's thinking "well, she can't be working that hard if she's on here now", I'm on leave today and thoroughly enjoying it).