Junior doctors working in the NHS are among the best in the world. They are the leaders of tomorrow and with over 50,000 across the country, the backbone of medical care in our hospitals.
The debate around proposed reforms to their contracts has highlighted their passion and dedication. That's why this week's firm contract offer from the Government and NHS Employers is important.
The Government has been clear that our proposed reforms are about delivering a fairer, safer deal for doctors and patients. This proposal builds on the cast-iron guarantees that the Government has already set out on better basic pay, a shorter working week and improving patient safety.
In order to deliver safe patient care around the clock, seven days a week to patients, we need a culture of safe working hours for NHS staff. The current junior doctors' contract incentivises long hours by rewarding those that work above and beyond the legal limit. Our proposal will change that.
Contrary to suggestions of a return to the long hours of the past, our proposals will reduce hours. The new contract will be based on no junior being required to work more than an average of 48 hours per week, with tougher limits on unsafe hours - including a new maximum working week of 72 hours, down from 91. Employers will be banned from scheduling any shifts over 13 hours too. This will all help to reduce burnout and improve patient safety, so junior doctors can deliver the very best care.
We are proposing an end to the 'week of nights' experienced by many junior doctors, with a new limit of four night shifts in a row and are introducing a new limit of five consecutive long days.
No junior doctor will receive a pay cut compared to their current contract either. Around three quarters of junior doctors moving to the new contract will see an increase in pay, with the remainder getting pay protection. There are a very small minority - around one per cent of junior doctors - who are forced to work excessive hours under the current contract and who will be better protected under the new contract against breaching hours limits. Junior doctors will get better basic pay based on progression through training instead of time served, a shorter working week and improved patient safety.
As the British Medical Association (the union for junior doctors) has now begun balloting its members for strike action, it's important to be clear about how we're making pay fairer.
We will remove the current situation where two doctors working very different hours can be paid the same. We will remove the complex banding payments system and replace it by paying doctors for hours worked. As opposed to misleading statements by the BMA, there will be around an 11% increase to junior doctors' basic pay - with proportionately higher pay for unsocial hours.
To support this offer, junior doctors can now log on to a pay calculator where they can work out projected pay. This can be found at here.
Everyone working in the NHS wants to give patients the same high quality care every day of the week and we know that junior doctors already work at weekends, providing good, safe care to patients.
But the current pay structures result in some hospitals rostering three times more senior cover during the week compared to the weekend. Junior doctors that do work weekends already often don't have the right level of support to deliver the safest care we all want.
Over the next few weeks, junior doctors will be invited to briefing sessions with Medical Directors and HR Directors at their NHS Trusts over the next few weeks to elaborate on the offer I have laid out here.
We're completely committed to the values of the NHS - the same values that encourage aspiring doctors to take up a career in medicine. That is why we have stated that a new contract will be in place from August 2016. The Government is very clear that it will not remove this timetable for putting in place a new contract. I hope this firm offer will allow junior doctors to make decision based on fact. Once again, we invite the BMA to come back to the table and negotiate on the detail of this offer to secure a deal that rewards doctors fairly and has safe care at its heart.
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Guest post: The government on junior doctors - "We're committed to the values of the NHS"
MumsnetGuestPosts · 06/11/2015 18:15
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Picture this:
Junior doctor mum-of-two is a registrar in a fairly antisocial specialty (e.g. acute medicine, surgery, paediatrics, obstetrics..)
'D'H's ego can't cope with having to do his fair share of housework/childcare and decides to play away with OW.
Junior doctor consults MN Relationships 
, and eventually decides to tell H to FOTTFSOFATFOSM.
Junior doctor realises her current shifts and training rotation will not be feasible as a single parent; starts retraining in a less antisocial specialty and goes part time (still on duty 33 hrs/week).
This is currently affordable, as basic pay in the new specialty includes any increments earned within the old specialty. This will remain affordable under the new contract for this particular doctor, due to the "pay protection" bribe.
Under the new junior contract, someone newly in this position would go back to the ST1 (year 3) level on the payscale - even if they have 8-10 years experience, and even if lots of that knowledge/experience is transferable to the new role.
It could as easily be, for example, a senior surgical registrar who suffers a serious hand injury, can no longer operate, and wishes to retrain in radiology.
These people will probably be lost from the workforce under the new contract, and this will be tragic for the NHS and general public given that we are already on the low side for doctor numbers compared with other developed nations.
It's not just unfair, it's short-sighted, it's madness.
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