Doctors without borders.. Some junior doctors consider a strike, while others pack their bags. Almost 3,500 NHS doctors have started the process of moving abroad …

The irony of a government that believes in market forces is that it is subject to distress caused by successive governments training too few doctors at graduate level. An indictment of the short termism inherent in our first past the post political system.  Deliberate rationing by undercapacity.. Update 27th September Denis Campbell in the Guardian 26th September: “Thousands of NHS doctors apply to be able to work abroad amid contract changes”.

The Economist on September 26th 2015 reports: Health care and emigration Doctors without borders Some junior doctors consider a strike, while others pack their bags

JUNIOR doctors in England are threatening to strike, in response to a new contract the government is trying to impose from August 2016. It is easy to see why. At the moment, any doctor working from 7pm to 7am on weekdays, or any time at the weekend, is considered to keep “antisocial” hours. They are rewarded with a higher rate of pay. Under the proposals, “social” hours are being extended, to include any time before 10pm, Monday to Saturday.

The change would wallop junior doctors, for whom pay outside their basic hours makes up one-third of their overall packet. NHS Employers, an industry body, has not provided many data, and the changes will affect doctors differently, but some could see a 20-40% pay cut. This would reinforce a secular decline in “real”, or inflation-adjusted, pay (see chart).

Like workers in any public service, doctors always say that morale has never been lower. But this time many are threatening to vote with their feet and practise overseas. Normally the General Medical Council, which regulates the profession, gets 20-25 requests a day for certificates of professional status, which make it easier to work abroad. From September 16th-18th it received a staggering 1,644 requests.

A small number of doctors went on a 24-hour strike in 2012. Many were in senior positions and continued to perform essential tasks. A study by Imperial College London found that the strike led to no increase in in-hospital deaths on the day. But it is trickier for junior doctors to pick and choose, since they are more likely to be dealing with emergency situations. One junior doctor says going on strike was previously “unthinkable”. No longer.

This entry was posted in A Personal View, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

1 thought on “Doctors without borders.. Some junior doctors consider a strike, while others pack their bags. Almost 3,500 NHS doctors have started the process of moving abroad …

  1. Pingback: Perverse behaviours – and perverse incentives. This is partly what drives doctors away… | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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