We need pragmatism – on both sides to solve the Junior Doctors dispute.

The media are reporting factually and correctly about the Doctors strike, but superficially. The Independent now reports 1st April 2016: Junior doctors outraged over new contract that ‘discriminates against single w omen’ and The Guardian Female doctors may be forced to quit over new contract, experts say, and the Mail reports NHS contracts to see female doctors face increased childcare costs and pay gaps. What the media omit to mention is the inherent gender bias in the recruitment of doctors, which could be corrected by graduate entry to medical school. The elephant in the room is rationing, and this is the word that dare not be mentioned. If graduate entry became the norm, gender bias would disappear. We need pragmatism – on both sides to solve the Junior Doctors dispute, and that means acknowledging that what government proposes is reasonable, logical, and given the state of the health services, acceptable. It may not be desirable longer term, and once the gender bias is corrected it may be acceptable. While there are 80% of doctors as ladies, pragmatic compromise is needed.

Gender bias. The one sex change on the NHS that nobody has been talking about

NHS truths that dare not speak their name – The name is rationing.. Without it the health services are not safe in any hands..

“Militant” Junior doctors ( what the ones who haven’t been involved in industrial action for more than 40 years prior to this episode)

Liberal beliefs need to be modified pragmatically to create a sustainable health service – especially in Wales

Childcare risk as doctors put their family time first

What am I afraid of? More and more… Bringing back fear..

Do as I do? NHS agency splashes out on private healthcare for staff

This is just the start of civil unrest. The patients will cause a lot more problems than the doctors. Strike won’t cure sick NHS

Charlie Cooper in The Independent report says:

Doctors have reacted furiously after the Government’s own impact assessment of the new junior doctor contract said any “adverse effect” impact on women’s pay was a “proportionate” means to an end.

The Department of Health’s Equality Impact Assessment of the controversial new contract, which was published in full this week, found that aspects of the new contract would “impact disproportionately on women”, with particular disadvantages for single mothers.

However it concluded that on balance the contract was not discriminatory and the adverse effects could be “comfortably justified”. Doctors claimed it would enshrine a “gender pay gap” in the medical profession…..

.‘Why having so many women doctors is hurting the NHS … and BBC NEWS | Health | Female medics ‘to outnumber male’

Overseas trained doctors account for a large proportion, and rebalances towards men. The workforce provided from Medical Schools now:

                 20% male                                 80 % female

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.

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