I attended as representative of NMUH MSC, MSC rep of North East London Regional Consultants Committee and member of UK-CC
In the Chair was Dr Trevor Pickersgill (Wales) and Deputy Chair Dr Stephen Austin (NI)
This was a long day. to view
But the report from Dr Keith Brent is an important speech to view see At
The report by Rob Harwood was particularly helpful in telling us that no final offer has come from the Government on the Consultants Contract. This is no available on the webcast as far as I can see but is the information given out at the current roadshows. The motions passed by conference are attached and were accepted at the next days Consultants Committee are shown below
MOTIONS PASSED BY THE BMA CONSULTANTS CONFERENCE 2ND March 2016
That this conference has no confidence in Simon Stevens as Chief Executive of NHS England, in Sir Bruce Keogh as Medical Director of NHS England and in Jeremy Hunt as Secretary of State for Health.
That this conference commends Welsh Government for ensuring that the approach taken with NHS staff in Wales is:
(i) always one of discussion, of negotiation and of agreement;
(ii) based on a partnership approach;
(iii) aimed at solving the issues we face by finding common ground.
That this conference observes and welcomes the imminent introduction of the new Mental Capacity Act in NI, but asks the DHSSPS to ensure that there is a robust and comprehensive programme of education and training to ensure doctors are aware of the significant changes in the presumption of capacity.
That this conference strongly advises that the NI Government ensure that legislation around termination of pregnancy in Northern Ireland is simplified such that doctors are able to follow it without worry of criminal prosecution.
That this conference opposes the expansion of direct patient charges for NHS consultations. We call on the BMA to state this clearly in policy for the following reasons:
(i) It is unlikely to generate revenue, as evidence shows the costs to administer this exceed the financial gains;
(ii) It is morally reprehensible to expect shortfalls in funding to be made up by the sickest members of our society;
(iii) There is no evidence that it will be safe, as it may deter patients who need medical help from consulting their doctor;
(iv) It is against the principles of the NHS and will undermine the fundamental core values.
That this conference notes the Minister’s plans to abolish the Health & Social Care Board but retain the Public Health Agency. We support the retention of the Public Health Agency but strongly recommend its focus should be on health promotion and reduction of health inequalities. That this conference notes the Minister’s plans to abolish the Health & Social Care Board but retain the Public Health Agency. We support the retention of the Public Health Agency but strongly recommend its focus should be on health promotion and reduction of health inequalities.
That this conference notes with dismay that NI is the only part of the UK which is not covered by a helicopter emergency medical service (HEMS) as part of a trauma network and calls on the BMA to lobby the DHSSPS immediately to set up a government funded and doctor led HEMS for the people of NI.
COMMISSIONING & HEALTHCARE DELIVERY
That this conference:
(i) notes the dramatic collapse after only 8 months of the 5-year £800 million flagship NHS contract in Cambridgeshire to provide services for older people;
(ii) notes that this is the most recent in a long line of failed outsourcing contracts promoted by the NHS Strategic Projects Team;
(iii) deplores the draining of millions of pounds from NHS funds from wasteful bidding processes for such contracts;
(iv) calls on the government to:
(a) show contrition and stop pushing these discredited outsourcing models;
(b) hold someone to account for this fiasco.
That this conference condemns the process of devolution of health and social care in Greater Manchester which appears to lack the necessary local engagement and consultation with clinicians and other relevant stakeholders. We insist that the BMA should press the government and Manchester City Council for an independent panel to be set up to provide a transparent review of this process. Significant amounts of taxpayers’ money are involved and the process has implications for devolution of healthcare in the rest of England.
That this conference insists that the Government tackles the bed crisis with more hospital beds and proper funding for care in the community.
That this conference deplores the recent inflammatory and inaccurate remarks ,made by Simon Stevens about the recent judicial review in Manchester, as published in the Manchester Evening News newspaper on 7th January 2016: “Today’s result rejects the spurious claim that better emergency care for patients in Greater Manchester, Derbyshire and Cheshire should have been sacrificed to advance one hospital’s mistakenly conceived institutional self-interest”. That claim was not made and the judicial review was not carried out with institutional self interest in mind, but was concerned for patient safety and outcomes. The BMA should ask Simon Stevens to publicly retract this statement.
That this conference acknowledges that whilst physician associates can perform a valuable role as part of a wider health care team, they are not a substitute for doctors who undertake years of medical training that enables them to provide complex, highly skilled care to their patients.
That this conference
(i) rebuts the suggestion that the feminisation of the medical work force is the cause of medical staffing shortages and pressure on Emergency Departments;
(ii) calls on the Department of Health to ensure a satisfactory work-life balance for all doctors, which will mean attractive terms and conditions of service to aid recruitment and retention.
That this conference would like to congratulate the Secretary of State for Health Jeremy Hunt in improving medical recruitment for Junior Doctors, even though this is largely outside England and as far afield as Australasia.
That this conference demands that the government in England apologises to the population for the below inflation rises in NHS expenditure, which are the lowest since the NHS was set up.
H1079 In the interests of professional regulation, the BMA calls on the Government to amend s. 227 of the Health and Social Care Act 2012 to ensure that the Privy Council and the GMC (the relevant ‘regulatory body’) make arrangements for a ballot of registered doctors to appoint a majority of licensed medical practitioners to the GMC.
That this conference welcomes the Scottish Government’s sensible definition of Seven Day Services concentrating on Urgent and Emergency Care. We call for the Government to:
(i) Stop blaming doctors for its failure to deliver coherent plans for the NHS;
(ii) Define what it means by “Seven Day Services”;
(iii) Adopt a sensible affordable sustainable approach to Seven Day Services which focuses on urgent and emergency care rather than un-called for 7 day elective working.
That this conference:
(i) believes that no progress is achievable in the absence of a clear definition and clear understanding – by both clinicians and the general public – of a “Seven Day NHS Service”;
(ii) notes that there is ample evidence that hospital care at weekends can be excellent within the current terms and conditions of service of hospital doctors: examples publicised in the media include Queen Elizabeth Hospital in Birmingham and Salford Royal Hospital;
(iii) believes that the proposed contract changes are intended to reduce medical staff’s pay and not to improve patient care;
(iv) calls on all Chief Executives and Medical Directors to ensure safe staffing levels at nights and weekends within the current terms and conditions of service;
(v) ask the BMA to insist that a workable definition of Seven Day Services is provided by this government.
With regard to the recent consultant contract negotiations, this meeting notes that NHS employers and the Government have failed to meet their own time lines and have failed to make a contract offer in a timely fashion. Under these circumstances, this meeting demands that:
Any future negotiations should include consultants’ demands rather than solely those of the Government.
H1071 With regard to consultants’ contracts, terms and conditions of service, this meeting:
(i) Rejects any suggestion that working beyond 19.00 should be considered “plain time”;
(ii) Rejects any suggestion that new working practices should be introduced within a “cost envelope” based on 2003 salaries;
(iv) Demands that any negotiations about consultant contracts should be subject to redressing our significant fall in basic salary and pensions provision independently of any negotiations around extended hours.
That this conference rejects the DDRB as partisan and unfit for purpose
JUNIOR DOCTORS DISPUTE
That this conference supports the junior doctors’ principled stance in their dispute over their NHS contract negotiations.
That this conference insists that trust management must fully involve senior medical and dental staff in contingency planning for industrial action.
That this conference:
(i) recognises the personal price that NHS staff have paid as part of the government’s austerity package since the global financial crisis in 2008;
(ii) supports the principle that there will need to be a period of “catch-up” pay growth following the end of the current period of pay restraint, to reward staff to their true value;
(iii) is committed to ensuring that this “catch up” growth restores NHS staff pay to the historical long term average growth trend of 2% above inflation.
That this conference recognises that changes to the UK pension taxation regime are being used as a tool by the UK government to reduce the net public sector pay bill and that these changes disproportionately affect consultants, who may leave the NHS prematurely. We call on the BMA to:
(i) support those members who have paid large amounts of money in Annual Allowance tax charges after the award of CEAs only to have the future theoretical pension benefit on which they have paid that tax withdrawn;
(ii) campaign to have such final salary pension benefits protected if CEAs are withdrawn;
(iii) campaign for the option for NHS staff who leave the NHS Pension Scheme or retire prior to their normal pension age but who remain working in the NHS to have a right to take additional salary payment equal to and in lieu of the Employer’s contribution.
That this conference is disappointed that new CEAs have not been paid to consultants in NI since 2009 and would welcome a contractual performance related pay system in NI.
That this conference deplores the disincentives for consultants to continue working up to and beyond retirement age and asks that the BMA investigates how this might be redressed. Retaining this group of consultants is essential to supporting the entire edifice of the junior and consultant workforce, both for training and service provision. Offering an on-call opt out for the last 10 years of working life, increasing opportunities to work part time and systematic handover of responsibilities should be considered. A specific representation of part time consultants (for whatever reason) should be pursued
BMA STRUCTURE AND FUNCTION
That this conference believes that there has been a reasonable interval since the abolition of specialist subcommittees of the BMA Consultants Committee, and that there is a growing concern this decision was not in the best interests of the consultant body. We therefore ask the BMA to carry out a review of the effectiveness of this decision.
That this conference believes that LNCs perform a vital role in the Association’s Trade Union activity, both by representing members’ interests locally and acting as a first point of contact for many members. As such it calls on the BMA to strengthen LNCs by:
(i) Further developing the BMA Communities LNC page to allow more sharing of good practice, documents and experience;
(ii) Increasing the honorarium available for secretarial support to increase the likelihood of getting admin support locally;
(iii) Allotting resources to LNC