BMA News as supplied by BMA comms

The Independent reports that senior officials at one of the NHS’ leading hospitals believe Jeremy Hunt should reverse his decision to impose the junior doctors. A leaked email between the medical director of Addenbrookes Hospital, along with two senior colleagues read: “We, as others including the presidents of the medical royal colleges, would prefer that the decision by the Secretary of State to impose the contract were lifted and that there was a negotiated solution to the current impasse.” It continued: “We share the concerns of many, including members of the LNC [Local Negotiating Committee of the BMA] about the possible adverse impacts of the new contract on patient care (safety), training of junior doctors and work-life balance of junior doctors.”

Writing in the Observer, the Medical Director of NHS England, Sir Bruce Keogh, warns that junior doctors will risk damaging the trust between the medical profession and the public if they go ahead with their first ever all-out strike. Responding to the article, and featured in a number of publications including the Telegraph, BMA junior doctor committee chair, Dr Johann Malawana, said: “It is disappointing that Bruce Keogh is attacking front-line doctors rather than echoing calls, from patients’ groups to senior NHS managers, for the government to get back around the table and end this dispute through talks.”

Responding to comments reported in the Guardian from the Chair of the General Medical Council, Prof Terence Stephenson, about the junior doctor strike, BMA junior doctor committee chair, Dr Johann Malawana said: “Patients – the people we care for day in, day out – remain our first priority. We are sorry for the disruption this action may cause them, but by continuing to ignore junior doctors’ outstanding concerns, the government has left them with no option but to take short-term action to prevent the long-term impact on the NHS and the care it delivers.”

In other news, an opinion piece commenting on the junior doctor industrial action in the Independent suggests that it is important to remember the long term impact on the NHS as it notes that: “In the long term, however, the public is more likely to mistrust the competence of a government that allowed the NHS to descend into chaos, an organisation beset by overworked, demoralised staff and threatened with brain drain.”

BMA online

 Senior NHS officials say Hunt should not impose contract  Independent, Saturday 09 April 2016,

 Strike will be ‘reckless’ warns Keogh The Observer, Saturday 09 April 2016,

 Keogh warns that fill walk-out will damage patient trust  Guardian, Saturday 09 April 2016,  

 Junior doctors angered by NHS chief claims Sunday Mirror, Sunday 10 April 2016,

 Full walk-out may damage trust BBC News online, Sunday 10 April 2016,

 Strike becoming harder to justify Guardian, Sunday 10 April 2016

 Keogh warns doctors not to proceed with strikes  Daily Mail, Sunday 10 April 2016, ( 

 Remember who is really destroying your NHS   Independent, Sunday 10 April 2016,



A meeting took place between HR and two members of Local Negotiating Committee (including my self) and a member of the AfC staff and representatives of Management regarding the implementation of new Car parking Charges at the Trust. I am not in a position to discuss the charges for Agenda for Change but will keep to implementation of Car Parking Charges for Doctors of all grade.

Discussion points include that actual charges intended to be implemented within a very short time. I have previously blogged this but here goes again

Monthly charges

  • FY1 & FY2                                             £40
  • Trust Dr SHO Level                           £60
  • Trust Grade Dr SpR level               £80
  • Consultant/Associate Specialist  £100

Those Doctors who already have a permit will get a new permit at the new rate if the wish. It was pointed out that Doctors do not work 52 weeks a year. Using a bit of maths if we are lucky to get a space each time at work that is paying £1200 per  year for 44 weeks attendance and having to earn about £2400 to pay for it. I did point out that I have had “a number” of very disgruntled/irritated/upset/astonished Consultant colleagues responding to the imposition of such charges. I also pointed out the total staff car parking charges was the equivalent of 5 consultants salaries (or the equivalent numbers in other groups of staff) who might not be attracted to work at  the Trust and indeed  it is public knowledge that Trust turnover rate for Medical Staff is 20% and for Nursing Staff 18.22% so retention of medical staff may be affected by the “hike”. Management welcomed constructive comments from the Agenda for Change staff but emphatically stated that the implementation of new charges are not for negotiation. The new charges were approved by the Trust Board and there was a need for a implementation date to send out letters to all NMUH ticket holder. The LNC representative invited the HR rep to come to the next MSC Meeting (April 25th) and said there should be a Joint LNC meeting to discuss this issue.

It was recognised that the majority of Trust staff use public transport and demand for car parking outstrips supply. This will get worse with the loss of 4 acres of hospital land. One of the LNC reps pointed out that for some  medical staff a car was vital for on call and urgent work. Yet these would see a significant increase in cost. The other LNC rep said that if you look at Consultants salaries since 2003 they have dropped significantly and this would for some be the equivalent of another pay cut. The LNC rep pointed out that women at night were particularly vulnerable in this area and those Consultants with school age children would also be significantly affected. Chase Farm Hospital currently charges £20 per month. It was stated by both LNC rep that the sale of land will result in almost 150 parking places lost. The LNC representatives said there has been lack of consultation with the sLNC committee. The HR management stated that whilst it was implementation of the new fees was unavoidable constructive suggestions would be looked at but this was not “negotiations”. One of the  LNC Reps pointed out the Trust Executives are ignoring that many clinicians and nurses are required to have access to a car as an essential part of their work ( on call or home visits).

The LNC rep who is on the BMA Consultants Committee (60 consultant representatives from around the UK) has discussed the “hike” on UK-CC Listerver and the Representative would anonomise the responses and make them available before the joint LNC meeting which it was agreed could be an extraordinary meeting according to the ToR just on this issue or tagged onto the next Staff side LNC.

The LNC representatives discussed after the meeting some obvious things if you are a consultant on call on a train,  you cannot suddenly turn around and go back to the hospital and you cannot discuss in a train carriage confidential information. Cars are already expensive things to run (including my Citroen C1). If consultants use public transport do they come in by taxi in an urgent situation and thus charge the hospital and the return trip home ?  If there is delay  is there a patient safety issue ?

These are not minutes of the meeting but I hope it gives a view of the proceeding.

Please send any comments to the usual e-mail