An update of my previous days reflection

Following the meeting on Monday 11th April 2016 when two members of the staff side BMA Local Negotiating Committee and one member of the JSC Union representative were present the management representative (HR) liaised with their Executive Director and colleagues regarding the discussions and implementation of new car park fees and allocation policy.

Whilst it was stated that the management were “keen that we continue to engage and work together to address the issues you have raised regarding the new arrangements” there  was also the view that management wanted to commence implementing these changes by “May 1st”. Management stated that any additional alterations that unions representatives would be “considered”. The intention would then be, by management, to start writing to all current permit holders at the beginning of May outlining the new fees and inviting re-applications for permits.

HR representatives remain available (diary-permitting) to attend “meetings” to discuss the new arrangements either before or after 1 May . If  “representatives “(sic)  would like the HR rep to attend a meeting that person needs to be forwarded the time and venue details.

In follow up to this

The Trust Management says the following

“ In 2014/2015 the Trust received an income from staff parking of £79,313, a loss of £1,120 for each of the 426 spaces allocated for staff car parking”

“ the demand for car park spaces is much higher than supply and therefore some kind of prioritising of applications has to occur. “

“accepts that car park fees are being increased significantly ……. that this reflects  the fact there has been no increase for the last five years. “

BMA Rep (me)  Question : what has been the last 5 year inflation rate ?

Continuing from management

“have tried to mitigate the impact of these increases as far as possible, specifically reducing the increase for low-paid staff and introducing a voluntary salary sacrifice scheme which will also significantly reduce the actual cost of car park fees”

“appreciate the impact the new allocation process will have for non-clinical staff but do not think its unreasonable to say that clinical staff should be treated as a priority for available permits”

“the point made ( by Agenda for Change Reps) about the rate for low-paid staff who work nights is well made and reasonable……. therefore that Band 1 -3 staff who work nights will be charged £10 per month.

“it won’t be possible to alter (each month) the fee paid by each member of staff dependent on their attendance/sickness/annual leave record.  the practicalities would make such a proposal unmanageable. “

“no decision has been made about where additional car parking space will be located once the land sale goes through”

“ Commercial Road may/or may not be an option that is (being) considered. “

“ A (Trust person  sic) will ensure we (the Trust)  liaise with staff-side reps, keep you (employees) informed and seek your views once the process for considering options commences”

“The revised paper has added a section detailing how the appeals process will work for those staff whose application for a parking permit is refused.  Urgent family/carer responsibilities( sic) can be addressed as part of this process (sic).”

“( The Trust management) welcome any further suggested amendments to the new arrangements – the process for implementing these new arrangements will commence in early May, in the meantime (an HR person will ) .. attend meetings or discuss individually/collectively …


From me (JF) as MSC elected rep to NELRCC and through this one of three elected reps on the 60 strong BMA UK-Consultants Committee 

 These are the responses from my forwarding the (see previous to this blog) information regarding implementation of new Car parking charges at my Trust through “consultation and not negotiation” to the List Server of BMA UK Consultants Committee  

Comments have been anon mostly

Blackpool has sliding scale, most expensive for consultants/senior managers being £30per month or £90 per quarter Preston charges £77 per year for a <20hr per week permit to use the consultant car park,

We  too have a sliding scale of parking charges in xxxxx, though the maximum (including consultants) is £36 per month.

The simplest solution is for consultants to stop bringing their cars to work and use hospital transport/taxis if they need to visit other sites for work purposes.

I cannot understand the logic of sliding scale of car parking charges. Does a consultant car take more space than anyone else. Why consultants should pay more than anyone else. Every trust has car parking policy like any other policies. This car parking policy has to be discussed, agreed and signed off in JLNC.

Ask your IRO whether your trust can enforce a policy with out discussion and agreement by JLNC.

They can not introduce variation to car parking charges without variation in car parking policy.

If your LNC chair does not sign it then the previous policy will hold with the already existing charges.

There is usually a  director of facilities who is responsible for asset management of the trust. This person is mostly responsible for increasing the car parking charges. If he/she has done it without altering the parking policy you can say he/ she has violated the existing policy of the trust. Then that person should be disciplined for violating an existing policy. Various tools are available to resist this car parking charge and I urge you to use these.

My trust for consultants is £495 per annum with a Salary sacrifice is £41per month. The daily charge if working part time  £2.60  eg 2days a week  until it becomes more worthwhile paying the full whack. If normally one does not use a vehicle  ie  walk, cycle  etc but have to come in on call pay prevailing rate and reclaim on travel form. (ie on call parking remains free)

We pay less than £20 pounds a month while to park in the public car park is about £12 a day. Personally I disagree with payments for parking being operated as a form of progressive taxation on income. You should get the same service for the same parking rate.

I agree with xxx that on call parking must be free. There is no compulsion to use a car. Happily travel time for on call is paid. In discussion I’ve always offered to walk. It’s a 60 minute round trip. I’ve suggested if they want to pay me to maintain my health I’m happy. In practice the critical issue for us on call is safety. Women in particular are very uncomfortable walking across the site at night. The LNC got the trust to agree to access out of hours to the closest car park. To be fair the trust concurred.

I’d personally also suggest that on-call parking should be free (how else am I going to get to the hospital in good time at 1am?) but I can see why a London hospital might hike prices for parking as an incentive to staff to find alternatives. Whether consultants should pay more on a “progressive” basis like we do on pensions is a separate question.

Consultants pay (at our Trust) the most at £65/ month (…via salary sacrifice )

It should be linked to the annual pay uplift instead of any random number

Here are the latest charges for staff @King’s Hospital London

  • Gold permits have increased to £75 a month (£900 a year);
  • Purple permits (valid at Denmark Hill but not in the main car park) will increase from £39 to £50 a month (£600 a year);
  • Blue permits (only valid at the PRUH and Orpington and are charged according to salary bands). The new monthly rates for Blue permits are as follows:
    • Bands 1 to 4 are charged at £25 a month
    • Bands 5 to 7 are charged at £40 a month
    • Band 8 and above, are charged at £50 a month
  • Green permits (valid only at evenings, weekends and Public Holidays, and can be used at all our sites) will increase from £20 to £120 a year (£10 per month). At Dartford it is £25 per month for consultants.  The trouble is trusts have complete freedom to charge whatever is ‘reasonable for the area’ but if you are about to negotiate maybe there’s more than cost to consider. Our highest tariff is £395 per year; there is an element of ‘cross-subsidization’ (social engineering) but there is also a difference in what you get – currently a reserved area, and parking is allowed in patient areas if the reserved area is full.
  • The NHS advice is only that the charging system had to be ‘reasonable for the area’ rather than ‘reasonable for the salary’. Consultants should not be obliged to pay the highest tariff . This would appear to be straightforward income generation.  The simplest solution is for consultants to stop bringing their cars to work and use hospital transport/taxis if they need to visit other sites for work purposes.
  • We too have a sliding scale of parking charges in Wigan, though the maximum (including consultants) is £36 per month.

NB Current Consultants Contract 

26. Garage expenses, tolls and ferries
Subject to the production of vouchers wherever possible, consultants using their
private motor vehicles on an official journey at the standard, regular user or
special rate of mileage allowance shall be refunded reasonable garage and
parking expenses

This would indicate (though I am no lawyer) that on call parking should be either free or reimbursed.


BMA on line pic n mix  as supplied by BMA comnunication

  • An open letter by 1,000 junior doctors has criticised NHS chiefs for “alienating a generation of junior doctors” as they accuse them of holding inappropriate hour long Q and A’s on Twitter and Facebook as the Mirror reports that the letter also labels the government as a “circus act” over their handling of the seven-day NHS proposals.
  • A new report published by the BMA, In Good Hands, calls on the NHS to ensure the right of workers making medical gloves in Asia as Supply Management notes that the BMA’s Medical Fair and Ethical Trade Group and the European Working Group on Ethical Public Procurement are aiming to build a collaboration of purchasing organisations to ensure against such abuses in the NHS supply chain. New research by Cardiff University covered by the Mirror and the Newday revealed that more than eight in 10 doctors England have experienced symptoms of mental illness with only 40 per cent being honest about them as Dr Richard Vautrey, commented: “Many GPs will tell you they are working under the worst conditions in living memory. Pressures from more demand for services from an ageing population have combined with critical recruitment shortages and cuts in funding year on year for over a decade.” Additionally, Dr Mark Porter, said: “Unmanageable workloads coupled with a target obsessed culture is contributing to ill health among healthcare staff. This is about more than a demoralised workforce; staff health and well-being is being compromised by a failure of politicians and managers to address the serious problems facing the NHS.” Writing in an article for the Guardian, BMA deputy chair Dr Kailash Chand calls in to question how Sir Bruce Keogh and the government has targeted junior doctors in the ongoing contract dispute as he notes that “Keogh is part of the problem, not the solution to the junior doctors’ dispute”. He writes: “The dispute is about producing a safe and fair contract for all junior doctors no matter their specialty or what stage of their career they are at. If this dispute continues many more doctors will leave the country to work abroad as they feel disillusioned and unhappy with how they have been treated by this government.” Dame Sally Davies has called on junior doctors to step back from industrial action as she said: “As a doctor, I can understand the anger and frustration felt by many junior doctors. But the withdrawal of emergency cover will inevitably lead to patients suffering, and sadly has the potential to bring far more serious consequences.” Responding to the claims, the Mail and large number of regional publications report that a BMA spokesperson said
  • Sir Bruce Keogh is part of the problem not the solution Guardian, Tuesday 12 April
  • Symptoms of mental illness in 8 out of 10 doctors in England Daily Mirror, Wednesday 13 April        
  • Junior doctors should consider responsibilities ITV Online, Tuesday 12 April
  • Open letter from junior doctors Daily Mirror, Tuesday 12 April
  • Junior doctors begin protest outside department of health Independent, Wednesday 13 April
  • Dame Sally pleads with staff don’t walk out Daily Mail, Tuesday 12 April
  • Medical chief urges junior doctors to reconsider Daily Mail, Tuesday 12 April
  • Abuse highlighted by BMA in Latex glove supply chain Supply Management, Monday 4 April
  • Open letter from junior doctors Daily Mirror, Wednesday 13 April