Latest news

BMA considered dragging out doctors’ dispute, emails show

Interestingly heard about this today at the BMA International Committee as Mark Porter came into the room at around 1pm.  The room wondered how this could have happened. I remarked the word “GCHQ” from which there where one or two half nods. Sadly it will take more than 30 years to find the truth.


For the following meetings that I attended it should be noted I did not ask for transport cost reimbursement though I could ! All at BMA House .



25TH May 2016 North London Local Negotiating Committees Fora  3 – 5 pm

NMUH LNC sends 1 or 2 representatives to this meeting to hear what is happening from Ealing in the West to Barts in the East. In the absence of my Co-Chair I chaired the meeting which I did my best to keep to time but it went overtime by 10 minutes. It was very well attended by around 15 people. Noticeable absence of relevance were reps from RFH though I have passed this on the RFH JDr rep on London Regional Committee Executive.

Also 25TH May 2016 North East Regional Consultant Committee 5  – 7 pm

I attend this as current elected representative of the NMUH MSC

Our MSC Chair should note that an annual election must take place in advance of the September NELRCC meeting. NMH is allowed one elected member from NMUH MSC and a member nominated from NMUH sLNC. As there was a degree of duplication and merging in both meeting my report is an amalgam of the two

Report by JF

The usual welcome and apologies took place. The LNC Fora as already stated had approaching 20 representatives. BMA IRO’s from NW & NE were present at the for a and then split for the two RCC meeting. The minutes of the last meetings for Fora and RCC were accepted. The BMA IRO (industrial relations officer reports were given at the first meeting and summarised in the second.  As would be expected there was a discussion regarding the Junior Doctors Contract. From the 6th – 13th June members of the Junior Doctors Committee will be going from Trust to Trust for major roadshows. It was stated by the IRO that Trusts should be suspending plans of contract implementation apart from the appointment of the position of “The Guardian” The appointment panel for each trust is expected to have two Junior Doctors “nominated by the LNC”

The fora meeting gave examples of the number of PAs attached to the Guardian position. This varied from 1 – 2 PAs though in the case of Barts they are in the process of appointing 4 Guardians

It was noted that the ”Guardians of Junior Doctors” are expected to be employed reasonably soon as there is a Guardian Conference on July 26th. There was a general discussion as whether LNC membership excludes applying for the position. It was the view that there was no conflict of interest. The unanimous view was this would be an advantage. Recognising the Job Specification as given out by NHS Employers states that medics and non medics can apply the fora’s view was that Doctors with the relevant experience should be encouraged to apply. The Guardian appointments are expected to be for a three year period. They are protectors and looking after the interests of JDr. There is now a requirement for a quarterly report to the Executive Board. There was concern fom the Fora that there is a lack of secretarial support.

There was discussion and the state of play of the Consultants’ Contract discussions. On the Fora there were Barts , Homerton, NMUH, CNW x2 and Chelsea &Westminster  representatives present on the BMA UK Consultants Committee. So a round view of the current position was discussed. The draft proposal has not been submitted for consideration by UK-CC. Concern were stated that the new variation on contract would be OK for those consultants not having to come in to hospital whilst those with high intensity might not benefit. There was concern that ITU, Acute Medicine and ED department Consultants would do worse. However negotiations are still happening and until we see the writing on the wall who knows. What would be plain time for Saturdays was an issue. Some present felt the protracted discussions that were supposed to have climaxed in December are “becoming out of date”. There was a view that should new “heads of agreement” take place. It was noted that any “referendum of opinion” of the consultants would not be a ballot and it would be potentially the UK-CC to accept or reject the contract offered. In the Fora meeting there was a local round up  by LNC Reps It was noted that those joint Local Negotiating Committees that had constitution there was some variance from the BMA handbook example.


The following is a combined view of Fora RCC Representative and IRO views stated.

A new LNC Chair who is an SAS Doctor has been appointed at Barking Redbridge etc Trust. That Trust is still in special measures. They have a relatively new Medical Director (sorry name not noted). There were a number of views regarding this Trust which is more for the ears of our LNC.

North East London Foundation Trust has a new Chair and Deputy Chair of the LNC

Moorfields Trust had an interesting conundrum, amongst other issues is the LNC Chair not being a BMA member (though it has to be said the sLNC just has to have a majority BNA members) . My personal opinion is if he/she is not BMA they will not have TU recognition or protection. There were several Trusts were the joint LNC constitutions / ToR had not been agreed.

Local CEA awards – there was a great variation on awards taking place for the previous year or previous year +1

Some Hospitals amalgamated into a larger Trust felt that there were inequalities with  potential awards  not ring fenced against the largest trust.

Some Trust had poor guidance on local CEA awards

Job Planning – various trusts had issue over the computer system for job planning.

There was a general agreement that any system that used “Additional to Contract” should be brought to the attention of the sLNC.

Local contract – several Trust use short length ( 6 month) contracts for SAS Doctors

Changes in management

One Trust indicated changes in management with an interim MD and loss other Chief Executive and Director of HR. That Trust rep said their LNC was busy and functioned well though some SAS issues.

Another Trust in the NW had amalgamated hospitals and now just one Joint Staff Committee and on sLNC.

Problems with Pathology

Homerton has had the problem of spending in the region of 50% of £10 million for a Pathology building which is according to the rep a hole in the ground and the company has gone bust with los of £5 million.

Time for LNC

There was a general discussion of the time given for LNC Chairs and Deputy Chairs and how this paid for.

The Fora/RCC recognised that the most important document was the Trade Union Recognition of the Trust.

Not withstanding this there was a discussion of whether these commitment come from departmental budgets or those of the Medical Director.

Job Planning

In comparison to other Trust is the area our Job Planning Guidance , which has been negotiated over the years, is in a better place than other Trusts.

It is unfortunate that in on Trust that TUP’s over the employees the new company did not recognise BMA as a Union (only 2 Doctors but that is not the point)

Apparently there is some National Guidance coming out on the 24th June.

Grievance over pay deduction

Another Trust is in grievance over pay deduction in pay

Suspension of Study Leave remuneration

This one caused a lot of discussion. Without naming this “high flying” trust in the west of London the debate went around revalidation, GMC involvement, lack of consultation with LNC, evidence of where Training and Education money goes.

Sick leave policy

As with many policies as an example Sick Leave Policy that applies to all staff it was discussed that all LNC should have a regular attendance at the Joint Staff Committees were policies may be introduced without significant negotiations.

Lord Coles of Carter Report

There was a discussion of the implications and interpretation of this report.

Included in the discussion was

What the report said

What was expected of Trusts

How the process took place

The fora and RCC were given some background information based on freely available information on the internet with regard to efficiency expectations and efficacy outcomes based on evidence.


Succession planning (ie

For anyone at NMUH interested in greater involvement in the following:-

NMUH Local Negotiating Committee (Rep, Secretary and future other)

As NMUH elected Rep or LNC Rep North East London Regional Consultants Committee (NELRCC)

If on NELERCC potential rep UK Consultant Committee

Possible North Thames Rep on the London Regional Executive Committee (NW&NE RCC joint rep)

Plese contact you LNC Chair or Deputy

Calendar Dates that may Help for 2016

Wednesday 21st September    3pm  North Thames LNC Fora (If on LNC)

Wednesday 21st September    5pm  North  East London Regional Consultant Committee

If elected by NMUH LNC or Nominated by NMUH LNC

Thursday 6th October UK Consultants Committee

(to be on this you would have had to be elected to NELRCC and  be elected to be one of three of their reps by September 2016)

Wednesday 23rd November    3pm  North Thames LNC For a (If on LNC)

Wednesday 23rd November        5pm  North  East London Regional Consultant Committee

If elected by NMUH LNC or Nominated by NMUH LNC

Thursday 1st’ December  UK Consultants Committee

(to be on this you would have had to be elected to NELRCC and  be elected to be one of three of their reps by September 2016)




Presidential message

The President of the BMA attended the first part of the meeting. His address included a number of engaging points for the wider public. Themes included “Growing up in the UK”, Public events “Statement of Children’s Lives”. There was a need to engage with all communities and a need to work with partners. He has had over 220 conversations in he community and the next thene will be “Growing older”. He recognised that we need to justify the professional arm of the BMA. This includes the professional activities evidenced by research.He noted the recent “End of Life Care” report does not include children. A “Life course approach” is needed for international work. He stated that the BMA is certainly ahead of other similar organisations.


The Committee received a list of apologies and confirmed the minutes of the last meeting on 24 February 2016   (IC 30, 2015-16). There were no matters arising from the minutes of the last meeting not covered elsewhere on the agenda.

Standing Orders considered by the Organisation Committee (IC 33, 2015-16) were considered with views of the Organisation Committee of the BMA suggesting expansion of the Terms of Reference.

At the meeting on 24 February 2016 the committee discussed priorities for the International Committee and five key areas were identified (minute item 4 IC 30, 2015-16). The committee was given the opportunity to consider these five priorities in more detail.

Priority Settings of the Committee were discussed


This consisted of a very useful workshop were we were split into 3 groups considering


This maybe external or/and internal

It was agreed that there was not adequate communications with other committees

This might be addressed with “workflow sheets” and key areas of activity.


There was recognition of the need for feedback. There maybe is a need to have a safety valve” of committee members to take on a topic of conversation for one of the meetings


There was a discussion if there should be an IC “Set of Officers”

It was recognised that there needs to be a “Two-Way” communication


International Development

Global health challenges   An update on BMA global health activities was given (IC 34, 2015-16)

Fair Medical Trade   An update on BMA Fair Medical Trade activities was given (IC 35, 2015-16)


Immigration Policy, Lobbying and Advice Enquiries report (IC 36, 2015-16)

Current immigration policy and lobbying activities wass given (IC 37, 2015-16)

European Legislation and Initiatives             

There was an update from BMA European Office (IC 38, 2015-16)

There was an update on the European Forum (IC 39, 2015-16)


European and International Meetings

European Junior Doctors Permanent Working Group (EJD)

The BMA withdrew from the PWG in 2009. Since that time the EJD has been making efforts to resolve the issues that led to the BMA resignation. The IC agreed in February 2014 to recommend to the JDC that the BMA rejoin subject to provisos of several finance-related matters. This was endorsed by the JDC at its meeting in March 2014. The BMA was officially welcomed back to the EJD at the General Assembly in Oslo on 23-24 October 2015. The next meeting will take place in Porto on 7-8 October 2016.

Report of the meeting that took place in Vilnius on 13-14 May 2016 (IC 40, 2015-16 – to follow)

CPME (Standing Committee of European Doctors)

CPME is the umbrella body for the whole profession at European Union level. It works with the UEMS, UEMO and EJD and meets twice a year. The BMA represents the UK at the CPME and delegates are chosen from amongst International Committee members by the Chair of the Committee and Head of Department. The next meeting will take place on 18-19 November 2016.

Report of the meeting that took place on 8-9 April 2016 (IC 41, 2015-16)

UEMS (European Union of Medical Specialists)

UEMS addresses the quality of specialist care across Europe and represents the interests of medical specialists. It has two parts, Board and the Council. The BMA has a seat on the UEMS Board and UEMS Council. Also attending UEMS Council are the UEMS Specialist Sections and Boards (which have representatives from across Europe. The UK representatives to UEMS Sections and Boards are approved by the BMA on the recommendation of the UK Medical Royal Colleges, Specialist Societies and the Academy of Medical Royal Colleges). The next meeting will take place on 20-22 October 2016.

An Oral update from Andrew Rowland on UEMS activities was given from Cambodia (bad VC but text OK)

UEMO (European Union of General Practitioners)

UEMO represents the interests of GPs at the European level. The BMA and Royal College of GPs represent the UK. The next UEMO meeting is taking place on 10-11 June 2016 in Porto, Portugal.

Oral update on UEMO activities was given from Dr Mary McCarthy.

World Medical Association (WMA)

The WMA is a confederation of national medical associations worldwide. It promotes co-operation and consensus on professional and ethical issues with meetings held every six months. The most recent meeting took place on 28-30 April. The next WMA meeting is taking place in Taipei on 19-22 October 2016.

An oral update on WMA activites from Andrew Dearden could not be given as he is in Australia. A report will be sent to IA from those who attended.