I attended the BMA LNC FORA  that covers North Thames LNCs as Co-Chair and North East London RCC as deputy Chair on 22nd February. Representatives from Royal Free, Whittington, Imperial , UCLH, NMUH , NELondon FT,  Whittington , Homerton, Whipps Cross , GOSH and a Junior Doctor Committee Representative. The minutes of the previous meeting was not available as the IRO has retired so the review of the previous meeting was based on my blog. Not surprisingly Sustainability and Transformation Plans were high on the discussion list. There have been several meetings concerning STP organised by BMA which were well attended. Discussions to place were on the following

  •  Trainees Forums around the area
  •  Exception reports varied in the numbers in one Trust 3 in another 60
  •  Guardian reported are due and copies must be seen by the LNC
  • Clinical excellence awards – the variations in the sector including implementation, appointment of the panel and some variation in domains including adding a “transformation domain”
  • It is noted that it is  BMA policy not to agree to a change in CEA policy. One Trust has 193 applicants this is likely to take 20 hours to mark. Due to changes in personnel there are three new IROs appointed for the areas. Names are to be confirmed.
  • LNC constitutions need to be updated following new guidance from BMA. LNC members will have to be members of the BMA. It was pointed out this might affect attracting involvement in LNC matters.
  • It was noted the HSCA has been recognised on a national basis by the government.
  • Exception reporting were discussed
  • There will need to be a Guardian report to LNC soon. Some trusts had either no Guardian or no established JDr forum.
  • There was a discussion regarding joining up of Royal Free Hospital , Barnet Chase Farm , North Middlesex and Stanmore. RFH already leads on GP trainees and may be lead on anaesthetic trainees
  • Junior Doctor issues were discussed including active JDr reps on LNC
  • Job planning and the appeals process were discussed. Changes in management in the various Trusts were detailed

David Stout attended as Program Lead pf NCL STP and gave a detailed presentation of the STP. I have blogged about this several times before and I note that there is a more up to date document that came out January 31st.  David agreed to return to the RCC/Fora in April to maintain the engagement. His presentation is available through me and they hope to have an NCL STP website soon which I will blog about soon I hope. The discussions that took place over 45 minutes were useful I think to the representatives present.

Following this a similar presentation was made by the lead of the North East London STP in the NELRCC. This area covered by Bart’s Health is in Simon Walsh’s area so he is the best one to get information from.