STAFF SIDE LOCAL NEGOTIATING COMMITTEE
A staff side Local Negotiating Committee took place on Thursday 21st September 2017 chaired by Sunil Trakru (LNC Chair)
The following items were discussed or referred to
- There was a discussion of the recent e-mail regarding exception reports. There needs to be agreements on a number of matters. The Junior Dr forum now has paediatric representation but needs other representation from juniors.
- Acting down policy is under discussion with management
- SAS issues discussed included training, CPD development.
- A new staff side LNC Constitution is being developed
- The number of Trust Grade and SAS at the Trust to be reviewed
- SAS charter discussed
- CEA new guidance not agreed by sLNC
- The Guardian of Safe Working gave a briefing of his work and discussed the role of Educational Supervisors and the introduction of an HR “Exception reporting officer”.
- The changes to the interpretation of the contract needs to be locally agreed.
- The different reporting systems DRS4 versus Allocate.
- The number of PAs the GoSW has is 1.5 for 250 juniors
- The appointment of “flexible training champion” for less than full time doctors
JOINT LOCAL NEGOTIATING COMMITTEE
The following are edited notes on the proceedings (full notes have been sent to the sLNC }. This meeting took place from 9 am – 10.45 am
Tribute to Dr Asim Ray
The Chair gave a short tribute to Dr Asim Ray who had been a Clinical Oncologist at NMUH for over 25 years and an elected member of the LNC for over 12 months. Dr Ray passed away suddenly whilst on holiday in India in August. The Chair asked that the sadness of the committee was recorded in the minutes. It was agreed a joint statement of condolences by the co-chairs should be sent to those organising the book of remembrance via an e-mail tribute to Oncology. (also stated at the staff side meeting)
Other items discussed at the joint LOCAL NEGOTIATING COMMITTEE.
The recent news that the NMUH Chief Executive is to be replaced with Sir David Sloman being made the Accountable Officer was referred to. The Executive Question time at 11.30 would give more information (see below)
Acting Down Policy
Is still under discussion
Management stated that there should be “adequate time” for mandatory training and this should be in the job plan.
The staff side stated that this has not been agreed as the 2 days for 2 stat days has not been agreed. It was agreed to put a sentence in as a footnote.
Study and professional leave
The document was signed off.
Joint LNC Constitution
Accepted with minor changes
Changes to the organisation of the Trust were presented. An up to date organogram will be uploaded to the intranet
Junior Doctors Contract
There was a discussion about the new JDr contract. There have been delays in issuing work schedules. Lack of information from Paediatrics T&O and Urology. Rota gaps O&G and Surgery is very good , some gaps in medicine. All should now have work schedules. There is need to learn from good examples. There is a lack of knowledge of who are the ES of trainees. FY1 and FY2 are known. College tutors should be aware of them. There is a miscommunication with the Education Centre for >CT1. DRS4 has been up for exception reporting. FY1 and FY2 all have contracts. Exception reporting guidance is under discussion. Some of these changes will be discussed at the JDr forum at 12.30 pm the document will be sent back to the Staff side LNC. There is a need for the flexible training champion (NHSE/BMA guidance)
Update on Car Parking
New Car Parking Management Company – Car Park Management UK
- Automatic Number plate recognition will be installed October 16th
- There will be a White List (including all consultants) recognised by cameras
- There will be a 4 – 6 weeks bedding in period
- a phone number to phone in the event of problems
- an appeal system for penalty charges
- an internal and external hospital payment system for patients and staff
- 4 hours allowed to pay extra time
- There will be car parking attendants
- Salary payment scheme (salary sacrifice) is no longer available
- Any fines are linked through the DVLA
- There is a mechanism if using an alternative car
- The staff side LNC suggested paper tickets were still useful as an aid for how long patients or relatives had parked.
- There will be concessions for patients though they will still have to register.
- Community & heath volunteers are free
The staff side LNC has requested a list of SAS and Trust Doctors to allow communication with them. It was agreed that the SAS Doctors e-mail list will be updated. Previous review (about 4 years ago) showed some long term locums. This was said by management not now to be the case. There are 101 Trust Doctors and 34 Associated Specialists 2 of which are on fixed term contracts.
Issues discussed include
- O&G Middle grade who do not have a job plan
- Misunderstanding of what is a Trust Doctor. Finance makes them Specialty Doctors, there is the wrong use of Specialty Doctors with a confusion of different grades
- a need to look at different posts
- Contracts need to be right and up to date
Regarding the RFH group partnership there is question time at 11.30 (see below)
The memorandum of understanding with RFH defines the relationship with the Free. The clinical partnership with the Free will result in working with the clinical pathways, working more closely, developing clinical practice groups. This will be a full membership. Royal Free Group Structure currently has three Chief Executives. There is a Group Board overseeing. There is the benefit of relative locality. The Group board will determine the services needed on each site. Previous examples of changes seen in Trauma, Stroke and Cardiology.
There was a discussion about Occupational Health reports
JUNIOR DOCTORS FORUM
The following are my notes of the meeting of the JDr forum that I attended at 12.30 on 21stSeptember. Five Junior Doctors, a minute taker, HR representative and the GoSW were present with apologies from the PGDME and the BMA IRO. The minutes of the last meeting in June were accepted. The meeting was chaired by the Junior Dr Representative on the LNC. There was a discussion of the need from representatives of SpR O&G and Less than Full Time. O&G inductions take place next week and this is a good venue to bring up the need for representation. The aims and objectives of the Junior Doctors’ Forum was discussed. This will be taken back to the LNC and Executive. The Guardian of safe working (GoSW) has not written any quarterly reports yet. Problems are in the rota gaps there is no “business intelligence”. Some of this is with HR but not all of it. There was a discussion of the production of the Annual Report by GoSW, the timing and inclusion of any safety issues. The Terms of Reference is under review. Another e-mail has been sent out regarding Work Schedule Reviews. There was a discussion about the frequency of the formal JDrForum and whether to have an alternating informal forum. It was agreed for a formal forum every 2 months. It was agreed it would be an agenda item at each LNC. There was a discussion on Exception Reporting Guidance
- The use of the word exceptional
- The use of bolding
- The need to modify slightly
- The problem of how exception reports should be looked at and escalated.
- Sending the exception report to the Clinical Director as well as the Education Supervisor does not abide by the wording of the contract
- It was pointed out that any guidance that differs from the wording of the Junior Doctors contract changes local terms and conditions and therefore must be negotiated with the Local Negotiating Committee.
- There are problems some FY not having logins yet
- Because of not knowing who the Educational Supervisors are of CT1 and above no logins yet
- Pointed out that college tutors will have the lists. PGDME not present for comment.
- Inductions need some improvement
- Noted that GP Trainees hav e supervisors not in the Trust though whilst at NMUH the paediatricians will act as ES.
- Time of in lieu (ToIL) has to be agreed with the Rota Co-ordinator or Clinical Supervisor and accrued within a certain time.
- It was emphasised that ER is not a paper exercise and must work.
- It was pointed out that at the recent PGFaculty meeting the PGDME said that there was no relation to the number of exception reports and those specialties with heavy work loads
- It was noted that GP Trainees are paid by Royal Free Hospital and ther would have to be a mechanism of recharge.
- There are 36 exception reports made so far – 14 closed and not agreed and 22 open of which 19 are overdue.
- Mandatory Training for Advanced Life Support if done on a weekend then they can be taken as lieu days.