NHS made a £ 250,000 fine to keep the junior doctors working longer than their contracted hours

The NHS has had to pay £ 250,000 in fines for overtime doctors on the basis, an investigation has revealed. Junior doctors have worked more than 63,000 times since 2015, on average 2.1 times per doctor than their contractual conditions. The figures are the result of the first analysis since the introduction of a controversial contract in 2016, which led to the first strike action by youth doctors in 40 years. The true figure will probably be higher, as some doctors in training revealed that they were discouraged from reporting by seniors. staff fears that they look inefficient. Health officials have said that they are not worried about the high number of reports because it suggests a culture of wanting to improve things & # 39 ;.

Junior doctors have worked more than 63,000, after an average of 2.1 times per doctor, after their contract. Since 2015, an investigation has been shown by the Health Service Journal. The data were obtained by the Health Service Journal via a Freedom of Information Act request from more than 200 NHS trusts. Exceptional reporting, which is still relatively new, is part of the junior doctor's contract. It allows a trainee to submit a report when he is overworked, without breaks or when another part of his contract is violated. Doctors who work overtime must be paid in time, pay more or revise their hours. A guardian for safe working can also impose fines against a trust, where the money must be spent on the educational needs of doctors. The findings are the first to emphasize in numbers how much pressure junior doctors do not have while they are expected to work above and beyond. WHAT CONFIDENCE REPORT THE MOST OVERTIME? The following trusts have the most exceptions: London Northwest Healthcare Trust: 2,569Sheffield Teaching Hospitals Foundation Trust: 1,935Croydon Health Services Trust: 1,748Lishisham and Greenwich Trust: 1,639Gloucestershire Hospitals Foundation Trust: 1,495Leeds Teaching Hospitals Trust: 1,397 WHAT CONFIDENCE REPORT MOST OVERTIME PER DOC? Croydon Health Services Trust: 8.5Tees, Esk and Wear Valleys Foundation Trust: 7.1Warrington and Halton Hospitals Foundation Trust: 7.0Lincolnshire Partnership Foundation Trust: 6.8Northern Lincolnshire and Goole Hospitals Foundation Trust: 6.6Royal Surrey County Hospital Foundation Trust: 6.4 The highest number of exception reports was 2,569 at London North West Healthcare Trust, employing 440 junior doctors. The second highest was 1,935 of more than 590 junior doctors working at the Sheffield Teaching Hospitals Foundation, showing the figures. However, the data did not always show a connection between trusts with a high number of doctors in training and the number of exception notifications. Crydohond Services Trust reported 1,748 exception reports from 205 physicians, which means that there were 8.5 reports per physician, with the highest number of fines being levied against a trust of more than £ 25,000. While Barts Health Trust had less than one report per doctor, with 526 reports to 1,000 young doctors in service. A Croydon Health Services Trust spokesperson said it had worked to create an environment that encourages exception reporting. In other hospitals this is far from the case – doctors are afraid that they appear to be inefficient, or doctors were told to log overtime as bank shifts. That is why a lower number is not suggestive of better working conditions, according to the researcher. A trainee at the Queen & # 39; s Hospital in Romford said: "I have experienced a culture in which the reporting of exceptions is strongly discouraged. & # 39; When one of the registrars discovered that I had reported an exception, he said it was entirely the result of bad time management. & # 39; It is possible that technical barriers and human errors prevented reports from coming in, and seniors stayed with old control systems. The most common reason for reporting an exception report was overtime, which took place 31,000 times between August 2016 and July 2018. Ashford and St. Peter's Trust Foundation provided £ 514 for lunch as a forum of safe work meetings for trainees & # 39 ;, at the request of doctors. Four trusts reported zero exception notifications – Sussex Community Foundation Trust, The Robert Jones and Agnes Hunt Orthopedic Hospital Foundation Trust, The Royal Orthopedic Hospital Foundation Trust and The Walton Center Foundation Trust. Based on the findings, Jeeves Wijesuriya, chairman of the junior doctors' committee of the British Medical Association, said that he was not concerned about trust relationships with high numbers of reports, because it suggested a culture of wanting to improve & # 39; He said: & # 39; In the places where I worry about, there are no exceptions. That is a real red flag. Simon Fleming, orthopedic registrar and former president of the British Orthopedic Trainees Association, said that a "significant number of Stockholm's syndrome" is among trainees. "We have learned to keep this unhealthy culture we work in. Many doctors in training do not appreciate how powerful it is to report exceptions, "he said, but the figures show a different picture: stressed doctors in training are wasting their career more than ever. doctors do not continue their education after their two-year basic program, with only 43 percent in the NHS, an annual report from the BMA in May, the lowest share in the history of the health service and 71.3 percent in 2011. Discussions with PHP, which supports stressed and depressed physicians, have recently doubled, with young physicians who form the most cases, Dr. Clare Gerada, former chairman of the Royal College of GPs unveiled in October . Physicians often conceal conditions such as depression and alcoholism because they are concerned that it may affect their careers, Dr. Gerada. It is not just millennials who feel the pressure of the workload – experts increasingly warn the burn-out doctors who experience under increasing pressure, with as many as one in five an early retirement as a way out, according to the General Medical Council.