Medicopolitical Digest

Juniors call for renegotiation of flexible trainingHealth secretary meets royal colleges over bed shortagesGovernment will not climb down over nurses' payFormer Eastern Europe requests helpBMA urges research in primary carePostgraduate deans should not be civil servantsNHS Executive offers guidance on local pay for purchasersPay must be linked to work intensityCorrection

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6983.876 (Published 01 April 1995) Cite this as: BMJ 1995;310:876
  1. Linda Beecham

    Juniors call for renegotiation of flexible training

    Representatives of junior hospital doctors have called for an urgent renegotiation of the framework for flexible training in the wake of the proposals for a unified training grade. As a result of a recommendation in the Calman report, Hospital Doctors: Training for the Future, the NHS Executive published proposals last year for a new grade—the specialist registrar—to replace the present career and senior registrar grades (21 January, p 149).

    Proposing the motion, which was carried by 19 votes to 16, Dr Mark Porter, a registrar in anaesthetics in Coventry, told the Junior Doctors Committee last month that his motion was not limited to the new grade nor was there a time scale but there had been little reference to flexible training in the report of the working party on the unified training grade: “The specialist registrar grade should be flexible enough to accommodate those wishing to undertake training on a part time basis. The entry criteria and selection processes for all trainees should be the same, irrespective of the training patterns adopted during the training programme. Similarly, the standards for achieving the certificate for completion of specialist training should be the same for both full and part time trainees.”

    There was provision for only 5% of doctors to undertake flexible training, Dr Porter said, despite about 40% indicating that they would like it. Flexible training did not have to be double full time training but it had to be high quality, accessible, and attract appropriate remuneration.

    Although half the entrants to medical school are now women and many men would like to train part time, the chairman of the negotiating subcommittee, Dr Paul Miller, a psychiatric senior registrar in Liverpool, and other speakers urged the committee to vote against and wait until the broader issues of the grade had been …

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