From the junior staffs conferenceDo SHOs have a future?The English clause must be promotedThe government should act on the loss of doctorsThe conference ..From the local medical committee conferenceOut of hours must be priced separatelyConference endorses new GMSC election processDoctors want to be able to complain against patientsCommunity care is putting a burden on GPsThere must be more emergency bedsAlternative models of commissioning must be resourcedGPs should be warned about violent patientsGPs question review body's independenceThe conference..BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7046.1612 (Published 22 June 1996) Cite this as: BMJ 1996;312:1612
- Linda Beecham
From the junior staffs conference
The Calman proposals must be properly funded
The Calman proposals for specialist training will not work without adequate funding. The junior staffs conference was adamant about this at their conference. Without the necessary funds the proposals would not produce consultants able “to reach the high standards expected in British medicine.”
The meeting criticised the lack of a structured training programme in those specialities which had introduced the specialist registrar grade and called on the Specialist Training Authority to ensure that there were specific educational endpoints for each year of the training scheme and that postgraduate deans should withdraw recognition from posts which did not honour in full the training contract within six months of implementation.
A former chairman of the Junior Doctors Committee and now consultant surgeon at Whipps Cross, Mr Stephen Brearley, told the meeting that the lack of resources to implement the proposals underlined his fears about the changes. He outlined what he saw as the worst case scenario. Although he welcomed the increased security for trainees, he was concerned about what would happen to doctors before they acquired this security. There would be a gap between senior house officers and specialist registrars, and the problem would not be solved unless there was the right balance between junior doctors and consultants. Instead of the agreed, but rarely achieved, 2% increase in consultants there needed to be an increase of 30% over the next five to 10 years. His hospital had four and a half consultant surgeons serving a population of 270 000. The prospects of appointing another two were slim—there was no money.
Mr Brearley said that he was depressed that the increasing training had been realised by increasing the number of seats in lecture rooms. “I want people to be taught to operate and consult and given practical clinical training,” he said. In the …