Junior doctors' hours

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6984.938b (Published 08 April 1995) Cite this as: BMJ 1995;310:938

Position of the “English clause” is uncertain

  1. Terence English
  1. Past president, Royal College of Surgeons (1989-92) Papworth Hospital, Cambridge CB3 8RE

    EDITOR,—During the negotiations that led to the “heads of agreement” on junior doctors' hours in 1991 I gained general agreement from those concerned—namely, the junior doctors, the Joint Consultants Committee, the medical royal colleges, and the Department of Health—for what at that time became known as the “English clause.” This was contained in paragraph 6 of the guidance from the Conference of Medical Royal Colleges on the training implications of the heads of agreement.1 It read:

    2. The arrangements for those in General Professional Training (GPT) are different from those in Higher Specialist Training (HST). In certain situations …

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