Medicopolitical Digest

Juniors will oppose all inclusive contractLow morale is linked to low recruitmentChanges in medical education funding confirmedNew support service will help GPs and their families

BMJ 1995; 311 doi: (Published 07 October 1995) Cite this as: BMJ 1995;311:954
  1. Linda Beecham

    Juniors will oppose all inclusive contract

    Representatives of junior hospital doctors say that they will resist proposals from the NHS Executive to introduce an all inclusive professional contract for doctors in the specialist registrar grade. The new grade was one of the proposals of the Calman report on specialist medical training, which called for a unified training grade as one way of shortening junior doctors' training.

    At the meeting of the Junior Doctors Committee last week the outgoing chairman of the negotiating subcommittee, Dr Paul Miller, reported that at a recent meeting with the NHS Executive it had been suggested that there would be no automatic annual increments for the new grade and that incremental progress would be linked to educational progression. The executive conceded that some form of add on payment to reflect work intensity might be considered.

    The JDC's representatives had protested at the proposed timetable—namely, that the specialist grade should start in radiology and general surgery on 1 December and that the doctors' and dentists' review body should be asked to price the grade. Junior doctors believe that the grade should not be introduced hastily to meet the review body's timetable or before agreement had been reached on terms and conditions of service.

    At the meeting of the JDC Dr Ed O'Neill from Northern Ireland strongly disapproved of the proposal for a new contract. “This is going back to the days before we had units of medical time. This is performance related pay by the back door. We are not negotiating on these terms.”


    The health minister, Mr Gerald malone, was due to meet representatives …

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