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Improving your working conditions

Here you can find a summary of the existing national HEE work that relates to improving working conditions for learners. 

Enhancing junior doctors' working lives

The 2016 junior doctors’ contract dispute was a difficult process for trainees and the wider healthcare workforce. The dispute highlighted a number of non-contractual issues regarding the working environment, training and doctors feeling valued by organisations in which they deliver care 24 hours a day. HEE listened to these concerns and in response, established a working group in partnership with the BMA Junior Doctors’ Committee, the GMC, NHS Employers, Academy of Medical Royal Colleges and trainee representatives themselves, to address ten targeted issues for action.  

HEE published a comprehensive update report on 14 March 2017 highlighting the progress made to date to enhance juniors doctors’ working lives. In summary, what the report means for trainees is as follows:

Already in place:

  • A new commitment to being informed of their placements with 12 weeks’ notice, rather than 8 weeks
  • A commitment to providing rotas for each trainee 8 weeks before commencing placements, rather than 6
  • Recruitment pre-allocation to regions for trainees with specific health conditions and caring responsibilities which tie them to a particular location
  • Standardised recruitment and induction process to minimise duplication on rotation
  • Legally-binding protection for trainees who are subject to detriment by HEE in the case of whistleblowing

Work ongoing:

  • Towards managing ‘linked’ applications for specialty training to maintain relationships and family life
  • A 2017 national pilot for all ST4+ EM Trainees to apply for LTFT training without meeting Gold Guide criteria, in order to enhance retention in the specialty
  • To pilot a flexible training model including ‘non-clinical days’ for doctors wanting to pursue portfolio careers, modelled on the RCP’s Chief Registrar Scheme
  • Central co-ordination of study budgets to ensure needs are met across the duration of training, removing the fragmentation of access to budgets caused by rotations
  • Improving transparency over the true cost of training for each Specialty including a ‘cost of training calculator’, due for publication Spring 2017
  • Towards minimising the frequency of rotations where this is not of educational benefit

You can read the full report on the enhancing junior doctors' lives page on our website. If you would like more information on this programme of work, you can contact HEE's south London team or your south London Trainee Executive Committee.







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