The National Health Service (NHS) Dispute
Over the last few years the Government and the NHS's Junior Doctors' have been involved in negotiations over an introduction of new contracts for Junior Doctors and Consultants. These negotiations have been going on and off for long enough it has a lot of people wondering whether there are other underlying reasons for the government's need for contract changes, as well as reasons why the BMA is fighting so hard.
This report will examine and criticise three sources discussing the NHS dispute in relation to employment relations. Looking at the different opinions presented in the articles, from the BMA, The Health Secretary Jeremey Hunt and an article in the Guardian titled `The Observer …show more content…
I will also look at the government's point of view; examine the reasons for enforcing the new contracts, why now?
The Guardian, as well as many other news agents have speculated on these issues for years however a recent article in the guardian provides a look into the situation that coincides with what the public think about it. This dispute has not only become stressful for the doctors who to date anticipate further delays in negotiations due to unsatisfactory condition being placed on the contracts, but also the public whose health and safety depends on doctors being satisfied in their jobs, something that is highly at risk due to these delays in negotiations.
The recent NHS dispute started when the government came up with a plan to change the contracts for junior doctors’ and consultants in 2013. Junior doctors’ leaders protested this change which the government insists is necessary describing the current contracts as possibly being obsolete. The government finds these arrangements “unfair” arguing that the contracts were introduced in the 1990s. (Triggle, 2016).
The …show more content…
The Department of Health ensures healthcare organisations such as the National Health Service (NHS) in England are able to provide the nation with all the care, treatment and support they require to live comfortably. The government’s aim to modernise the junior doctors’ contract helps them in ensuring British healthcare remains at its best. The negotiations between the Department of Health, NHS Employers and the BMA are way of ensuring healthcare in England evolves guaranteeing the safety of both doctors and patients.
An article on the www.Gov.uk page containing the Department of Health’s publication of a firm contract offer in November 2015 outlined some of the of the Government’s commitment to ensuring these negotiations have an outcome that will benefit both sides. The contract outlines how it is fairer and safer for doctors and patients, as well as supports the government’s guarantees on working hours, pay and patient
After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis
The rate of economic and political change in recent decades has been dramatic. The Anglo-Saxon emphasis on neo-liberal economic ideology has drifted East, with the (Brown, 2000) ‘rise of China’ and other emerging economies. The trend in recent decades has focussed on the need to privatise great swathes of the economy and to reduce trade barriers, leading to less protectionism. This emphasis on private sector control became apparent in the 1980’s with (Hutchinson, 2008) ‘Thatcherism’ and ‘Reaganism’ seeking to reform the post-War consensus. The dramatic changes in America and the United Kingdom were not restricted to those economies however. The European
This report will explore how external environmental changes in the market can impact (NHS) the National Health Service in the uk for the next five years.
The Health and Social Care Act 2012 came into force with crucial principles including new structures and arrangements in health care services to safeguard and strengthen the future of NHS and maintain the modernisation plan. In this Act, many new changes has been made to a number of existing Acts, National Health Services Act (NHS 2006), in order to enable health care system to tackle the existing challenges and also avoid any potential crisis in future. It has also introduced the proper allocation of NHS fund and budget, and improved the integrated care between NHS and social care services to promote patients’ choice in terms of delivering quality care.
I want to talk for a few minutes with you about the future of NHS- what it means for you, the 200 awesome members who have contributed thousands of hours of community service in the last 30 weeks alone, changes I hope to see next year, and how I believe I’m the right person to bring about these changes. You may know me from the emails or tweets I send out to let you know about what’s happening in NHS, as this year I served as our Communications Secretary. During my time in this office, I got to know how each leader- the President, Vice-President, Tutoring Liaisons, Recording Secretaries- how they fit in and what they did to keep NHS running. Between watching what they each did and being in student council, I learned a lot about what it means
This essay will examine the following statement in relation to reforms proposed in the Health and Social Care Bill 2011 “Funding and delivering high quality health and social care services is problematic to all governments irrespective of political persuasions” I will provide an overview of the bill and investigate through critical analysis recommendations in the Bill for clinically-led commissioning. This will enable me to illustrate the problems in delivering a high quality care service that is needed by the changing society and the challenges this causes policy makers who uphold the ideology of the NHS.
Throughout the article, Marsden addresses doctors and describes the differences in the medical structure of the US and Uk by comparing how care is distributed and the economic aspect. In order to contrast the medial structures, she uses the differences in the economies to separate the systems even more. In the US hundreds of Americans are uninsured which means a routine checkup can become very expensive for out of pocket payers, however in the Uk insurance is not needed. While the Us is more expensive, the Uk provides service to all their citizens, however, because their care is open to everyone there is more waiting involved in the UK services. If you were to get injured in the Uk for example, first they need to decide the right treatment then, depending on the severity of your case, you would wait in line behind others who also need medical treatment. By going into specific detail she addresses doctors who are interested in the Uk service and highlights important differences in the economy that affects doctors. The US would pay doctors a greater amount, however, if you were to own a private practice in the UK you could make more. As she describes the difference school she pulls towards the doctors so they can understand how different their economy and healthcare work in the UK. By drawing the attention of doctors and their economic value
"Our absolute priority is patient safety and making sure that the NHS delivers high-quality care 7 days a week and we know that's what doctors want too, so it is extremely disappointing that the BMA have chosen to take industrial action which helps no-one. We had made good progress in talks, resolving 15 of the 16 issues put forward by the union everything apart from weekend pay. We have now asked ACAS to reconvene talks in the hope the BMA will return to sensible
This reconvergence has been due to main distinct reasons, the initial shift for England to waiting list targets came due to external pressure from the media due to a focus on this issue during the General Elections of 2001 and 2005. Despite initial diverging from these types of targets, Wales has since implemented these targets, due to experiencing several critical reports criticising the performance of the Welsh NHS. This implementation is shown in the aftermath of the 2005 General Election after UK Labour promised no one would wait 18 weeks from GP referral to treatment. Due to this external pressure, Welsh Labour promised the same, but with a time frame of 26 weeks. This framing of the issue in the media, which prioritised waiting lists times led to the Welsh health policy being compared unfavourably to the English model which had adamantly pursued these targets openly. The unfair nature of being compared on an issue which has been placed on less importance highlights a key problem within the NHS. The problem being that despite divergences from all UK administrations, the UK government is held as the standard-bearer and the ‘norm’ from which all devolved administrations should emulate. This reconvergence around the waiting list targets in England seems to outline that in areas in which a particular interest has been drawn by the British media, as a collective, there has been a convergence with the English
In recent months, our media has been saturated with the controversial topic of junior doctors taking strike action. I personally think that junior doctors are being selfish in this case. For 24 hours, many hospitals will only be able to provide emergency care; thousands of operations and appointments will be cancelled. The doctors will be on the first of three planned strikes after talks between the government and the doctors’ trade union, the British Medical Association (BMA), broke down this week. They are protesting against government proposals to introduce a new contract. The plans would see doctors receive a rise in their basic rate of pay, but make demands including a requirement to work more, and for lower rates of pay, in the evenings
Seven days a week. More unsociable working hours. Extra premiums on weekends will be lowered. These are the main reasons why junior doctors are striking. This is only a handful of the drastic changes that the Secretary of Health, Jeremy Hunt has imposed since being appointed in 2012. It is very transparent as to why junior doctors choose to strike however there are drawbacks to doctors striking. This project will help to uncover how this new working contract is affecting junior doctors to an extent where they feel as though striking is appropriate. There will be an evaluation of whether the striking is worth taking part in and whether it is a dangerous to strike on working days. Finally, a conclusion will be draw alongside a solution for both parties: the Government and junior doctors.
In the United Kingdom, the concept of clinical governance was first published in the document “The New NHS: Modern, Dependable” (Department of Health, 1997).From the beginning until today, there are multiple different approaches and variety of definitions related to clinical governance. This report seeks to critically evaluate some of the principles and patterns regarding to clinical governance.