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Reality of NHS A&E departments as expert warns patients are in 'grave danger'

Dr Adrian Boyle has said patients up and down the country are being 'subjected to avoidable harm' by spiralling A&E wait times in hospitals.

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Hospital leaders warned that failure to recall striking doctors risked patient safety in some trusts, documents show

Documents obtained by The BMJ have shed new light on the process of derogation, which is designed to protect patients during industrial action by health workers. Gareth Iacobucci reports

An investigation by The BMJ has revealed new details of requests to recall striking junior doctors from picket lines for patient safety reasons. While most trusts in England did not make such requests, those that did were rejected by the BMA in most cases. Some of these trusts warned of potential harm to patients from cancelling operations at the last minute and short staffing.

The BMA said that it took concerns around patient safety “incredibly seriously” and that poor planning by some trusts had led to some routine care being inappropriately booked in on strike days. In other instances, said the BMA, trusts had failed to make sufficient effort to draft in the necessary cover for strike days.

Documents disclosed to The BMJ show that over 90% of NHS trusts (83 of 90 respondents) that responded to a freedom of information (FOI) request did not make any derogation requests during the first nine strikes by junior doctors from March 2023 to January 2024. The remaining seven trusts made 27 derogation requests between them, of which 24 (89%) were rejected by the BMA, one (4%) was approved, and two (7%) were withdrawn by the trust.

The BMJ sent FOI requests to 135 NHS trusts in England and received 90 responses (a 67% response rate) to better understand the performance of derogation—the process designed to keep patients safe during times of industrial action. Derogation allows trusts to ask for staff to be exempt from strikes if they believe that patient safety is at risk.

The documents show that in some cases trusts that submitted derogation requests were able to find last minute cover …

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BMA chair: Junior doctors understandably think my generation has not protected the profession

Junior doctors believe that their senior colleagues have not done enough to safeguard the future of the profession, says the BMA’s council chair, Philip Banfield.

In an interview with The BMJ Banfield reflected on how senior doctors felt about continuing to support the industrial action undertaken by their junior colleagues as part of a dispute over pay.

“The longer it goes on, I’m sure the more tired consultants will become,” he said. “But the junior doctors would say, and I’ve got some sympathy with this, that the reason we’re in the state we’re in is because my generation has not protested enough, has not protected the profession, and has let the service deteriorate.”

Banfield said that in many cases the industrial action had opened consultants’ eyes to the working conditions of their junior colleagues. He explained, “A lot of consultants who have undertaken cover and shift work have said, ‘We had no idea that this was what it’s deteriorated to.’”

Seniors needed to “understand how much has changed” before commenting on the behaviour of the “people who have been left …

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More than 7,000 cancer operations delayed by junior doctors' strikes

More than 7,000 cancer operations have been delayed as a result of junior doctors’ strikes, leaked NHS figures show.

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Claims Surface of NHS Trusts Adjusting to Staff Shortages Amid Junior Doctors' Strike – The Public Says

Claims Surface of NHS Trusts Adjusting to Staff Shortages Amid Junior Doctors' Strike – The Public Says
thepublicslate.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from thepublicslate.com Daily Mail and Mail on Sunday newspapers.

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BMA offers to call off action in return for increased strike mandate

Thousands of medics will strike in England for five days from 7am on February 24 until 11.59pm on February 28.

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Junior doctors' strike could be abandoned if NHS bosses offer more negotiating time | UK | News

The British Medical Association has written to NHS Employers asking for more time for pay negotiations.

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Junior doctors: BMA says it could stop strike if given more time for talks

Junior doctors: BMA says it could stop strike if given more time for talks
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Junior doctors in England offer to call off strike if given more time for talks

Trade union announced new action after it said ministers had failed to meet deadline to improve pay offer

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NHS England Leadership Criticized for Response to Doctors' Strike – The Public Slate

NHS England Leadership Criticized for Response to Doctors' Strike – The Public Slate
thepublicslate.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from thepublicslate.com Daily Mail and Mail on Sunday newspapers.

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