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    Six-day walkout: will the government budge on junior doctors' pay?

    enJanuary 04, 2024

    Podcast Summary

    • Burrows Furniture prioritizes customer needs, Noom offers personalized weight loss plansBurrows Furniture focuses on easy assembly, new colors, durability, and fast free shipping. Noom provides personalized weight loss plans, even for salad dislikers, resulting in average weekly weight loss.

      Burrows Furniture prioritizes customer needs with easy assembly, new color options, durable materials, and fast free shipping. Meanwhile, Noom offers personalized weight loss plans, even for those who dislike salads, resulting in an average weight loss of 1-2 pounds per week. In the UK, the ongoing junior doctors' strike, the longest in NHS history, stems from unresolved issues including pay disputes and workforce crisis, with the government offering average pay increases resulting in real terms pay cuts for most doctors. Despite some progress, the situation remains unchanged with growing waiting lists, collapsing health services, and continued lack of understanding from the government regarding the drivers of the doctor exodus.

    • Doctors leaving NHS in record numbers due to pay cuts and workloadThousands of doctors are leaving the NHS due to real terms pay cuts and heavy workload, with a record number seeking to work abroad. This exodus threatens the quality of care for patients and may lead to a cycle of subpar care.

      The ongoing crisis in the NHS, exacerbated by the pandemic and staff shortages, has led to over 8,600 doctors applying for permission to leave the country to work abroad in the last year. This surpasses retirement as the primary reason for leaving the NHS. The dispute between the government and doctors is not just about the recent pay increases, but about pay restoration after 15 years of real terms pay cuts, amounting to a 26% decrease. The workload has increased with a growing population and more complex treatments, while the pandemic and inflation have further reduced doctors' purchasing power. The proposed pay increases do not come close to reversing this crisis or providing the necessary resources for good patient care. The loss of staff to countries like Australia, New Zealand, Canada, and Ireland threatens the quality of care for those who remain in the NHS, potentially leading to a cycle of shoddy care for patients for the entirety of their careers.

    • Doctors' Strike in England: Scottish Solution Seen as CredibleDoctors in England are on strike, demanding a 35% pay increase. Scotland's offer of a 17.5% pay rise and three-year commitment to above-inflation pay awards is seen as a viable solution, but the Westminster government lacks the power to offer similar deals, leading to proposed pay increases of only 3%.

      The ongoing dispute between the junior doctors in England and the Westminster government over pay and working conditions remains unresolved, with the doctors continuing their strike action. The Scottish government's offer of a 17.5% pay rise and a commitment to above-inflation pay awards for three years, which was accepted by doctors in Scotland, is seen as a credible solution by the English doctors' union. However, the Westminster government does not have the constitutional power to offer similar deals, and negotiations have resulted in proposed pay increases of only an average of 3%, which is deemed insufficient by the union. The doctors are demanding a 35% pay increase to offset real-terms pay cuts over the years. Despite the lack of progress in negotiations, the union remains committed to finding a solution to keep the care service running effectively.

    • Negotiations between junior doctors and the government continueDespite positive talks, junior doctors in the UK are planning strike action due to unresolved pay issues and the NHS workforce crisis

      LinkedIn is a valuable platform for hiring professionals, with over 70% of its users not visiting other leading job sites. This makes it an effective place to post job listings. However, in the political realm, negotiations between the junior doctors and the government have been ongoing, with Victoria Atkins, the new health secretary, making positive noises but only offering a 3% increase. The situation is complex, as there have been positive negotiations in Scotland, but strike action is planned in Wales. Westminster Labor's position on pay restoration has also changed, but the fundamental issue of restoring doctors' pay and addressing the NHS workforce crisis remains unresolved. It's worth noting that doctors seem to be treated differently by the government than other workers, with various strikes in different sectors having reached settlements before doctors. There's a significant disconnect between the public's perception of doctors' pay and the reality, with many junior doctors earning as little as £15.53 an hour.

    • Challenges in negotiating doctors' pay increasesDoctors' separate contractual structure, built-in cover systems, and union processes result in less disruption during strikes compared to other NHS workers.

      During negotiations for pay increases in the public sector, the government faces different challenges when dealing with doctors compared to other NHS workers. Doctors have a separate contractual structure, and pay awards or changes only affect a smaller number of them. This makes their pay increases less costly for the government. Additionally, during strikes, doctors have built-in cover systems from consultants and SAS doctors, allowing for urgent and critical care to continue. The union also has a process to send junior doctors back to work in cases where cover arrangements have collapsed. These factors contribute to less disruption in patient care during doctors' strikes compared to other NHS staff. However, it's essential to remember that all public sector workers deserve fair pay and none of them caused the financial crisis that led to austerity and real terms pay cuts.

    • Flexible system allows for maintaining patient safety during strikesDuring healthcare strikes, doctors' presence may be waived based on situation assessment, ensuring patient safety and minimizing disruption to essential services.

      During healthcare workers' strikes, the need for junior doctors has been waived in certain situations once the true extent of the situation has been assessed. For instance, when there were fears of mass casualties due to capsized boats in the channel, doctors were prepared and then alerted when it was determined that their presence was not necessary. This flexible system allows for maintaining patient safety while ensuring that the strikes do not disrupt essential healthcare services. Regular meetings between NHS England and healthcare unions facilitate this derogation process. If you have any questions about this topic or any other, please submit them at newstatesman.com/forward/youaskus. You've been listening to the New Statesman podcast, and we'll be back tomorrow with more. This episode was produced by Katherine Hughes. Remember, when it comes to healthcare, being a little extra is important, which is why UnitedHealthcare's Health ProtectorGuard fixed indemnity insurance plans supplement your primary plan, helping you manage out-of-pocket costs. Learn more at uhone.com. And, as a gift-giver, I highly recommend checking out celebrations passport from 1-800-Flowers.com. With free shipping on thousands of amazing gifts and rewards for frequent purchases, it's the perfect one-stop shopping site for every occasion. To learn more, visit 1800flowers.com/acast.

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