Strikes Over Junior Doctors’ Dispute: Failing Patients’ Interests? (BBC News / Telegraph / NHS England)

Summary

Dame Sally Davies has suggested that industrial action by the British Medical Association (BMA) would not be in patients’ interest, and requested that coming strikes by junior doctors should be suspended to permit talks resume without duress.

Last week, Sir Robert Francis made a similar appeal to reason, commenting that junior doctors could be “kidding themselves” in thinking that imposing disruptive harm on patients is a positive way ahead.

Full Text Link

Reference

Junior doctors’ strike: Dame Sally Davies in call to suspend action. London: BBC Health News, January 10th 2016.

A further call for moderation, almost guaranteed to fall on deaf ears:

Full Text Link

Reference

Junior doctors row: David Cameron asks doctors to call off strike. London: BBC Health News, January 11th 2016.

Meanwhile, public support appears to be firmly in favour junior doctors’ strike action. One man’s home truth is the other person’s vacous platitude, seemingly, so deep is the malaise reflected in an Ipsos MORI poll commissioned by BBC Newsnight:

Full Text Link

Reference

‘Majority’ support doctors’ strike if emergency care given. London: BBC Health News, January 11th 2016.

Taking the long view?:

Full Text Link

Reference

Junior doctors row: Lessons learned from 1975 strike. London: BBC Health News, January 11th 2016.

January 12th / January 13th 2016 Updates:

Full Text Link

Reference

NHS England statement in advance of industrial action on Tuesday 12 January and Wednesday 13 January. London: NHS England, January 12th 2016.

Reflections on the conflation of political protest and industrial action (what hope for clarity of public understanding?):

Full Text Link

Reference

Kuenssberg, L. (2016). Doctors take on the government. London: BBC Politics / Health News, January 12th 2016.

Another call for moderation and discussions, sure to fall on deaf ears (for now):

Full Text Link

Reference

Junior doctors’ strike: Get back to negotiating table – Hunt. London: BBC Health News, January 12th 2016.

Full Text Link

Reference

NHS England update on industrial action by junior doctors. London: NHS England, January 12th 2016.

Full Text Link

Reference

Junior doctors’ strike: Work starts to avert next walkout. London: BBC Health News, January 13th 2016.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ dispute: What next? London: BBC Health News, January 13th 2016.

Talks resuming:

Full Text Link

Reference

Junior doctors’ dispute: Talks resuming in bid to stop strikes. London: BBC Health News, January 14th 2016.

Further observations:

Full Text Link

Reference

Pym, H. (2016). Junior doctors – what chance of resolving the dispute? London: BBC Health News, January 14th 2016.

A welcome outbreak of moderation:

Full Text Link

Reference

48-hour junior doctors’ strike called off. London: BBC Health News, January 19th 2016.

Continuing the Momentum of Industrial Action Stoppages (Deliberate Oxymoron)

The next strike by junior doctors in England is planned for February 10th 2016. Playing a canny game of keeping-up the pressure while not losing public support, emergency cover will be provided (as opposed to the full walk-out planned originally).

Full Text Link

Reference

Triggle, N. (2016). Next week’s junior doctor strike on. London: BBC Health News, February 1st 2016.

Plain speaking, probably futile given the entrenched resistance:

Full Text Link

Reference

Junior doctors’ strike: BMA totally irresponsible – Jeremy Hunt. London: BBC Health News, February 7th 2016.

Broader contextual analysis?

Full Text Link

Reference

Triggle, N. (2016). Junior doctors row: Should we care? London: BBC Health News, February 8th 2016.

Analysing the complexities of collective self-interest. The devil in the detail?

Full Text Link

Reference

Triggle, N. (2016). Junior doctors row: How close did they come to a deal? London: BBC Health News, February 9th 2016.

Ongoing saga:

Full Text Link

Reference

Triggle, N. (2016). Hospitals braced for 24-hour doctor strike. London: BBC Health News, February 10th 2016.

The end of the road for negotiations (Sir David Dalton):

Full Text Link

Reference

Pym, H. (2016). Junior doctors’ dispute – where now? London: BBC Health News, February 12th 2016.

A Solution Imposed “By Dictat” (Benevolent Dictat?)

A solution to the dispute has been imposed, which appears generous (but who in the BMA affiliated camp could / would ever betray peer-pressure and concede this openly?).

Full Text Link

Reference

Junior Doctors Contract – statement from NHS England. London [Online]: NHS England, February 11th 2016.

Proverbial Cake: Possession and Consumption?

Half of NHS leaders who were understood to support the solution in principle (as being a reasonable and fair proposition, and vital to ensure service continuity without adverse consequences for patients), have subsequently distanced themselves from any suggestion that they would have backed imposition of the new junior doctors’ contract:

Full Text Link

Reference

Junior doctors’ row: NHS chiefs speak out over letter. London: BBC Health News, February 12th 2016.

Retrospective Analysis

Full Text Link

Reference

Triggle, N. (2016). Was a deal over doctors’ contracts ever possible? London: BBC Health News, February 13th 2016.

Unreliable Prognosis?

Pity the patients? Ongoing rumbles of discontent: the NHS almost at war with itself?

Full Text Link

Reference

Junior doctors’ dispute could become a war, union warns. London: BBC Health News, February 13th 2016.

Public Dissatisfaction With the NHS?

Historically the largest rise in public dissatisfaction with the NHS has been recorded by the British Social Attitudes Survey. Debates as to cause and effect are certain to involve both sides of the above dispute blaming each other. Levels of satisfaction are still high by historical standards, overall.

Full Text Link

Reference

Triggle, N. (2016). Record rise in NHS dissatisfaction levels – survey says. London: BBC Health News, February 9th 2016.

Healing Perceived Wounds and Building a Better Future

Professor Dame Sue Bailey will lead an independent review of junior doctors’ experiences, alleged general low morale and reported feelings of being under-valued. This review will work with representatives from the Royal Colleges, Health Education England, NHS England, NHS Employers and junior doctors.

Full Text Link

Reference

Independent review of junior doctors’ morale, training and support. London: Department of Health and The Rt Hon Jeremy Hunt MP, February 12th 2016.

More Strikes: Misery Prolongation?

“This disruption to patient care is unnecessary. I strongly believe that the final contract is safe, fair and reasonable. For the sake of the NHS, and patients, I urge all junior doctors to take a look at the contract in detail before taking part in any future action”. Danny Mortimer: Chief Executive of NHS Employers.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors set to hold more strikes. London: BBC Health News, February 23rd 2016.

Contrary Voices in the Ascendent?

A highly regarded international expert has taken a more “populist” stance, advocating a three-year moratorium on imposition of the new contract. He has sensibly asked for de-escalation strategies (including an apology, although it is unclear how this would benefit anyone in real terms). Credit where it is due, he bravely suggested that junior doctors could show more courage and generosity in embracing the proposed changes. Few, seemingly, would dare defy peer pressure and speak out for a three-month moratorium on strike action (see above). Asymmetry?

Full Text Link

Reference

Triggle, N. (2016). Ministers wrong in junior doctors row, says ex-adviser. London: BBC Health News, February 23rd 2016.

Onwards Madly Into March?

Full Text Link

Reference

Triggle, N. (2016). How ripple effect of doctor row could be toxic. London: BBC Health News, March 7th 2016.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors strike: NHS braced for 48-hour strike. London: BBC Health News, March 9th 2016.

Full Text / Video Link

Reference

Hutchinson, S. (2016). Junior doctors’ strike: the dispute explained. London: BBC Health News, March 9th 2016.

Full Text Link

Reference

Triggle, N. (2016). Will consultants take the scalpel to Hunt? London: BBC Health News, March 18th 2016.

Unspoken / Unintentional Aspects of Strike Philosophy?

Inadvertently destructive and harmful tendencies; in order to “save our NHS” it first has to be destroyed?

Full Text Link

Reference

Triggle, N. (2016). Hospitals ‘may end up over-crowded during strike’. London: BBC Health News, March 10th 2016.

The perceived dangers of conflating multiple issues and courting support from parties with over-lapping (unstated) objectives:

Full Text Link

Reference

Junior doctors’ leaders ‘trying to topple the government’. London: BBC Health News, April 25th 2016.

Reckless Abandon

Full Text Link

Reference

Triggle, N. (2016). Junior doctors to stage A&E walkout. London: BBC Health News, March 23rd 2016.

Full Text Link

Reference

A&E strike ‘risks harming patients’. London: BBC Health News, March 24th 2016.

“ …the current impasse [has] to be broken and progress made in resolving this extremely damaging stand-off… ” Academy of Medical Royal Colleges.

Full Text Link

Reference

A&E strike should be suspended, say medical leaders. London: BBC Health News, March 29th 2016.

Sir Bruce Keogh speaks out:

Full Text Link

Reference

All-out doctors’ strike will damage trust – NHS chief. London: BBC Health News, April 10th 2016.

Full Text Link

Reference

Triggle, N. (2016). Will all-out strike really be ‘Armageddon’?. London: BBC Health News, April 15th 2016.

The General Medical Council (GMC) issued precautionary advice:

Full Text Link

Reference

Triggle, N. (2016). Hospitals may struggle in all-out strikes, says GMC. London: BBC Health News, April 19th 2016.

NHS England has created a web page supplying information for people who need healthcare, or who have concerns, during the strike.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors strikes: ‘Over 100,000 treatment delays’ says NHS. London: BBC Health News, April 23rd 2016.

Full Text Link

Reference

Junior doctors’ strike risks patient safety – Jeremy Hunt. London: BBC Health News, April 25th 2016.

After How Many Years’ Failure of Talks?

The NHS staff campaign group Just Health has initiated legal proceedings against the Department of Health, on the grounds that the government’s decision to impose the new contract had not allowed for adequate consultation.

Full Text Link

Reference

Junior doctors’ row: Government hit with second legal challenge over contracts. London: BBC Health News, April 5th 2016.

On Cats, Women, Families and Pigeons: Timing Almost Deliberately Misjudged and Provocative?

Sometimes one wonders… The following equalities impact assessment (“Equality analysis and family test for the new contract for doctors and dentists in training in the NHS”) appears to have gone down a storm, for example on BBC Radio Four’s “Woman’s Hour”:

Full Text Link

Reference

Equality Analysis on the new contract for doctors and dentists in training in the NHS. London: Department of Health, March 31st 2016.

Full Text Link

Reference

Family test for the new contract for doctors and dentists in training in the NHS. London: Department of Health, March 31st 2016.

Full Text Link

Reference

Pym, H. (2016). Junior doctors dispute – poised for escalation. London: BBC Health News, April 7th 2016.

The Government Cannot Be Held To Ransom?

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ strike: Fresh talks ‘ruled out’. London: BBC Health News, April 8th 2016.

Full Text Link

Reference

Junior doctors’ strikes: Jeremy Hunt rejects plan to pilot contract. London: BBC Health News, April 24th 2016.

Full Text Link

Reference

Pym, H. (2016). Clock to avoid doctors’ strike running down. London: BBC Health News, April 25th 2016.

An Impartial Honest Broker?

National Voices, a coalition of patient groups and charities, offered to assist both sides to get back to negotiations, uniquely without pre-conditions.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ strike: All-out stoppage begins. London: BBC Health News, April 26th 2016.

Historic All-Out Strike

Full Text Link

Reference

Triggle, N. (2016). Are all-out strike days actually going to be safer? London: BBC Health News, April 25th 2016.

Full Text Link

Reference

Ertl, M. [and] Fottrell, S. (2016). Devastated, disappointed and in pain – would you support the strike? London: BBC Health News, April 26th 2016.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ strike: Hospitals ‘hoping patients stay away’. London: BBC Health News, April 27th 2016.

A waiting game of mutual attrition? Shame about the patients, caught in the middle.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ dispute: Who will break first? London: BBC Health News, April 27th 2016.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ row: Both sides ready to fight on. London: BBC Health News, April 27th 2016.

New Talks Offer Hope?

The Academy of Medical Royal Colleges brokers a brief pause over implementing new junior doctors’ contracts in England, for five days to re-open talks.

Full Text Link

Reference

Ministers and junior doctors agree to new contract talks. London: BBC Health News, May 5th 2016.

New talks to dissolve deadlock, or merely a fresh platform for chicanery and leveraging calculated delay?

Full Text Link

Reference

Pym, H. (2016). Junior doctors’ dispute: proposal aimed at breaking deadlock. London: BBC Health News, May 5th 2016.

Full Text Link

Reference

Junior doctors: BMA to consider joining government talks. [Subsequently re-titled as ‘Junior doctors to decide on NHS contract talks’]. London: BBC Health News, May 7th 2016.

Full Text Link

Reference

Brimelow, A. (2016). Junior doctors’ contracts: fresh talks to begin later. London: BBC Health News, May 9th 2016.

Last-ditch talks about the junior doctors contract dispute in England have been extended.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ contracts: crunch talks extended. London: BBC Health News, May 13th 2016.

Dispute Resolution Finally In Sight

Negotiations between the Government and the BMA leadership at the conciliation service Acas have achieved a provisional  “win / win” mutual agreement. 40,000 BMA members now have to vote on this arrangement.

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ contract deal agreed. London: BBC Health News, May 18th 2016.

“Junior doctors have always wanted to agree a safe and fair contract, one that recognises and values the contribution junior doctors make to the NHS, addresses the recruitment and retention crisis in parts of the NHS and provides the basis for delivering a world-class health service”. Dr Johann Malawana (BMA)

Everyone wins from a resolution, particularly NHS patients. Further discussion:

Full Text Link

Reference

Triggle, N. (2016). Junior doctor deal: Which side has won? London: BBC Health News, May 18th 2016.

No guarantees of peace in our time:

Full Text Link

Reference

Triggle, N. (2016). Junior doctors’ row: BMA fears ‘uphill struggle’ to sell deal. London: BBC Health News, May 19th 2016.

Full Text Link

Reference

Pym, H. (2016). Junior doctors: Lifting the veil on dispute’s twists. London: BBC Health News, May 26th 2016.

Has Brexit Ended Junior Doctors Dispute? Not Yet…

Full Text Link

Reference

Triggle, N. (2016). Has Brexit ended junior doctors dispute? London: BBC Health News, July 4th 2016.

Patients appear to be set to suffer further, as the rank and file union of membership ignores BMA leaders’ advice to settle the dispute. A combination of ruthless self-interest, and perhaps peer-pressure coupled with the inability to back-down pragmatically, induce political myopia?

Full Text Link

Reference

Triggle, N. (2016). Junior doctors reject new contract. London: BBC Health News, July 5th 2016.

Further BBC News commentary:

Full Text Link

Reference

Triggle, N. (2016). Why the No vote means nothing and everything. London: BBC Health News, July 5th 2016.

Again, a solution has to be imposed:

Full Text Link

Reference

Triggle, N. (2016). Ministers ‘looking to impose doctor contract’. London: BBC Health News, July 5th 2016.

“There have been no winners in this ongoing dispute, instead it is patients who have been the losers”. (Katherine Murphy, of the Patients Association).

Fresh industrial action brewing:

Full Text Link

Reference

Junior doctors strike: calls for fresh industrial action. London: BBC Health News, August 12th 2016.

Advertisements

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, BBC News, For Doctors (mostly), In the News, National, NHS, NHS England, Quick Insights, Standards, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s