England Junior doctor

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Pledge to improve record sharing

SHO Bradley Kaminski looking at screen in North Manchester General Hospital A&E. Full consent

The NHS has committed to end the administrative burden faced by junior doctors when they start new rotations, honouring a long-standing agreement with the BMA.

Plans to improve the way employment, occupational health and statutory and mandatory training records are shared will apply to all trusts in England by next summer.

The pledge is the result of work undertaken by NHS Improvement's Doctors in Training Programme Board, which sought to build on commitments to enhance the recruitment and induction of junior staff reached in the 2016 ACAS agreement.

The board is made up of numerous health service bodies, including NHS Improvement, NHS Employers, HEE (Health Education England) and the BMA – and is the first health service-wide programme for simplifying workplace induction for junior doctors.

Under the agreed plans, HEE will inform all doctors of their placements 12 weeks in advance of starting, with this data then transferred from HEE’s trainee information system to trusts and stored in the ESR (electronic staff records).

This change will initially apply to 90 per cent of all providers, with full uptake expected by August 2020.

The board will also develop frameworks for statutory and mandatory core-skills training and for recording immunisations and vaccinations for doctors in training by August this year, which will also be incorporated into the ESR.


Job satisfaction

BMA junior doctors committee deputy chair for education and training Sarah Hallett (pictured below) said the agreement would make a huge difference to the workplace experiences of doctors working on rotation.

She added that the approach set to be taken for juniors could ultimately be extended and applied to other branches of practice.

She said: ‘When junior doctors rotate between jobs, we often have to undergo all of the employment checks from scratch.

'This means a vast amount of paperwork that we have to provide for the new trust, along with our occupational health information, which likewise is not shared automatically.

'There is also a huge burden of mandatory training, and we quite often find ourselves having to redo these learning packages every six months as each employer has a slightly different variation on them.

‘All of this can easily equate to a day's worth of tick-box exercises. It also makes for a significant administrative burden for the staff and is a real waste of time, money and resources for the NHS.

‘By streamlining and simplifying the way trusts share this information, doctors working on rotation will be able to begin working for their new employer in more efficient and speedy manner.

‘These changes will also help the health service reduce duplicative and unnecessary administrative processes that currently use up precious NHS resources.’

Find out more about how the BMA is improving juniors' lives

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