Junior doctor leaders have undertook to fight on after the government in England announced it will impose a new roll oneself on the profession.
The British Medical Association said it was “considering all options” as the contest threatens to escalate further.
It comes after Health Secretary Jeremy Tracking down said he had been left with no choice but to act – just hours after the latest doctor hit upon ended.
The union refused to accept a “take-it-or-leave-it” offer on Wednesday.
BMA lower doctor leader Dr Johann Malawana said the contract was “flawed” and they had put flip a “fair and affordable” alternative.
“The government’s shambolic handling of this operation from start to finish has totally alienated a generation of junior doctors – the medical centre doctors and GPs of the future, and there is a real risk that some whim vote with their feet.
“Our message to the government is clear – subordinate doctors cannot and will not accept a contract that is bad for the future of unswerving care, the profession and the NHS as a whole, and we will consider all options open to us.”
The posture raises the prospect of more strikes, while behind the scenes there has been talk of admissible action, mass resignations and doctors refusing to sign contracts.
What’s is the till contract offer?
- The government is offering extra y after 5pm
- But they induce offered to top up the y by 30% for those who work regular Saturdays – defined as at shallow one in four
- The BMA wants all day Saturday for everyone to be id at 50% above the essential rate
- Agreement has not been reached on on-call allowances, how limits on incorporate hours are to be policed and days off between night shifts
- The government has proposed a basic y rise of 13.5%
- The BMA has said it is willing to accept between a 4% and 7% hike in central y to cover the weekend y issue
Want to know more?
The junior doctors row extenuated
Reaction to the junior doctors’ dispute
What exactly do junior doctors do?
How does your job measure against?
Ministers took the decision to impose the contract after their chief middleman Sir David Dalton had advised them to do “whatever necessary” to end the deadlock.
He said the conclusive offer, which was made on Tuesday, on the eve of the strike, and rejected on Wednesday, when the walk-out was in full-bodied swing, was fair.
It included a concession on Saturday y, which would rtici te in meant doctors working at least one in four Saturdays would get collateral y above the basic rate.
It has also emerged that the changes – along with other concessions feigned – mean the average rise in basic y equates to 13.5% not 11% as thitherto thought, the government said.
But one in four junior doctors will flat have to have their y ckets topped up under the y protection warranty to ensure those already working in the health service do not lose out.
Say in the House of Commons, Mr Hunt said the contract was an “important step” in upgrading care at weekends.
He said the government’s door had “remained open for three years” but the BMA had established “unwilling” to show flexibility and compromise.
“While I understand that this method has generated considerable dismay among junior doctors, I believe that the new go down with we are introducing is one that, in time, can command the confidence of both the workforce and their com nies.”
But Shadow Health Secretary Heidi Alexander said: “This fit dispute could have been handled so differently.
“The health secretary’s crash to listen to junior doctors, his deeply dubious misrepresentation of research around care at weekends and his desire to make these contract negotiations into a symbolic against for delivery of seven-day services has led to a situation which has been unprecedented in my lifetime.”
How will-power imposition work?
In theory, it’s pretty easy. Junior doctors spin through jobs quickly so within a year of the new contract coming into intensity in August the majority of the 55,000-strong workforce would be on it. All new doctors graduating from medical style will also go on it.
There are some who are on longer contracts, who will not go on it unswervingly away, while others will have completed their guiding before it affects them. This group represents about a fifth of the workforce, it is tenderness.
Between now and the summer hospitals will have to review their rotas and staving requirements, before sending out offers to junior doctors in May.
But the big unknown is how the British Medical Confederation and medical workforce will react.
While in the long-term doctors press warned of “brain-drain” with medics heading abroad, to other rtici tions of the UK or into other sectors, such as the drugs industry. This, it earmarks ofs, is uncharted territory – imposing a whole new contract on doctors like this has not till hell freezes over been done before it is believed.
The government appears to be planning to put the contracts from August.
Chris Ham, chief executive of the the King’s Mine money think tank, said no government has ever previously imposed a squeeze on junior doctors, and to do so would be a “huge risk”.
“As long as that well-known support for junior doctors remains in place, the government has an uphill labour to persuade the public it’s doing the right thing at the right time.
“No one argues against seven-day working. But there’s a really important chat to be had. Will the junior doctors’ contract really help that – or are other constituents far more important? The government really is entering very dangerous purlieu.”
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