A report from the royal colleges suggests that more training posts in acute medicine must be created if the ‘front door’ pressure on hospitals is going to be alleviated.
“The challenges facing the medical registrar have grown in recent years as the model of service delivery has struggled in the face of new NHS challenges. This can make it a less attractive career path for junior trainees, leaving rotas stretched and, in turn, making the problem worse.
“These practical solutions challenge employers and trainers to respond positively to the issue.
“We welcome the focus on strengthening existing systems – from top-level workforce planning down to the traditional doctor team (the ‘firm’) – that will deliver better patient care and medical training.
“The most radical proposal is to redeploy doctors training in single specialties to the medical registrar role. If properly implemented this may well benefit trainees and patients.
“However, any proposed changes must be based on a clearly established need for change – and not motivated by cost-saving. Implementation will require careful thought and consultation to ensure that the trainees involved have both the adequate training and skills required and that they are properly supported.”