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Junior doctor contract should be scrapped, argues royal college president

The junior doctors’ contract “should be discarded and replaced with one drawn on a clean sheet,” argues a royal college president.

Neena Modi, Professor of neonatal medicine and president of the UK Royal College of Paediatrics and Child Health, says the total breakdown of trust between government and junior doctors “represents a catastrophic failure of senior leadership at all levels”.

She says, in the BMJ, that it’s “time for acknowledgment of deep malaise around medical training and honest public debate on the state of the NHS.”

Recently a High Court rejected arguments over the legality of the actions of the health secretary, Jeremy Hunt, in connection with a new contract for doctors in training.

The ruling was the latest twist in a long drawn out, damaging dispute that has brought thousands of young doctors onto the streets to protest.

Professor Modi argues that the NHS “is in disarray” and that it is “a testament to the dedication of junior doctors and all other frontline healthcare staff that the public has been largely shielded from the consequences of this chaos.” The corollary is that most people are unaware of the extent of the change the NHS is undergoing, she adds.

“Their protest is both an expression of breaking point frustration with their training and a clarion call to the country to wake up and recognise the true state of the nation’s health services,” she writes.

Professor Modi argues that there is “an overriding need to re-establish trust, restore morale, and respect young doctors as the professionals that they are.”

She also believes that the contract, regardless of any further tweaks, “will forever be damaged goods, and in this same spirit of building trust should be discarded and replaced with one drawn on a clean sheet.”

The new junior contract has now started to be implemented.

Modi asks a series of questions. Do we want healthcare that is efficient, effective, and equitable, delivered by a modern public sector organisation driven not by financial incentives but by pride in outcomes measured to rigorous standards? Do we consider health a commodity or an essential component of a just society, crucial to the economic wellbeing of the nation?

“The painful political awakening of a generation of young doctors may ultimately prove the catalyst to find a way forward,” she concludes.

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2 Responses to “Junior doctor contract should be scrapped, argues royal college president”

  1. M.C.T.Morrison says:

    It is great to see a College President coming out and stating, publicly, what most of the profession have been saying, privately, for some time.

    But will the politicians listen (maybe they should all attend an ENT clinic!); and will The Press present ‘the truth’ (as bare facts), or have ‘an angle’ (usually presenting doctors as money-grabbing occupants of golf courses!)?

  2. Philip Arlington says:

    Neena Modi exemplfies the problem with a massive burueacracy like the NHS with her fantasy that financial realities can be excluded from the equation. If the NHS wasn’t a massive centralised bureaucracy different employers could offer different contracts and compete for staff, like they do in the better health systems in countries like Japan and France.

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