scholarly journals Implementation of the European Working Time Directive in an NHS trust: impact on patient care and junior doctor welfare

2010 ◽  
Vol 10 (2) ◽  
pp. 134-137 ◽  
Author(s):  
Hugh F McIntyre ◽  
Sarah Winfield ◽  
Hui Sen Te ◽  
David Crook
Keyword(s):  
Patient Care ◽  
Junior Doctor ◽  
Working Time ◽  
European Working Time Directive ◽  
European Working ◽  
Working Time Directive

scholarly journals The EWTD: friend or foe to quality patient care?

2006 ◽  
Vol 88 (9) ◽  
pp. 318-319
Author(s):  
MBS Brewster ◽  
R Potter ◽  
D Power ◽  
V Rajaratnam ◽  
PB Pynsent
Keyword(s):  
Patient Care ◽  
Medical Staff ◽  
Junior Doctor ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Out Of Hours ◽  
Quality Patient Care ◽  
European Working ◽  
The Uk ◽  
Working Time Directive

For the last few years all the hospitals in the UK have been changing junior doctors' rotas to become compliant with the European Working Time Directive (EWTD). The first stage, requiring a junior doctor to work a maximum of 58 hours per week averaged over a 6-month period, became law in August 2004. In addition to new posts for junior doctors there have been schemes to facilitate the transition, such as the Hospital at Night programme. This was designed to use the minimum safe number of doctors from appropriate specialties with supporting medical staff to cover the hospital out of hours. It was required to make the most efficient use of this team and allow the junior doctor rotas to be compliant with the appointment of as few new posts as possible.

Surgical assistance - who can help?

2014 ◽  
Vol 96 (7) ◽  
pp. 244-246 ◽  
Author(s):  
Susan Hall ◽  
Julie Quick ◽  
Andrew Hall ◽  
Adrian Jones
Keyword(s):  
Patient Care ◽  
Surgical Training ◽  
Perioperative Care ◽  
Working Time ◽  
European Working Time Directive ◽  
Surgical Assistance ◽  
European Working ◽  
High Standards ◽  
Working Time Directive

Changes affecting surgical training, together with the implementation of the European Working Time Directive, have necessitated increased reliance on non-medically qualified assistants. Such assistance must be performed by suitably educated personnel. The RCS, The Perioperative Care Collaborative (PCC) and The Association for Perioperative Practice (AfPP) all play a role in ensuring high standards of patient care. In so doing, they have determined the circumstances and the level at which such assistance may be given by three grades of perioperative personnel. It is essential that surgeons understand and support such non-medically qualified colleagues in adhering to these standards.

scholarly journals Perceived impact of EWTD on UK doctors

2009 ◽  
Vol 91 (4) ◽  
pp. 132-134 ◽  
Author(s):  
Ryckie G Wade ◽  
James Henderson
Keyword(s):  
Patient Care ◽  
Working Hours ◽  
Working Time ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
European Working ◽  
Perceived Impact ◽  
Working Time Directive ◽  
A Current

Doctors have historically worked long hours to provide patient care but also to gain experience. Over the last decade, working hours have decreased significantly, and the introduction of the European Working Time Directive (EWTD) has formalised this. In August 2009, junior doctors (but not consultants) will be limited to a 48-hour working week (see http://www.dh.gov.uk/en/Managingyourorganisation/Huma nresourcesandtraining/Modernisingworkforceplanninghome/Europeanworkingtimedirective/index.htm). There are concerns at all levels of the profession that doctors will not be adequately trained to function at the standard of a current NHS consultant. Doctors with the least experience make the most errors and familiarity with situations and equipment is directly related to competency.

scholarly journals Hospital at Night: Not for ENT?

2006 ◽  
Vol 88 (4) ◽  
pp. 134-136 ◽  
Author(s):  
DD Pothier ◽  
S Ahluwalia ◽  
P Monteiro
Keyword(s):  
Patient Care ◽  
Continuity Of Patient Care ◽  
Working Time ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Consultant Surgeon ◽  
European Working ◽  
After Hours ◽  
Working Time Directive ◽  
The Impact

The introduction of the European Working Time Directive has meant a reduction in the number of hours that junior doctors may spend at work. The impact that this legislation will have on training and the continuity of patient care may be significant. In an attempt to reduce the number of doctors required to look after patients after hours, the Hospital at Night programme has been introduced. The basis of the project is to have a team of generically skilled surgeons on call to handle emergencies and routine ward work from all surgical specialties. The reasoning behind this move is that most SHOs have sufficient training to deal with most surgical problems; any more advanced problems are to be referred to the SpR or consultant surgeon for that specialty.

scholarly journals EWTD revisited

2014 ◽  
Vol 96 (5) ◽  
pp. 140-141
Author(s):  
Norman Williams
Keyword(s):  
Patient Care ◽  
Working Time ◽  
European Working Time Directive ◽  
Secretary Of State ◽  
European Working ◽  
Working Time Directive

As some of you may know, I was asked just before Christmas 2013 by the Secretary of State for Health, Jeremy Hunt, to chair a taskforce to examine the effects of the European Working Time Directive (EWTD) on training and patient care in the NHS. The two questions that were foremost in our minds were:

EWTD compliance – towards 2009

2006 ◽  
Vol 88 (8) ◽  
pp. 262-263 ◽  
Author(s):  
John Lowry ◽  
Jo Cripps
Keyword(s):  
Health Authority ◽  
Junior Doctor ◽  
Working Hours ◽  
Working Time ◽  
European Working Time Directive ◽  
European Working ◽  
Working Time Directive

By 2009 doctors in training will have to reduce their working hours to 48 per week. One strategic health authority estimates that they will lose 8,000 junior doctor hours per week. How will the service manage? What effects will the reduction in hours have on training? This article gives an overview of current developments in negotiations on the European Working Time Directive (ETWD) and urges readers to start planning for 2009 implementation now. The newly launched College web area on the EWTD (http://www.rcseng.ac.uk/service_delivery/ewtd/) provides more information and updates.

scholarly journals EWTD: maintaining the pressure

2009 ◽  
Vol 91 (8) ◽  
pp. 258-259 ◽  
Author(s):  
John Black
Keyword(s):  
Medical Association ◽  
Working Time ◽  
European Working Time Directive ◽  
News Item ◽  
Junior Doctors ◽  
Public Concern ◽  
European Working ◽  
Working Time Directive ◽  
First Time ◽  
Radio Programme

The ill-judged introduction of the 48-hour week demanded by the European Working Time Directive (EWTD) was the first news item on every television and radio programme on Saturday 1 August, indicating just how successful the College has been in raising public concern. It was encouraging that the British Medical Association (BMA) speakers were for the first time expressing serious anxiety, largely about the effects on training and about pressure being put on junior doctors to falsify their hours returns. All conversions to the cause are welcome, however late in the day. It is disappointing that the BMA is not yet stressing the dangers to patients, which they are surely hearing about from their members working in the acute specialties.

scholarly journals Maximizing time from the constraining European Working Time Directive (EWTD): The Heidelberg New Working Time Model

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Simon Schimmack ◽  
Ulf Hinz ◽  
Andreas Wagner ◽  
Thomas Schmidt ◽  
Hendrik Strothmann ◽  
...  
Keyword(s):  
Working Time ◽  
European Working Time Directive ◽  
Time Model ◽  
European Working ◽  
Working Time Model ◽  
Working Time Directive

Optimizing training opportunities for otolaryngology senior house officers: an audit

2006 ◽  
Vol 120 (7) ◽  
pp. 583-586 ◽  
Author(s):  
J Wasson ◽  
N Jacobsen ◽  
D Bowdler ◽  
C Hopkins
Keyword(s):  
Working Time ◽  
European Working Time Directive ◽  
Medical Careers ◽  
Surgeon Training ◽  
European Working ◽  
Cent Case ◽  
Audit Cycle ◽  
Working Time Directive ◽  
Training Opportunities ◽  
Made In

Implementation of the European Working Time Directive and the Modernising Medical Careers initiative will mean junior surgeons must be trained in fewer hours over a shorter period. For this reason, junior surgeon training opportunities must be optimized. We undertook a departmental audit to identify where opportunities to train senior house officers (SHOs) in theatre were being lost, so that appropriate timetable changes could be made in order to optimize exposure to suitable surgical cases. During the first audit cycle, the SHOs followed their existing timetable and theatre attendance was monitored prospectively over a two-week period. Only 30 per cent of theatre sessions were attended and case participation was only 27 per cent. Simple timetable changes were made to maximize SHO theatre attendance, and a second prospective two-week audit was undertaken. The new rota yielded 46 per cent theatre attendance and 48 per cent case participation.

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