Jeremy Hunt Blasts 'Totally Unwarranted' Winter Strike Action Warning From Junior Doctors

Jeremy Hunt Has Some Choice Words For Striking Junior Doctors
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Secretary of State for Health Jeremy Hunt delivers his speech to delegates in the third day of the Conservative Party annual conference at Manchester Central Convention Centre.
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Health Secretary Jeremy Hunt has criticised NHS workers for threatening "extreme action", warning that a "totally unwarranted" strike would harm vulnerable patients.

Chair of the Health Select Committee Sarah Wollaston also piled in to rebuke doctors considering the strike proposal, lambasting the potential action as "extreme" and "highly unsafe".

Sarah Wollaston, herself a GP, accused the British Medical Association (BMA) of failing to "put patients first" after it announced two full strike days and another when they will only deal with emergencies.

Hunt has already made a bid to avert a clash with junior doctors over his proposed new contracts.

The Conservative minister offered affected workers a fresh deal, including an 11% rise in basic pay and overtime pay after 7pm on Saturday evenings - a concession on the previous 10pm.

Doctors would stage two strikes and only deal with emergencies during a third day of action in December if they support industrial action in a ballot.

The British Medical Association (BMA) said it had taken the "extraordinary step" of announcing the proposed dates and type of action ahead of the ballot result on Wednesday.

If there is a yes vote, junior doctors will only provide emergency care for 24 hours from 8am on December 1, followed by full walkouts from 8am to 5pm on December 8 and 16.

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Junior doctors protesting contract changes earlier this year

In an email to all members in England, BMA council chairman Mark Porter said: "We are releasing this information at this early stage because we want to give as much notice as possible.

"It sounds like an oxymoron when talking about industrial action, but we genuinely want to minimise any disruption to other NHS staff and, above all, to patients.

"Our dispute is with the Government and our ballot for industrial action is a last resort in the face of their continued intransigence."

The union has refused to get back around the negotiating table with the Government in the row over a new contract, which is set to be imposed from next summer on doctors working up to consultant level.

But Hunt defended his controversial new contract move, saying flexible pay premiums would be applied to more specialities than just general practice and A&E care, with acute medical ward staff and psychiatrists benefiting.

The Health Secretary argued that just 1% of doctors would lose pay because of the deal and those were limited to doctors working too many hours already.

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Jeremy Hunt's proposals have not proven universally popular

He added maximum working hours per week would fall from 91 to 72 under the new deal.

After the proposed strikes were announced, Mr Hunt commented: "Threatening extreme action is totally unwarranted and will harm vulnerable patients.

"Refusing to talk to a Government that wants to improve weekend care for patients and reduce doctors' hours can only damage the NHS.

"Rather than striking, the BMA should return to the negotiations they walked away from a year ago and put their patients first."

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Wollaston criticised doctors' plans to strike

The MP said doctors' plans were "far too extreme", coming in the middle of what is traditionally the busiest period of the year for the NHS.

"I think it is not putting patients first, I think this will be highly unsafe for patients," she told the BBC's Today programme, adding: "I think it is appalling the BMA are taking this action - it is far too extreme."

Johann Malawana, the BMA's junior doctor committee chairman, hit back at criticism of an impending strike, commenting that the increase in basic pay was misleading as it would be "offset by changes to pay for unsocial hours - devaluing the vital work junior doctors do at evenings and weekends".

The BMA said it has told the Government it wants to work with it to agree a new contract, but it needs a number of concrete assurances.

These include withdrawal of the threat to impose the new contract, proper recognition of unsocial hours as premium time, no disadvantage for those working unsocial hours compared to the current system, and no disadvantage for those working less than full time and taking parental leave compared to the current system.

In his email, Dr Porter updated members on legal advice the BMA has obtained from labour relations expert John Hendy QC, following suggestions by an NHS trust that the proposed industrial action was in breach of the Trade Union Labour Relations (Consolidation) Act 1992.

"In short, it is counsel's opinion that the suggestions made by the trust are seriously misleading.

"The offence to which they have referred only applies when a doctor acts with malice towards the patient concerned and when he or she knows that the probable - not just possible - consequence of their action in breaching their employment contract would be the death or serious injury of the patient concerned.

"This is highly unlikely to apply to any doctor participating in the proposed industrial action. It is also worth noting that no prosecution of the sort suggested by the trust has ever been brought under the act.

"The unity of the profession, regardless of branch of practice or seniority, underlines the strength of feeling and solidarity in standing with our junior doctor colleagues in defence of patients and our working lives," he said.

Here are six things you need to know about Hunt's controversial contract changes, and the furore that continues to rage over them...

6 Things To Know About Junior Doctor Contract Changes
Who are junior doctors?(01 of06)
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Junior doctors are those doctors who have graduated from medical school but who are yet to qualify as either a consultant or general practitioner.

Doctors are required to undertake five years of medical training and to graduate from accredited schools before entering what's known as a foundation period.

They are then required to work as juniors after the foundation period before ascending to consultant or GP status. This means many doctors do not fully qualify until well into their 30s.
(credit:Stuart Gleave via Getty Images)
Why are their contracts changing?(02 of06)
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Demands upon the NHS are increasing, and at the same time, the government wants to move towards a seven-day, out-of-hours health service.

Health Secretary Jeremy Hunt says planned contract changes will make healthcare more flexible, and more able to adapt to changing levels of demand.

He has denied the charge that the contracts are specifically designed to lower the wage bill of doctors who'll be forced to work 'out of hours' for no extra pay.
(credit:Stuart Gleave via Getty Images)
Why are people unhappy?(03 of06)
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Junior doctors are unhappy at the proposed contract's potential effect on safe working hours.

They say that introducing new shift patterns and broadening normal working days to include hours up to 10pm may have the effect of increasing tiredness amongst medics.

The new contracts may impinge on doctors' work-life balance, reduce time spent with their families, and may increase work-related stress. These may affect patient care, some argue.

Dr Shebby Kamalvand wrote of the hypocrisy of the proposals - the implication that doctors are worth less than they are paid now, but are required to work more flexibly to cope with increased demand.

The proposals may also make things less fair for those working less than full time and taking parental leave.

But most of all, the British Medical Association believes the threat of imposition to be entirely unacceptable -- a stumbling block so large it has halted negotiations entirely.
(credit:Stuart Gleave via Getty Images)
What do they want?(04 of06)
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According to the British Medical Association, which represents junior doctors in negotiations, they want:
"The BMA wants the following concrete assurances in writing from the Government before we can agree to re-enter negotiations:

- Proper recognition of unsocial hours as premium time- No disadvantage for those working unsocial hours compared to current system- No disadvantage for those working less than full time and taking parental leave compared to the current system- Pay for all work done- Proper hours safeguards protecting patients and their doctors

The contract proposed by the Government rides roughshod over the best interests of doctors, of patients and of the NHS as a whole. Junior doctors have made it clear that they are not prepared to accept a contract that is unfair and unsafe."
(credit:Stuart Gleave via Getty Images)
Will they get it?(05 of06)
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Negotiations are currently at an impasse, with both NHS Employers, which acts on behalf of government, and representatives of junior doctors refusing to budge on the threat of imposition.

A staged introduction of the new changes could take effect whereby those joining the profession are subject to the new conditions.

However, this may do little to tackle the dire recruitment and retention of junior doctors after the foundation period.

Jeremy Hunt is likely to move forward in a way which brings junior doctors back around the negotiating table.
(credit:Stuart Gleave via Getty Images)
And what if they don't?(06 of06)
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But there are signs of what will happen should Mr Hunt refuse to yield to doctors' demands.

Members of his own party have highlighted cases of doctors emigrating from the UK to work as doctors elsewhere. Dr Sarah Wollaston, now a Tory MP and chair of the Commons Health Select Committee, says that her own daughter and eight of her doctor friends have left the UK for Australia.

And it doesn't look like they'll be alone in leaving Britain. The General Medical Council has received more applications for a Certificate of Currently Professional Status so far this year as it did in the whole of 2014. The Certificate is needed if doctors wish to practice medicine abroad.

In 2014, the GMC issued 4925 certificates. So far this year it has issued 7468, its latest figures reveal.
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