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Young doctors are on strike: I am in charge of 250 patients. We don’t have enough staff every day

Understaffing is the norm in hospitals, doctors on strike say, as medics quit en masse due to low wages and stress. The doctor, who has been practicing for five years, said that he is sometimes the senior doctor on his shift and is responsible for the care of 250 patients.

Thousands of British Medical Association (BMA) trainee doctors have resigned today due to an ongoing dispute with the government. The union claims that real wages have fallen by 26.1 percent since 2008/2009 and is calling for higher wages.

Up to 200,000 surgeries and appointments could be cancelled, and NHS providers have warned patients that “the scale of disruption is reaching the next level.” Hospitals prioritize emergency care and encourage people to avoid emergency care unless absolutely necessary.

Today, on the picket line outside the University College London Hospital, Dr. Hamish Bain, a medical practitioner who has been a trainee for five years, said wages are “unsustainable” and more and more of his colleagues are moving to the country or abroad.

“I think it’s important that your base salary reflects the value you bring to the table,” the doctor said. Bain, 29 years old. He said some young doctors could have 10 to 15 years of experience in an “extremely complex” job, working day in and day out, and still earn a resident’s salary.

Dr. Hamish Bain, Resident Physician in London, University College London Hospital
Dr. Hamish Bain, London doctor at University College London Hospital (Photo: Ellen O’Dwyer)

Dr Bain works the night shift and is a senior physician at Central London Hospital. According to him, he is responsible for the care of 250 patients. “Suppose something goes wrong, we are in cardiac arrest – you are responsible, you decide how long to resuscitate, when to stop, is CPR appropriate for this person? These are really subtle solutions. They are so nuanced and so individual that you need a lot of knowledge – this is an extremely difficult job, and therefore you should be paid properly, ”he shared. I.

Dr Bain said it was “difficult” to work for the NHS at the moment as demand was “overwhelming” as more and more people went to hospitals with more complex problems. An aging population and a lack of social services are placing a burden on hospitals and doctors.

“It’s normal that we suffer from staffing shortages almost every day,” he added. “Part of this is due to illness, but a lot of absenteeism is due to mental health issues, which are directly related to staff shortages. So it’s a vicious circle where people get paid poorly, don’t feel valued, get stressed, have long days off, and then spread to the next person.

Dr. Robert Laurenson, co-chair of the BMA junior physicians?  Committee at University College London Hospital
Dr. Robert Lorenson, Co-Chair of the BMA Committee of Associate Physicians at University College London Hospital (Photo: Ellen O’Dwyer)

Fred, 28, a doctor trained in London and Southampton, said he has never worked in a fully staffed team except during the Covid-19 pandemic. “Part of that has to do with retention issues and the fact that we struggled to get a fair wage, among other things.”

He said this makes it difficult to provide full service during a shift, meaning doctors are delayed and add extra hours for which they are not always compensated. “You have days when a few people are sick, and you don’t have enough; It is then that the vacancies really make themselves felt, because the places are filled for two or three colleagues.

Fred said he wants wages to recover to 2008/2009 levels. “Personally, I don’t want to leave medicine. I still love my job, but I understand why people leave or go abroad,” he said. “Compared to the amount of education and skills we have received, other people earn more in other jobs.”

Health and Human Services Minister Steve Barclay said it was “incredibly disappointing” that the BMA turned down an offer to open formal wage negotiations.

Young doctors strike at University College London Hospital
According to the British Medical Association, young doctors’ salaries have fallen by 26.1% in real terms since 2008/2009. (Photo: Ellen O’Dwyer)

“I appreciate the hard work of junior doctors and call on unions to come to the negotiating table and call off strikes that jeopardize patient safety and efforts to close the backlog. I want to find a fair deal that recognizes the critical role of junior doctors and the broader economic pressures the UK is facing,” he said. “I have had constructive and meaningful talks with unions representing nurses, paramedics and other non-medical workers who have agreed to end the strike, and talks continue this week.”

The BMA responded that it could not cancel the strike at this stage and would not accept the terms of any government agreement.

Dr. Robert Lorenson, co-chair of the BMA Young Doctors Committee, said the union told doctors not to tell employers this week if they were going on strike because there was “a huge level of harassment, emotional blackmail and pressure on people.” faces.” and it’s about demonstrating our collective strength, protecting each other, and standing up to a toxic government.”

He added that NHS funds had two months to prepare for strikes and make arrangements for the safe staffing of services.

Dr. Lorenson, 28, gave the example of a young doctor colleague who was 24 weeks pregnant and passed out in the hospital during the night shift. He said she received a note from her GP asking her to adjust her duties so that she didn’t work the night shift, but the Trust ignored it. “The National Health Service put her and her baby at risk by ignoring fitness levels. Our employers often harass us,” he said.

NHS England declined to comment on the details of the claims, saying it was a matter for the hospital in question.

Yesterday a patient suffering from intracranial hypertension told me: I The appointment of a consultant she had been waiting for a year was delayed until May due to strikes, leaving her “disillusioned”.

Dr. Lorenson said: “It is terrible, but terrible that someone has to wait a whole year to see a specialist, and I can imagine that this neurological condition requires observation. If we don’t keep the staff, if we don’t keep the junior doctors, we won’t be able to fill all the vacancies tomorrow, and so those who come in will have more and more expectations between appointments – it’s just ridiculous. .”

Source: I News

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