Apologies if this is a little rambling but around 9.00pm tonight we arrived home after doing the school run, after school activities, supper, bed and bath for two of our DGC. We handed over to our DSL when he arrived home from work and then drove 35 minutes to our home. Their mother was not available to do any of the above as she was working.
Why is any of the above unusual - aren't many many families are in a similar scenario all over the country? Well, simply because My DD, a Partner in a GP practice rose at 6.00am and left her children to go to work. At 6.30pm, she drove to chair a NHS committee meeting. This meeting will end about 10.00pm. She will then have a half hour drive home, peep at her small sleeping children and try and grab a few hours sleep before a similar day tomorrow. And the day after that. It is relentless. Her normal working day is 12-13 hours. My DD will have been fortunate to have found time to have a wee or a cup of tea during the day. She will be fortunate to be grab a sandwich at the evening meeting.
GP practices are now undertaking much of the work of small hospitals of yore but without a plethora of extra staff. Social work, administration, management and accounting... all part of normal working day. Oh, patients? Well, they are in there somewhere. To be cared for and worried about. Out of hours telephone consultations, perhaps with other branches of the NHS (i.e.at home during supper/evenings/weekends etc.) are the norm.
Why is the above regarding GP's relevant to this discussion? Mr Hunt wants to cut the salary of trainee GP's by 31%. Is that really going to help recruitment and retention? Thus some trainee GP's were also striking today. Would you want your pay reduced thus?
In answer to some other points raised through these pages: yes, of course other jobs and professions work long hours too. Yes, medicine is still a vocation. Yes, other professions also require long training and graduates leave with huge debts.
However, the responsibility, ensuring every decision is a good one, after working long long hours is not comparable with any other job. Medicine could not be commenced without a vocation - it would be impossible to be consumed by such a job without deep love for the profession. The debts accrued by medics graduating today take decades to eradicate.
The stress on marriages and health of doctors has hardly been mentioned but as a female doctor, my DD could not function without a supportive husband and parents. Her job affects my whole family, even to the degree of the illnesses she imports home and are just 'part of the job'. Not something I signed up for!
I normally support this Government and unfortunately feel that some of their reforms (some overdue) have been badly mishandled but how anyone can not support this strike is beyond me.
Mr Hunt's much spouted want of healthcare 24/7, 365 days a year seems laudable. Who could object? Oh, just a second, he wants all the ancillary services in place for these times too (I presume all the receptionists/physios and radiographers have agreed, without being offered enhanced pay - as per the medical staff - to work these hours?) This is because 'statistics' say that death rates are higher in hospitals at weekends. Untrue. Wednesday is actually the day with the highest mortality rate.
Just as it is impossible to stretch thin pastry beyond a certain point - it goes into holes, or cracks and breaks - it is thus with doctors and the NHS which is at breaking point.
Please don't believe the rubbish spouted on salaries: Trainee doctors currently have a starting salary of £22,636 - at Foundation Year 1 (F1) - rising with experience to reach £30,000 within four years. Doctors in specialist training (ST) receive a salary of between £30,002 and £47,175, while those who make the grade can earn up to £69,325. Only a single-practice doctor working on a remote island could possibly hit £100,000 per annum, a sum generally held to be the average for a GP. Rot! Doctors are not now highly paid. A new London underground driver (an important job with responsibility but not decision-making at ten-minute interval job) is paid approximately £45,000 per annum and reaches almost £50,000..... for a 36 hour working week.
Incidentally, many doctors striking today will be consultants by the time these reforms - if they did go through and are implemented - so they are not striking for themselves but purely for altruistic reasons for future doctors.
I think that the Government is trying to put a split between 'us' and 'them', i.e., making a divisive line twixt patients and doctors. When ill-feeling has been worked up enough, they can then really go to town will try to break the doctors further.
Mr Hunt declared back in 2006 that he wished to decentralise the NHS and seems to be making a start. Divide and rule?
Doctors need support. If you wish to have a fully-functioning NHS with fully functioning doctors, compos mentis to work, support your doctors now.