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Jeremy Hunt has told doctors' leaders that the government's "door is open" as he seeks a solution to the dispute over new contracts for junior medics.
The government has offered an 11% rise in basic pay for junior medics, but at a price: other elements of the pay package are to be curbed.
Even though the number of full-time hospital consultants in the NHS has increased by 76% since 2000, many hospitals still retain large teams of junior medics, a hangover from days when senior staff were scarcer.The newcomer wants the beloved, beleaguered NHS to be "respectful of our history, but not hostage to it".
Hunt wants to change the hours for which junior medics can claim premium rates of pay, turning 7am to 5pm on Saturday into a normal working day, but the report states: "The department has not adequately assessed the impact on the clinical workforce of implementing seven-day services and so does not know if there will be enough clinical staff with the right skills".
In a statement circulated to members after a meeting on Thursday, the Academy Trainee Doctors Groupp (ATDG), elected representatives of junior medics from different royal colleges across the profession, said it had unanimously agreed not to take part in the review.
But, Deputy Health Minister Vaughan Gething disagreed, saying changing health boards' names was not the solution to attracting junior medics.
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It will see many of the NHS's 45,000 junior doctors – medics below the level of consultant – picketing hospitals across England from 8am after last-ditch talks last week to find a solution ended in deadlock.
The parties agreed that Hunt's second, most recent offer to the junior doctors – all medics below the level of consultant – "is the basis for further negotiation".
If the proposed contract goes ahead it will remove financial penalties for hospitals that overwork junior doctors, which medics say have been the only effective safeguards against them working unsafe hours.
Dr Simran Singh, a British Medical Association representative at Newham General hospital in east London, said that only two of more than 100 junior doctors – all medics below the level of consultant – had gone in to work on Tuesday.
In the article Keogh praises junior doctors – all medics below the level of consultant – for the "tough job" they do and expresses sympathy for the fact that they are "tired and demoralised" and feel "disengaged and powerless" for reasons that involve their treatment by the NHS going back years, not just the changes entailed in the unpopular new contract.
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