Health training shake-up urged
Thursday 17 September 1992
It says intensive training of junior doctors would enable them to become specialists within six to eight years of qualification, rather than the 10 to 15 years necessary to achieve consultant status at present.
The central change put forward by the report from the National Association of Health Authorities and Trusts would bring Britain into line with the rest of Europe, an issue at the centre of a High Court action.
Consultant training is also under the spotlight of a working party under Kenneth Calman, the chief medical officer, set up by the Department of Health after it accepted European Community criticism that Britain's system was 'unlawful and discriminatory'.
Last week the Monopolies and Mergers Commission launched an inquiry into consultants' fees after complaints that guidelines on charges issued by the British Medical Association had forced up costs. A Norwich Union Healthcare study, due out next week, will show that almost 40 per cent of the cost of private health care is swallowed up by consultants' fees.
Today's discussion paper, Medical Manpower: Training and Hospital Career Structure, is primarily concerned with the changing structure of the National Health Service brought about by the introduction of trust hospitals, the Government's commitment to reducing junior doctors' hours, and the need to bring Britain into line with the rest of the EC.
To avoid the need to increase the number of junior doctors if their hours were cut, the paper suggests the health service move to a system where cover is provided by specialists.
Two new career-grade posts would be created, which would allow doctors to become specialists at 31, seven years earlier than at present. They would spend between 10 to 15 years in this grade before becoming senior specialists.
Senior specialists could be appointed to head departments, but it is envisaged that they would have a major responsibility to educate and supervise those in training grades. The paper argues that the proposed changes would require only a redistribution of expenditure.
Brian Mawhinney, the Minister for Health, said: 'We are currently looking at many of the same issues in consultation with the medical profession and the NHS.'
Medical Manpower: Training and Hospital Career Structure; NAHAT, Birmingham Research Park, Vincent Drive, Birmingham B15 2SQ; pounds 8 members, pounds 12 non- members.
Diving in at the deep end is no excuse for shirking the style stakes
- 1 Game of Thrones author George RR Martin says 'f*** you' to fans who fear he will die before finishing Westeros saga
- 2 PornHub begs users to stop uploading video clips of Brazil getting beaten 7-1
- 3 Why I'm on the brink of burning my Israeli passport
- 4 L'Oreal cuts ties with Belgium supporter Axelle Despiegelaere after hunting trip photographs
- 5 The true Gaza back-story that the Israelis aren’t telling this week
Game of Thrones author George RR Martin says 'f*** you' to fans who fear he will die before finishing Westeros saga
Loom bands: Bids for dress made from colourful rubber pass £170,000 on eBay
Supermoon 2014: When and why will the moon look bigger and brighter this summer?
Gaza-Israel conflict: The terrible price Palestinian children are paying for Israel’s war with Hamas
Iraq crisis: Government forces execute 255 Sunni prisoners in revenge for Isis atrocities, says report
Sustained immigration has not harmed Britons' employment, say government advisers
War is war: Why I stand with Israel
7/7 memorial defaced on anniversary of 2005 attacks with ‘Blair lied thousands died’ graffiti
Australia facing international condemnation after turning around Sri Lankans at sea
Even when it brutalises one of its own teenage citizens, America is helpless against Israel
Socialist Worker called to apologise over ‘vile’ article saying Eton schoolboy Horatio Chapple's death is ‘reason to save the polar bears’
£70000 per annum: Harrington Starr: Information Security Manager (ISO 27001, A...
£30000 - £45000 per annum + Benefits + Bonus: Harrington Starr: C# Developer (...
£60000 - £80000 per annum + Benefits + Bonus: Harrington Starr: C# Integration...
£75000 - £85000 per annum + ex bens: Deerfoot IT Resources Limited: Biztalk Te...