Doctors crisis hits Derriford

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Monday, December 01, 2008
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This is Exeter

DERRIFORD Hospital bosses are urgently looking to recruit from overseas as a shortage of junior doctors has left vital posts empty.

Vacancies in critical departments such as accident and emergency are putting pressure on medical staff, with consultants having to fill some junior doctor shifts, according to hospital bosses.

James Palmer, medical director clinical services for Plymouth Hospitals NHS Trust, said the trust was urgently looking at 'creative' solutions, including recruiting from across Europe and South Africa.

There are 24 full-time doctors' posts vacant, 23 of them junior positions, out of the hospital's medical and dental staff group of 829.

Mr Palmer said: "Twenty-four sounds like a small number of vacancies but they are in critical departments. Half of them are in two main areas: medical junior doctors and in the emergency department."

Junior doctors are recruited through a national programme called Modernising Medical Careers, but this year there has been a shortfall of recruits both in Plymouth and nationally.

Mr Palmer said that around 250 junior doctors were recruited in the city in August, which fell short of allocated slots.

The lack of trainees has been blamed on a number of factors, including doctors being lured away to work abroad.

The NHS has also been faced with new rules that make it more difficult to recruit medical staff from abroad.

Mr Palmer said: "The impact of the Modernising Medical Careers process has meant that a great deal of overseas doctors have left the UK and, also, a significant number of UK trained doctors have moved to Australia and other sites for career development. So there's a shortage of young doctors here."

Mr Palmer said he has put together an 'action team' to examine how to address to shortage.

He said: "We have to find a better way of recruiting doctors. We very much relied on overseas doctors in the UK for covering hospital work. Then there was the issue of overseas doctors working in the UK and visas for work.

"That was resolved, but we have now got to pick that up again and encourage them to work here. We have good training to offer them.

"I'm going to see if we can establish some formal links with major teaching establishments in other European centres and overseas countries such as South Africa."

Mr Palmer told Friday's hospital board meeting that staff gaps are partly being plugged by locum doctors but existing staff, including consultants, are also having to fill in. He said this has lead to specialists have to take time out of consultancy work.

The staff shortages are also threatening the hospital's ability to meet European Working Time Directive Requirements, which state that junior doctors must only be working 48 hours a week by August 2009.

Mr Palmer said: "Junior doctors have to meet the European Working Time Directive Requirements. This is very much put at risk if you have a vacancy. I have got to have a plan that works to make sure all our rotas meet the requirement in the time frame."

He told board members he hopes to have recruited more doctors by April.

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  • Profile image for This is Exeter

    by YRasool, East Anglia

    Friday, December 12 2008, 2:03AM

    “This Hospital was rated the worst and the most unfriendly in a recent Bmj poll. Avoid at all costs!”

  • Profile image for This is Exeter

    by Keith, Eggbuckland

    Tuesday, December 02 2008, 10:39AM

    “David L - good point”

  • Profile image for This is Exeter

    by David L. Cox, Shropshire

    Tuesday, December 02 2008, 9:23AM

    “The shortage of doctors will continue until the effects of the disastrous MMC/MTAS fiasco of last year is finally recognised by the mindless idiots who perpetrated it. Its main long term effect - the destruction of sensible training of junior doctors is the cause of the shortages.

    After 7 -12 years qualifying and working as a junior, they need to develop their careers and this needs the training posts in sufficient numbers. Without them, only service posts, essentially a full stop to career progression, are available - now as we see available in quantity. Without the required training posts, what do the junior doctors do? Go overseas of course, where their experience is valued and training made available!

    They will continue to do this, to the benefit of Australasia, and at our cost, until the Dept of Health removes the idiots who caused the problem and corrects the problem using managers with a bit more commonsense!”

  • Profile image for This is Exeter

    by Keith, Eggbuckland

    Tuesday, December 02 2008, 6:34AM

    “I am sorry but it all stems from central government and the quick fix ill thought out approach, Policing on the cheap with PCSO¿s some good people but if we need more Police Officer recruit young men and women to become Police Officers with their powers. If we need more Doctors please at least recruit ones with a very good command of the English language the ramification can be so dire in situations like this, the same also applies for nurses, I don¿t personally care where they come from as I am a firm believer in free markets and if people want to work here, can do the job, speak the language and pay taxes come on down, but please get the basics right. There certainly appear to be management issues at Derriford from the simple issues of not being able to enforce smoking bans, through to dirty wards and shortages of staff or should we say the right staff and contract cleaners.
    Look at the differences between Derriford and Nuffield, now in reality there are clearly Doctors and Consultants that work in both, however rules, processes and procedures are miles apart, along with other incentives, one system certainly appears to work better and is clearly a more pleasant experience. At the end of the day short cuts do not work, it is back to basics, do it right, do it properly and do it just the once, in the long term it saves time, money and is a better experience for all concerned.”

  • Profile image for This is Exeter

    by emerald, plymouth

    Monday, December 01 2008, 9:45PM

    “Derriford and other British hospitals have not recruited British doctors and nurses in years mainly because they expect a decent days pay for the hours they are expected to work. I was in hospital when the nurse tending me was in tears because she was losing her job as they merged wards. If you visit Derriford its a disgrace, the wards are either closed down, completely empty of beds etc or have been merged to cut costs. There are more clerical staff at Derriford than medical. This is not a racist comment when I tell you most British trained doctors and Nurses will tell you they have no hope of a job in Britain and most are forced to work abroad in New Zealand, Africa etc - they would love to work in this country but this government and the NHS especially Derriford make this impossible!! My aunt was taken to Derriford while visiting from up country and she could not believe the squalor, the dirt and the disgusting food - I dread being taken ill and visiting Derriford, sadly I've been an inpatient more than I'd like and I've witnessed first hand all of it!! It gets worse not better and I don't see it changing until Derriford takes on board the simple facts of life, stops asking for opinions that will never be considered, and reopens wards and makes itself a teaching hospital where student doctors and nurses are guaranteed jobs if they want them. Get targets back on track and instead of pretending to clean wards, actually get it done every day - this never used to be a problem until Derriford!!”

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