the hospital consultant and spec ial i st
HCSA 65 years on
September 2013 views | people | contactsbi-monthly journal of the Hospital Consultants and Specialists Association
News: TUC: HCSA sends wake up call4 Briefing:
USA and EU free trade fears6 News:
Cardiff and Valenegotiations8
editorial
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the hospitalconsultant
and spec ial i stbi monthly magazine ofthe Hospital Consultants and Specialists Association
Editorial: Eddie Saville Nick Wright
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chief executive’s notes
This year marks the 65th birthday of the HCSA. Lookingback we can see that in those early days hospital doctors felt theneed to build a strong representative body to protect andpromote their interests. Those same principles are what theHCSA still stands for. The challenges for us now may well bemore complex but are not dissimilar to those in 1948.
We have just returned from a very successful TUCCongress where our motions on whistle blowing and theFrancis report were both carried unanimously. I was also pleasedto have been re-elected to the TUC General Council for anotheryear, continuing to give the HCSA influence and presence.
We heard many good speeches and contributions from delegates,politicians and visitors. One of the most moving was from thepresident of the National Garment Workers Federation fromBangladesh, Amirul Haque Amin, who spoke about the tragedyof the Rana Plaza fashion factory collapse in which 1,133 workerswere killed and over 1,400 injured.
The government has announced proposed changes to theTUPE Regulations. The government plans to allow employersto renegotiate collective agreements just one year after a transfer.Presently no time limits are in place and it is the trade unionposition that TUPE transfers protect staff. The government havestated that changes must be agreed and any changes must not beoverall less favourable to employees affected. We wait to beconvinced. The Trade Union Congress will be raising concerns ata European level on this matter.
Building and growing for the future are the objectives ofthe HCSA and as such we are now in the process of expandingour regional officer workforce and have just agreed to redesignthe HCSA website. This is an exciting time to be with the HCSA,modernising and improving our core functions of communicationand representation.
Thank you to those members who responded to ourpresident's letter on the Consultant Contract discussion.Following a decision by the BMA on the 18 September, we knowthat negotiations on the new contract will begin soon. On page 9we reinforce our message that membership feedback isimportant, so if you haven’t already responded, please let usknow what you think about the scope of the negotiations and howthey may affect you.
3 65 historic yearsThe HCSA – like the NHS – is 65
4 newsTUC: HCSA sends employers a wake up call
6 briefingUSA and EU free trade fears
8 spotlightGail Savage, HCSA employment advisorCardiff and Vale negotiations
9 newsAGM exhibition Consultant contract
10 HCSA contacts
11 Join HCSA
12 Direct Debit
contents
A very warm welcome to newhospital representatives: Dr Helen Read, consultant psychiatrist,Queen Elizabeth Hospital in Woolwichand Dr Mukesh Chugh, consultantanaesthetist, Altnagelvin Hospital inLondonderry.
Vacancies remain in other areas, so ifyou are interested in becoming ahospital representative or joining theHCSA council please get in touch withthe Overton office.
Welcome
65 Historic Years
t h e h o s p i t a l c o n s u l t a n t & s p e c i a l i s t | 3
Looking through the back issues itbecame clear that the reasons forestablishing the association in 1944remain as relevant today as theywere then, when Mr HJ McCurrichand his colleagues first met to sharetheir “growing dissatisfaction withthe method of election of therepresentatives of the non-teachinghospitals on the BeveridgeCommittee.”
So it was with the objective to consider andact on all matters affecting consultants andspecialists that The Regional Hospitals’Consultants and Specialists Association(RHCSA) was born. By October 1948, withthe establishment of the NHS, times hadchanged. This was a highly charged time forconsultants and specialists, who wereworking with temporary contracts whilstnegotiations were taking place between theBMA and the Department. As the NHSbedded in, the Association settled into a roleof promoting the regional consultants’ viewsto both the Central Consultants Committeeof the BMA and directly to the Department.
In 1957 the RHCSA gave evidence to theRoyal Commission on Doctors’ and Dentists’Remuneration whose report resulted in thesetting up of the Doctors’ and Dentists’Review Body.
During the next decade the RHCSAcampaigned for improvement in consultantspensions, highlighted issues such asundeserved negative publicity in the pressand drew attention to the deterioratingconditions in peripheral hospitals through acampaign of letters.
The HCSA – like the NHS – is 65
During the 60s and 70s membershipcontinued to increase as the threat toregional consultants and their standardsintensified. RHCSA moved to the Old CourtHouse, Ascot in 1971.
Early in the 70s members votedoverwhelmingly to become a registeredtrades union and membership continued toincrease, and in 1974 membership wasthrown open to all and the name changed toHospital Consultants and SpecialistsAssociation.
The 70s continued in dramatic fashionwhen the then social services minister,Barbara Castle, proposed new consultants’contracts which would force consultants toabandon private practice. HCSA and BMAworked together on the issue which resultedin consultants and junior doctors withdrawingnon-emergency services between Januaryand April of 1975. The action was only calledoff when Barbara Castle said consultantsopting for part-time NHS contracts couldcontinue private practice.
In 1979 after much debate, HCSAmembers voted overwhelmingly to affiliate tothe TUC, and this happened on 1 October.
Dr. Alan Shrank, HCSA President from1984-1986, remembers this particular timein HCSA history: “…my abiding memorywas the battle over joining the TUC. Iworked hard trying to persuade HCSACouncil members that the TUC was not justthe Labour Party at work, and then I had topersuade the TUC Council that as a smallbut unique trade union we should beallowed to join in our own right and not on
the back of another existing member -NALGO, NUPE, ASTMS - whom we hadhad to consult. As a result we becamemembers of the TUC Health ServicesCommittee at a time of trade union strife inthe NHS and I was instrumental in ensuringthat safety clauses in the TUC Guidance (InPlace of Strife) protecting patients wereincluded. I also had a seat on the regularmeetings the Committee had with theSecretary of State when our concerns couldbe raised”.
Recently we came across several volumes of “The Consultant” – HCSA’s quarterlymagazine which ran in the 1980s.
The Consultant
As we moved into the 21st century, Dr.Peter Ritchie, HCSA President from 2004 to2007 remembers his years fondly: “TheHCSA was undergoing a distinctimprovement in influence and reputation. Wewere able to attract high level speakers whowere keen to interact and meet with us. Ourstanding within the Consultant & Specialistbody on the ground was definitely growingand we were also being called regularly togive opinions in national press & TV.”
Chief Executive/General Secretary EddieSaville comments that “looking back on thehistory of the organisation shows howimportant our objectives are that theCouncil set earlier in the year. To increaseour influence, gain more presence andimprove our services. As we look forward tothe future we are in a robust position toprotect and promote the members werepresent”.
Dr. Alan Shrank
Dr. Peter Ritchie
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TUC 2013 reports
Shadow secretary for health AndyBurnham took this further when, ina fringe meeting on Whole PersonCare, he made a commitment torepeal the Health and Social CareAct if Labour won the next generalelection. Advocating ‘one budget,one system, one service’ and citing a66% increase over two years in thenumber of people over 90 years oldbeing brought into A&E byambulance, he said the currentsystem could not deal with thepressure and put the situation downto the lack of social care.
For the HCSA delegation the mostinteresting and relevant part of the Congresswas the health debate which discussed thefuture of the NHS and the Francis Report.HCSA were a key contributor to this debate,seconding an omnibus motion, Support forthe NHS, which included the HCSA motionon the Francis Report
The motion emphasised five key themes:Always put the patient first; Zero harm andpatient safety; Creating outstandingleadership and working together as teams ofprofessionals; Regulation, inspection andaccountability and Metrics and outcomes.
In the debate Eddie Saville said thatputting patients first meant that NHSorganisations will have to act on the findingsand the 290 recommendations in the Francisreport, and these must be implemented in aconsistent way across the NHS.
“Foremost in the minds of HCSAmembers is the provision of high quality carethat is safe, clinically effective and enhancesthe experience of all patients” he said.
“We know that leadership was a keyfailing at Mid-Staffordshire and it is clear thatit is clinical leadership that needs to come tothe surface. Openness and transparency withpatients and their relatives about their careand treatment is vital.
“We believe that the Royal Colleges andalso the appropriate unions and professionalbodies should have a role in accreditationand hospital visits thus ensuring that qualitystandards in education, training and serviceprovision are maintained. These visits willempower staff and give them theopportunity to speak openly and inconfidence.
“Current statutory reviews by Monitorand the CQC do not include measures thatare covered by the Royal Colleges’accreditation systems.
“We continue to see reorganisationswithin the NHS, trust after trust are lookingto change services, many resulting in cuts instaff including cuts in the number ofconsultants. Many of these reorganisationshave little or no scrutiny in terms of clinicalinvolvement - sadly it’s the balance sheet thatmatters not the impact on patient services.
“It is important that both individualclinicians and trusts submit accurate andtruthful data to the NHS on patient care, sothat service quality can be monitored toproduce outcome metrics”.
“Foremost in the mindsof HCSA members isthe provision of high
quality care that is safe,clinically effective and
enhances the experienceof all patients”
In her address to the 2013 Congress TUCgeneral secretary Frances O’Grady said:
“Let’s pledge that the NHS will once againbecome a public service run for people and not for profit. Let’s make adult social care a
community responsibility by bringing it together with the NHS.”
HCSA sends a wake up
Eddie Saville speaking at the Annual TradesUnion Congress, 8-11 September 2013,Bournemouth. © John Harris/reportdigital.co.uk
The TUC backed the HCSA motionon whistle blowing moved by generalsecretary Eddie Saville andsupported by the Chartered Societyof Physiotherapy and the Associationof Teachers and Lecturers.
Hank Roberts from ATL gave a passionatespeech in support of the motion, citing hisown difficult experiences as a whistleblower,saying “justice delayed was justice denied.”Hank said that we need to use anything andeverything in our power to ensure thatincidents are not covered up, hushed up orpeople paid off and encouraged whistleblowers, especially in the health service, tokeep it up.
This motion is meant to be a wake up callto all those employers in the NHS who paylip service to whistle blowing but see it as adiversion Eddie Saville told delegates.
“In an ideal NHS there should be no needfor a hospital consultant or specialist, or anyother health care worker to blow thewhistle. However, we do not have an idealNHS.
“There is fear in the NHS, it’s a fear ofwhistle blowing. Hospital doctors don’t gointo medicine to become whistle blowers,nobody does. Their primary commitment isto provide high quality treatment and care.
“However, when they see resourcesstretched, corners cut, stresses taking holdand quality and practice decline, it’s right thatour members should raise objections inorder to safeguard patient wellbeing. It’s thenthat the culture in the organisation hits. Inmany organisations it’s a culture that seeks tovictimise rather than celebrate those whowant to raise their concerns and speak out.
“Survey after survey in the NHS andamongst doctors show the fear that exists;the perception that whistle blowing willimpact badly on their jobs and careers; thepossibility that they themselves will becomethe focus of an investigation becoming
t h e h o s p i t a l c o n s u l t a n t & s p e c i a l i s t | 5
TUC 2013 reports
isolated, unsupported – and in somequarters – seen as trouble makers.
“It is the culture that Robert Francisdescribed in his report about the tragicevents at Mid-Staffordshire Hospital. Andcoupled with bullying and the use of gaggingclauses, these three factors make up the toxicculture that exists in some parts of the NHS.
“The evidence is there, last year theMedical Protection Society carried out asurvey of doctors - almost half said ‘fear ofconsequences’ is why whistle blowing is soineffective.
“We have procedures that are lengthyand negative, and it’s the organisation thatinvestigates itself - how can that be open andfair?”
Eddie Saville told delegates that HCSAofficers and reps regularly support memberswho are brave enough to blow the whistleand who, as a consequence, end up on sickleave, usually followed by a compromiseagreement with its associated gagging clauses.
“Unions in the NHS have worked hard toengage on this issue and we will continue todo so. But something needs to change. It’stime for something new and different,something that has teeth” he said.
“Now, in the wake of the Mid-Staffordshire enquiry the CoalitionGovernment created a new role, that ofChief Inspector of Hospitals. Elements ofthis role are to judge the quality oftreatment, assess the care of patients and beopen and transparent with the public.
“We believe these responsibilities couldbe expanded to deal with cases of whistleblowing. This would be the clear blue waterthat is needed to give NHS staff theconfidence to feel safe to speak out, a placewhere the Chief Inspectors enquiry wouldbe independent, clinically led, and above allelse robust enough to ensure accountability”.
“We have guidance for employers andemployees, we have charters that we all signup to, there are the regulators that purport
to be committed to supporting doctorsand other healthcare staff who blow thewhistle. We have the law around publicdisclosure, countless helplines, hospitalpolicies, we have the NHS constitution, wehave even had TV exposes. Doctors stillfear the consequences of whistle blowingand ultimately it’s the patients that suffer”
It is time to act, we have a ticking timebomb. And it’s ready to go off. Send astrong message to all NHS staff thatspeaking out is the right thing to do and itis the trade union movement that strivesto make it safe for them to do so.”
Safe to speak out
call to employers
HCSA president John Schofield and generalsecretary Eddie Saville at the TUC.© John Harris/reportdigital.co.uk
briefing
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Should the NHS fear theTransatlantic Trade andInvestment Partnershipasks Peter Davies
protected. Recent agreements have seen thedevelopment of “investor-state arbitration”,which gives companies the right to sue agovernment that acts in a way that coulddamage their profits. A policy decision orlegislation that curtailed a company’s profitexpectations could lead to a claim of“expropriation”.
So a future government that wished toend competition in the NHS - or a CCG thatwanted to return an outsourced service toan NHS provider – could face massivecompensation claims. In the first 16 years ofthe North American free trade agreement,Canada, Mexico and the US faced 66 suchclaims costing several hundred million dollarsin compensation and legal fees. In at leasttwo cases in the EU, governments seeking toreverse privatisations have faced similarclaims.
Richard FitzGerald, a consultantradiologist at Royal WolverhamptonHospitals NHS Trust, has raised concernsabout the treaty’s potentially detrimentaleffect on the NHS with the EuropeanCommission. He wants healthcare to beformally excluded from the treatynegotiations, and says: “The effect of suchextra investor protection through newinternational EU treaties, with risk of sizeablecompensation to corporate healthcarecompanies if they did not win or forfeited acontract, would be to encouragecommissioners with limited resources tofavour companies with greatest legalfirepower over patient interests. Corporateinterests seem to take precedence overpatient protection and their integratedhealthcare in these EU free tradenegotiations”.
EU trade commissioner Karel De Gucht,in a letter to Dr FitzGerald, says: “TTIP is notaimed at changing the way in which the EUmember states are organising their publichealth systems including… the role ofprivate and public entities providing healthservices”. UK trade minister Lord Green hasalso pledged that “the further liberalisationof the procurement of health care services isnot a focus within these negotiations”. So
As the NHS celebrated its 65thanniversary in July, meetings weretaking place far away in WashingtonDC that some policy analysts believecould profoundly affect its future.The occasion was the opening ofnegotiations on a free tradeagreement between the UnitedStates and the European Union.
Concerned observers argue that such a dealcould heighten competition in the NHS andmake it irreversible even if it proved to beagainst patients’ interests.
The European Commission claims thetransatlantic trade and investmentpartnership (TTIP) will be “the biggestbilateral trade deal ever negotiated” and add£73bn to the EU’s economy by liberalisingtrade, harmonising regulation and opening upmarkets. In previous free trade agreements,this has usually involved privatising publicservices.
Some suspect the Health and Social CareAct 2012 was designed as a prelude to anEU-US trade agreement by encouragingmuch greater private sector involvement.Since its implementation the NHS hasoperated a more competitive market: clinicalcommissioning groups must routinely tenderfor almost all services, and private sectorcompanies are bidding for ever morecontracts. Now policy analysts are warningthat under TTIP the NHS could be lockedinto competition for good – even if it wereto prove a disaster.
HCSA chief executive Eddie Saville says:“We see development of this treaty as beingbad for NHS procurement. It’s an extensionof the privatisation agenda. NHS services arefragmenting and privatising all the time. Thistreaty is going to compel that, making itvirtually impossible to bring things back intothe public sector. Not many people in thehealth sector know about it. We want ourmembers to be aware this is on the horizon”.
Trade treaties offer companies guaranteesthat their overseas investments will be
Eddie Saville: ‘We seedevelopment of this
treaty as being bad forNHS procurement. It’s
an extension of theprivatisation agenda’
Free trade
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briefing
does the NHS really have anything to fear?Official reassurances so far have fallen a
long way short of formally excluding theNHS from the treaty’s terms. In fact, primeminister David Cameron said on the eve ofthe talks: “Everything is on the table with noexception”. By contrast, the Frenchgovernment won an explicit exclusion formedia services in the negotiation mandate.Explicit exclusion is important, as the US ispressing for “negative listing” – anything notminutely defined as beyond the scope of thenegotiations is assumed to be included. Eventhen, trade treaties create such legalminefields that exemptions might not be allthey appear. Declarations in the preamblemay be trumped by articles later on; certainsweeping provisions may apply across allservice sectors.
The danger for the NHS is that it may becaught up in provisions to liberalise publicprocurement – which undoubtedly is a majorfocus of the treaty. Clues to the EU’snegotiating stance on public procurementare contained in position papers leaked asthe talks began. These disclose that it is“increasingly concerned” about the“advantages and privileges” state-ownedorganisations have over private sectorcompetitors. One paper says: “For thesereasons, the EU considers that rules shouldbe developed to ensure a level playing fieldbetween state-owned or influencedcompanies and their competitors at all levelsof government”.
It adds: “The parties should jointly seek toidentify the types of companies andbehaviour that need to be addressed with aview to creating fair market conditionsbetween private and public companies”.
Lucy Reynolds, a research fellow at theLondon School of Hygiene and TropicalMedicine who has studied the impact oftrade treaties on health services, comments:
“Sweeping implications for public welfareare concealed in anodyne phrases focusedon maximising profits as the highest humanaim”. For example, one paper pledges thatthe EU will implement competition policy“irrespective of the ownership status ornationality of the companies concerned”.That rules out the possibility of NHSpreferred provider status, Dr Reynoldsargues, while a commitment that “memberstates are not permitted to erect newnational barriers to trade” effectivelyforbids an end to outsourcing andcompetition. “This does not give theimpression of an honest process - asindeed past experience suggests, withcorporate welfare consistently prioritised
“Corporate interests seem to takeprecedence over patient protectionand their integrated healthcare inthese EU free trade negotiations”
Defend London’s NHS, Save Our Hospitals and No To Privatisationdemonstration & rally called by a campaigning group of joint trade unions. © Stefano Cagnoni/reportdigital
“under TTIP the NHScould be locked into
competition for good”
over human welfare,” says Dr Reynolds. After the week-long opening session in
July, the second round of TTIP talks willbegin in Brussels in October while a thirdround is scheduled for Washington inDecember, when higher-level officials maybe involved to provide ‘political oversight’.The intention is to conclude a treaty by theend of 2014, but trade negotiations arenotorious for becoming protracted. Thoseconcerned about TTIP’s impact on theNHS may therefore have to remain vigilantfor quite some time to come.
Peter Davies is a freelance writer
fears
spotlight
Among 365 jobs put atrisk when, on 26 June thisyear, the Cardiff and ValeHealth Board submitted astatutory notice to thegovernment were 19specified as coming frommedical and dental staffing reports AnnetteMansell-Green.Immediately following this allrecognised unions, including theHCSA, were formally notified thatthe statutory 90 day consultationperiod would commence. In practicethis has meant that we have beeninvolved in lengthy and complexconsultations aimied at mitigatingthe possibility of any compulsoryredundancies.
This unwelcome announcement coincidedwith discussions with the NHS Employersand the Welsh government about savingsthat could be made across the whole ofNHS Wales, with a view to avoidingredundancy situations.
The background to this situation is that theHealth Board’s operational plan for 2013/14states that it has a statutory duty to break evenfinancially or create a surplus.
I have been representing the HCSA andalong with the other trade unions have madeit clear that in our view that issuing thestatutory notice was unnecessary andpremature as there had not then been anymeaningful consultation on alternative waysto achieve savings. The HCSA have had astrong voice throughout the consultationperiod and will continue to do so. At theinitial meeting I made it clear that it wasunacceptable that such a notice should begiven without the required information andconsultation with the trade unions.
Throughout the process there have beendifficulties in obtaining relevant information
Tell us what you enjoy most aboutyour work.
Building relationships and being able tohelp give satisfactory closure to situationsthat are causing anxiety and stress to ourmembers. Positive interaction with ourmembers is essential in giving me the senseof achievement I desire for the end of myworking day/week.
Have you seen an increase in theneed for the advisory service overthe last four years?
Since I started in July 2009, there hascertainly been an increase in the area of jobplanning issues and the commencement ofrevalidation has also brought its ownanxieties. Unfortunately, the level of morecomplex concerns in relation to bullying andintimidation has also increased.
At the forefront of our members minds isthe desire to give absolutely first class patient
Gail Savage, HCSA Employment advisor
The increase in concerns relating tojob planning and contracts as well asgeneral employment relations issuessuch as bullying, harassment andwhistleblowing has kept our advisoryservice busy. So we asked Gail to tellus a bit about what makes her tick,her work and how it has changedsince she has been at HCSA.
People tend to contact HCSA whenthey have a problem and needadvice quickly – how do you manageto keep all the information you needat your fingertips?
I would like to say that I have a fantasticmemory but alas although it is pretty goodwe do have a logging system for all calls wereceive at the Overton office which; enablesall of the team to be aware of our members’queries and concerns.
Gail joined HCSA in July 2009 as employment advisor and overthe last four years her services have been in high demand!
care, so worries over pensions, senioritylevels and salaries and so forth need to bedealt with quickly and efficiently leavingmembers to get on with their day job.
How do you see the future of theAdvisory Service?
As always the Advisory Service is here tosupport and assist our members through theemployment issues that many of them facedaily. I can see the Advisory Serviceincreasingly supporting our members with themore complex concerns such as equality anddiversity issues as well as the contractual andemployment relations situations which wedeal with on a daily basis. With ourmembership continuing to grow, we are soonto increase the number of regional officers inpost, so that we continue to provide ourmembers with the guidance they require on aone to one basis, within the time frame theyhave become accustomed too.
and assurances regarding the impact of theproposals on service delivery, quality andequalities. At the latest formal consultationmeeting, I made strong representations onbehalf of the HCSA that the Equality ImpactAssessment process has not been properlyundertaken and that this underminesconfidence that the management are adheringto the required processes in order to ensurethat redundancies are avoided and that futureservice delivery is not undermined. As I writewe have reached a point where no HCSAmembers will be at risk of redundancy but weremain concerned about the detrimentalimpact upon our members in their ability todeliver a safe service with reduced resources.There is also a strong risk of job redesignthrough job plan reviews and consequent cutsto Pas. Although HCSA members are nowsaved from compulsory redundancy thereremain major concerns about the impact ofjob losses for nurses, other health specialistsand administration staff. It is clear that this willhave a negative impact on consultants andspecialists’ working arrangements.
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Unions challenge proposed redundancies at Cardiff and Vale Health Board
t h e h o s p i t a l c o n s u l t a n t & s p e c i a l i s t | 9
update
St. Swithun himself couldn’t havepredicted a more perfect day forthe wedding of Sharon White toSteve George on 15 July.
Staff at HCSA are delighted tocongratulate the happy couple, who notonly made a great team at HCSA butjudging from the photo, will make a greatteam as Mr and Mrs George! Best of luckfor the future from all at HCSA.
As well as having our own stand,HCSA members are involved withAGM in different ways this year.
Dr Bernhard Heidemann has written a pieceon education for the pre-show brochure andwebsite, Dr Cindy Horst will be busychairing a conference stream and ProfessorRoss Welch will be delivering two sessionson Managing the Pregnant Patient.
Have you got your ticket yet?If not, don’t worry the HCSA discount runs right up to the conference.
Members can purchase passes at £99(reserved for clinical and NHS membersonly) – just use the promo code HCSAwhen registering.
A look ahead Over the last few months we’vebeen putting the building blocks inplace for our new website and weare now pleased to report thatwork has started.
For the new site to get maximum use, it isessential that members help us to designand test it out during the build, so if you’dlike to get involved in shaping the websiteplease get in touch at [email protected]
Congratulations! Acute and general medicine exhibition
Earlier in the month ourpresident, John Schofieldsent out a letter tomembers asking forfeedback on the recentlypublished draft “Heads ofTerms Agreement onConsultant ContractReform,” many thanks tothose of you that havealready responded.
Since that letter, the BMA haveagreed to enter into negotiationswith NHS Employers, a decision thatwe agree with as it will address theissues of pay progression, CEAs and7 day working.
There are many different facets to theseissues which we hope will be highlightedduring negotiations - the question of fairremuneration across the board, the healthand wellbeing of consultants, equity in payprogression and a real sense that consultantsare valued.
Whilst we aren’t participating in the
negotiations we will do everything we can toensure that the voice of HCSA members isheard. We have thousands of members whocould be affected by any change to theconsultant contract and we will make surethat our position is clearly understood byNHS Employers.
Although we had a good response to thepresident’s letter asking for comment, it’simportant that we all ensure we have our sayon this matter, and we would urge thosewho have not yet responded to send in yourcomments to [email protected] as soon aspossible, so we can collate them and usethem inform our message to members,employers and the profession as a whole.
The report from the Doctors and DentistsReview Body and also the joint documentproduced by the British Medical Associationand NHS Employers can be found on ourwebsite at: http://www.hcsa.com/secure/hcsa_library.php It is split into sections onthe following topics:
● Draft Heads of Terms● 7 – day services● Clinical Excellence Awards● Pay progression● Other Issues
These are important times, and whilstthese negotiations will take many monthsregular membership engagement will be theorder of the day.
Consultant contract:your point of view
10 | t h e h o s p i t a l c o n s u l t a n t & s p e c i a l i s t
Executive Committee
President Dr. John Schofield Chairman of Executive Professor Ross WelchImmediate Past President Dr. Umesh UdeshiHonorary Treasurer Dr. Mukhlis MadlomHonorary Secretary Mr. Gervase DawidekHonorary Secretary Dr. Bernhard HeidemannHonorary Secretary Dr. Cindy HorstHonorary Secretary Dr. Claudia PaoloniChairman – Ed & Stan S-C Prof. Amr MohsenIndependent Healthcare Mr. Christopher Khoo
Education & Standards Sub-CommitteeActing Chairman - Dr. Bernhard HeidemannDr. Mukhlis Madlom Dr. C MorganMr. Olanrewaju Sorinola Dr. Bernhard Heidemann Dr. Umesh Udeshi Dr. Bernard ChangDr. Hiten Mehta Mr. Christopher WelchDr. T Goodfellow Dr. S Ariyanayagam
Finance Sub-CommitteeChairman Dr. M.M. MadlomMr. M.J. Kelly [Trustee] Dr. U. UdeshiMr. R.M.D. Tranter [Trustee] Dr. J. SchofieldDr. R. Loveday [Trustee] Professor R. WelchDr B. Heidemann
HCSA Officers and StaffGeneral Secretary/Chief Executive Mr. Eddie Saville [email protected] Manager, Northern Region Mr. Joe Chattin [email protected] Manager Mrs. Sharon George [email protected], Advisory Service Mr. Ian Smith [email protected] Secretary Mrs. Brenda Loosley [email protected] Regional Officer Mrs. Annette Mansell-Green [email protected] Services Adviser Mrs. Gail Savage [email protected] of Communications and Web ServicesMrs. Jenifer Davis [email protected] Accountant Mrs. Edidta Bom [email protected]
Office Telephone: 01256 771777 Facsimile: 01256 770999E-mail: [email protected]
North East Area Dr. Paul D. Cooper, FRCA [email protected]. Olamide Olukoga, FFARCSI [email protected]
North West AreaDr. Magdy Y. Aglan, FFARCSI FRCA [email protected]. Syed V. Ahmed, FRCP [email protected]. Ahmed Sadiq, MRCOphth FRCS [email protected]. Augustine T-M. Tang, FRCS [email protected] - Mr. Shuaib M. Chaudhary, FRCOphth FRCS [email protected]
Yorkshire and The Humber Area Dr. Mukhlis Madlom, FRCPCH FRCP [email protected] Professor Amr Mohsen, FRCS(T&O) PhD [email protected] Mr. Peter Moore, MD FRCS [email protected] Dr John West [email protected]
East Midlands AreaDr. Cindy Horst, MB ChB DA FRCA [email protected]. Mujahid Kamal, MRCP FRCR [email protected]
West Midlands Area Dr. A.R. Markos, FRCOG FRCP [email protected]. Pijush Ray, FRCP [email protected]. Olanrewaju Sorinola, FRCOG [email protected]. Umesh Udeshi, FRCR [email protected]
East of England Area Mr. Rotimi Jaiyesimi, FRCOG LL.M (Medical Law) [email protected]. Andrew Murray, FRCS [email protected]
London AreaMr. Gervase Dawidek, FRCS FRCOphth [email protected]. Andrew Ezsias, FDS RCS FRCS [email protected]
South East Coast Area Dr. Paul Donaldson, FRCPath [email protected]. Ayman Fouad, MB BCh MSc MD MRCOG [email protected]. John Schofield, FRCPath [email protected]. Sriramulu Tharakaram, FRCP [email protected]
South Central Area Mr. Callum Clark, FRCS(Tr&Orth) [email protected]. Paul A. Johnson, FRCS, FDSRCS [email protected]. Christopher Khoo, FRCS [email protected] Dr. Sucheta Iyengar, MRCOG [email protected]
South West Area Dr. Claudia C.E. Paoloni, FRCA [email protected] Michael Y.K. Wee, FRCA [email protected] Ross Welch, FRCOG [email protected]. Subramanian Narayanan, MRCOG [email protected]
Wales Mr. Simon Hodder, FDS FRCS [email protected]
Scotland Dr. Bernhard Heidemann, FRCA [email protected]. Sean Laverick, FDS FRCS [email protected] - Dr. David Watson, FRCA, DipHIC [email protected] [email protected]
Northern Ireland Dr. William Loan, FRCS FRCR [email protected]
Specialist Registrar National Representative Vacancy
Non-Consultant Career Grade National Representative Mr Anthony Victor Babu Bathula, MS; DNB; FRCS; Dip Lap Surg; MBA (Health Executive) [email protected]
HCSA contacts
IMPORTANT Please NoteWe are not normally in a position to provide personal representation over issues that have arisen prior to joiningthe HCSA.
Please DO NOT fax or e-mail this application form - we need an original signature on the Direct Debit Mandatefor your bank to authorise payments.
Current Subscription RatesAnnual - £225 per annum commencing 1 October 2013(pro rata for first year of membership)Monthly - £19.50 per month Please tick preferred payment choice
Please complete the Direct Debit Mandate overleaf and send it to the Overton Office address above.
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Hospital Consultants & Specialists Association
Number One, Kingsclere Road, Overton, Basingstoke, Hampshire, RG25 3JATel: 01256 771777 Fax: 01256 770999 e-mail: [email protected] website: www.hcsa.com
Membership Application 2013/14Title Surname Forenames
Male/Female Qualifications GMC No
Speciality Year Qualified Year of Birth
Main Hospital
Preferred Mailing Address
Post Code E-Mail
Contact Telephone Number
Grade: Consultant a
Associate Specialist a Please tick as appropriate Specialist Registrar Within two years of CCT a
Staff Grade/Trust Speciality Doctor a
Signature Date
a
a
Detatch H
ere
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