Justin Madders – 2015 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Justin Madders on 2015-12-01.

To ask the Secretary of State for Health, how many consultants have opted out of routine weekend working through the schedule 3 paragraph 6 of the NHS consultant contract in the last year.

Ben Gummer

This information is not held centrally.

Schedule 3 Paragraph 6 of the 2003 NHS consultant contract allows consultants to refuse non-emergency work after 7pm and before 7am during weekdays and weekends. The definitions section clarifies that this also applies to emergency work for those consultants whose specialty by its nature involves dealing routinely with emergency cases, e.g. accident and emergency consultants.

NHS trusts hold information on consultant working patterns. However, this information would not reveal how many individuals have relied on the clause to not participate in weekend work as part of their contract, or to work them at expensive locally negotiated rates.

In its 2013 report ‘Managing NHS hospital Consultants’ the National Audit Office (NAO) reported that 91% of trusts who responded to its survey paid for additional work using locally agreed rates, with rates of up £200 per hour reported. The NAO expressed the view that “This is likely to be linked to the fact that the contract allows consultants to refuse to work outside 7am to 7pm Monday to Friday.”

A subsequent report by the House of Commons Committee of Public Accounts concluded that as a result of the opt out, hospitals struggle to provide the appropriate level of consultant-led care for patients.