ACCS – Shift practice and rota
In Emergency Medicine there is a full shift system covering 24 hours per day, with shifts being from 8 to 12 hours long (1A banding)Appropriate compensatory rest days are given to ensure that the rota is compatible with EWTD, etc. There is fixed annual leave as part of this rota.
In Acute Medicine a 1 in 10 full shift rota is worked with internal cover with the FY2 and GPST trainees. Trainees will work 7 night shifts (split Monday to Thursday and Friday – Sunday), 7 long days (split Monday – Tuesday plus post-take ward round, Wednesday – Thursday plus Friday daytime on-call, and Friday – Sunday plus post-take ward round in each 10 week period. Normal day shifts are 08:30 – 17:00, long days are 08:30 – 21:30 (both 1st and 2nd on) and nights are 20:30 – 08:30 and 21:15 – 08:30. There are two “SHO” level doctors on-call during each 24 hour period. Compensatory rest days are given as appropriate to comply with EWTD guidelines.
In Anaesthetics the trainees will work a 1 in 10 first on-call rota (including ITU cover) with internal cover. There will be no on-calls during the first 3 months whilst core competencies are achieved. Normal day shifts are 08:00 – 17:00, long days are 08:00 – 21:00 and nights are from 20:30 – 09:00.
The work pattern and intensity of the rota for all specialties is regularly monitored by diary card exercises to ensure compliance with New Deal and EWTD guidance