Core Medicine – Shift practice and rota

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,
  • 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.

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.

A full shift rota is worked throughout and a system of internal cover is operated. 

  • A normal day shift is from 8.30 am to 5.00 pm. 
  • Each 24 hour on-call period will be covered by 2 teams. 
    • The first on-call team consists of the Consultant, Higher Specialist Registrar, CT1-2/FY2 and FY1 doctor who will admit patients between 8.30 am and 9.30 pm. 
    • The second on-call team will provide ward cover and assist with the acute admissions between 5 pm and 9.30 pm. 
  • The workload at night is covered by one Higher Specialty Registrar and one CT1-2/FY2 from 9.15 pm to 8.30 am and a second CT1-2/FY2 works from 8.30 pm to 8.30 am; Please note that the second on-call doctor may be required to give medical assistance to the chemotherapy nursing team (Fernhurst Unit) on Tuesdays between 5 pm and 7 pm. 
  • Both teams are fully integrated within the Hospital out of Hours team (HooT).

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