Acute – Shift practice and rota
Normal working hours are 9am-5pm.
Nights run from 9pm to whenever the post take ward finishes, which can be anywhere between 9am and 11.30am.
On call: An on-call day runs from 9am to 10pm with handover to the night team starting at 9 pm. The on-call staffing varies depending on the time of day, but the team is primarily made up from 1xSpR, 2xSHO or FY2, 2xFY1, at night this is 1xSpR, 1xSHO or FY2 and 1xFY1
Out of hours: The out of hours rota is covered by all gen med and DOME SpRs on a rolling rota. Including weekends and nights.
Acute Medicine Trainees will be part of the Medical SpR EWTD-compliant rota. The rota is designed to ensure that trainees have exposure to managing ward referrals and interface with A&E and other specialties. The medical junior rota is coordinated to provide adequate ward-cover to allow trainees to attend clinics where available as well as ensuring safety on the wards. A system of split night shifts is in place.