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NHS faces skills bombshell

Ex-consultant says crushing workloads are driving experts into retirement

A RETIRED consultant cardiologist has warned hospitals face an exodus of experienced doctors who fear the burden of on-call hours as they grow older.
Dr Roy Davies, who worked as a leading consultant at the Whittington Hospital for 27 years, retired in April, aged 62.
He believes experienced consultants retiring early will leave a great gap in knowledge within the NHS.
His warning is backed up by a report by the Royal College of Physicians in Regent’s Park. The report from the college summarises 5,000 responses to a nationwide survey of consultant physicians.
The response highlights a growing problem relating to the career of consultants and has ignited a national debate into how experienced doctors can be tempted to stay on for the benefit of the NHS.
It found that 78 per cent of consultant physicians intend to retire before the national retirement age of 65 because of the heavy burden of being on-call.
Dr Davies, now living in Wales, said on-call hours was the reason he retired three years early.
He said: “One of the worst experiences of my life was two summers ago when I worked 13 nights on-call out of 16.
“The reason I retired is that I could see before me a host of under-skilled junior staff and me increasingly taking the workload.
“The Royal College must be worried – it’s only going to get worse.”
Because a quarter of consultants are over 55, the college is worried the NHS will lose hundreds of key, experienced staff within the next 10 years.
The RCP stated that if 78 per cent of physicians retired at 62, it would represent a loss of more than 6,000 years of experience in the NHS – the equivalent of losing two physicians from every large hospital.
The survey also exposed that, on average, NHS consultants were working 60 hours a week – 12 hours more than the 48 hours allowed by the European Working Time Directive. The directive lays down minimum requirements for working hours.
To bring the hours worked by consultants in line with the European law, hospitals would need to expand its consultant workforce by 28 per cent.
The RCP, which has shared its findings with the Department of Health, has come up with a solution to keep consultants in their jobs as long as possible.
The RCP believes consultant physicians nearing the end of their careers are keen to stay on to do speciality work, management and post-graduate education, passing on their knowledge.
By allowing consultants to concentrate on these areas, the NHS could prevent an early exodus, retain their valuable experience, and improve the training of junior doctors.
But Dr Davies did not think the idea would wash with consultants.
He said: “Who do they think is going to go for that? I can’t see any consultants starting to teach at the end of their careers. They should get into the real world.”
Dr Alistair McIntyre, of the RCP, hoped the report’s findings would spur the government into action.
He said: “We need to change the working environment and workload to encourage this experienced workforce to stay in the NHS. I am sure that together we can develop working solutions.”



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