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Victoria Atkins: Chaotic NHS rotas means staff asked to work on their wedding day

Victoria Atkins: Chaotic NHS rotas means staff asked to work on their wedding day

Victoria Atkins: Chaotic NHS rotas means staff asked to work on their wedding day
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Scarlett McNally: Preventing obesity is different from curing it—and even more urgent

The body positivity movement rightly states that every person should live without judgment, shame, or stigma based on their physical appearance. It’s liberating not to be constrained by outdated expectations of how our bodies should look, and weight based discrimination can contribute to poor health and more weight gain.1 But recent reports have highlighted the health and economic damage caused by obesity.234 The Tony Blair Institute5 calculates that obesity and overweight cost the UK economy £98bn a year, including £19.2bn in costs to the NHS from related illnesses. People with obesity are seven times as likely to get type 2 diabetes, with the attendant complications of infections, amputations, and eye and kidney problems.6 Fat isn’t inert in the body.7 Sedentary behaviour leads to a pro-inflammatory state.89 Obesity is causally linked to heart disease and cancer, but the biggest underacknowledged problem is when several obesity related conditions …

Trusts are accused of using foreign doctors as cheap labour in fellowship schemes

Overseas doctors on an England-wide trainee scheme are being paid less than trainees employed by trusts and face reduced benefits, finds Madlen Davies English hospital trusts have been accused of using doctors from overseas as “cheap labour” as part of fellowship schemes in which they can be paid less than doctors employed by trusts and sent home if they become pregnant, The BMJ has found. Foreign doctors come to English hospital trusts as “fellows” as part of the Academy of Medical Royal Colleges’ medical training initiative (MTI) scheme.1 They work for two years in the NHS to gain experience that they will take back to their home countries afterwards. A proportion of fellows are sponsored, for example by their home country, and others are employed directly by an NHS trust. In some NHS trusts fellows receive the same pay and benefits as employed doctors, but University Hospitals Birmingham NHS Foundation Trust, Dudley Group NHS Foundation Trust, and Walsall Healthcare NH

Scarlett McNally: In praise of part time doctors

After decades as a full time surgeon, during which I didn’t go to a dentist for a seven year stretch and forgot to MOT my car twice, I finally went part time in 2015. My mother’s dementia meant that I needed to manage solicitors, builders, carers, and other tasks as her court appointed deputy, so I dropped my working hours to a nominal 36 hours a week. Nowadays I couldn’t manage my health and other commitments without being part time, nor would I manage the intensity of the work expected. Yet the NHS’s organisation of its workforce and culture needs to change, as it encourages other NHS staff and the mainstream press to be scathing about part timers.1 The current system still seems set up around a bygone era when most doctors were men, with a partner managing home life. …

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