Training vs Employment (inc banding & EWTR)

Although STFS oversees foundation training, NHS trusts are the employing healthcare organisations responsible for all contractual issues including:

  • Pay
  • Banding
  • Rotas
  • Accommodation

Hours

Since 1991, doctors in training have been covered by the New Deal, a package of measures to improve working conditions. A key feature of the New Deal is limits on the working hours of junior doctors. From August 2003 all junior doctors were limited by contract to 56 hours of active work, and 48 hours from August 2009. A revised contract for junior doctors is planned for August 2016.

European Working Time Requirement (EWTR)

The European Working Time Requirement (EWTR) protects the health and safety of workers in the European Union. It lays down minimum requirements in relation to working hours, rest periods, annual leave and working arrangements for night workers.

  • Full-time contract = 40 hours
  • + further contracted hours, e.g.
        o out-of-hours work
        o prospective cover
  • Pay bands reflect hours and working pattern
  • Posts up to 48 hours a week are Band 1

Pay Bands

  • 40 hours a week between 7am and 7pm weekdays - unbanded
  • 1A (1.5x) – work most frequently and at unsocial times
  • 1B (1.4x) – work less frequently
  • 1C (1.2x) – low frequency on call rota from home

F1 Pay Scale

  • £22,636 (2013 rate)
  • £2,162 London weighting (non-resident)
  • + banding supplement (depends on post)

Salary

Junior doctors are paid on national pay scales, determined each year by the Doctors and Dentists Review Body (DDRB) after receiving evidence from the BMA and the Department of Health.

Foundation Doctors should assume that all programmes carry basic salary only unless otherwise informed by the employing trust on confirmation of appointment.

Details of pay rates can be found at:
www.nhsemployers.org/your-workforce/pay-andreward/pay/medical-pay/201516-doctors-anddentists-pay-award