It is for strategic health authorities (SHAs) and National Health Service trusts to ensure that they resolve any gaps in their service delivery to ensure patient safety. It has been agreed that future monitoring will be managed at SHA and trust level.
There is a review under way, which is looking at the impact of the European working time directive on junior doctors' training in the reduced hours environment. This is independently headed by Professor Sir John Temple, on behalf of Medical Education England.
Quality assurance of middle and junior rota gaps began in March 2009 and continued until July 2009.
Trusts were asked to report via the strategic health authorities (SHAs) on potential service risks around the August 2009 medical change over dates.
The trusts were asked to report on the impact of the European working time directive, as well as any shortfall in specialty recruitment and shortages of medical locums. A risk rating for each trust was provided along with mitigating actions.
Daily situation reporting arrangements were set up to cover the first two weeks of August 2009.
From August 2009, only those rotas experiencing compliance difficulties were monitored.
The return in January 2010 reported a continual improvement in the compliance position and a steady reduction of the number of rotas reporting difficulties.
SHAs and trusts will manage any future monitoring.
The use of simulation-based training is already well established for junior doctors. We encourage the appropriate use of modern education techniques including simulation-based clinical training for all clinical staff to improve training and patient outcomes.
Professor Sir John Temple is leading an independent review on the impact of the European working time directive on junior doctors' training in the reduced hour environment, on behalf of Medical Education England.
This comprehensive review is taking account of evidence from a wide range of stakeholders including junior doctors.