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DL(2019)10 Fixed Annual Leave

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DL202304 Carry Forward of Annual Leave

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PCS2016(DD)02 Monitoring Guidance

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​iMatter is the NHS Scotland Staff Experience continuous improvement tool, developed nationally, and used within all NHSScotland Boards. 

iMatter is designed to help individuals, teams, Directorates, Health and Social Care Partnerships (HSCPs) and Boards, understand and improve staff experience. This is a term used to describe the extent to which employees feel motivated, supported and cared for at work. It is reflected in levels of engagement, motivation and productivity.

The process is based on a staff engagement questionnaire which all staff are asked to respond to, which generates a Team Report. The team discusses the report and agrees the team strength along with up to 3 improvement actions. This improvement plan is captured on a team ‘Storyboard’ which the team then uses to monitor progress. The process is then completed annually.

Useful Information and Reports

National Staff Experience Reports

Contact

For any questions, support or guidance regarding iMatter, or if you would like to share any iMatter success stories, please contact the iMatter mailbox at imatter@ggc.scot.nhs.uk

WC05 RHCG CT Paediatric Surgery

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WC04 RHCG ST Trauma & Orthopaedics

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WC29 QEUH Obstetrics and Gynaecology

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SG22 QEUH FY2 Geriatric Medicine

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SG21 QEUH FY1 Geriatric Medicine

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SG12 QEUH IMT General Medicine

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SG11 QEUH FY1 General Medicine

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CL02 RAH FY2 Emergency Medicine

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CL03 SnR CDF Emergency Medicine

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CL35 RAH CT-ST Anaesthetics ICU

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CL73 RAH ST Urology

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CL58 IRH ST Trauma and Orthopaedics

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CL53 RAH ST Trauma and Orthopaedics

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CL52 RAH FY2 Trauma & Ortho

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CL51 RAH FY1 Trauma and Ortho

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CL44 RAH ST General Surgery

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CL42 RAH FY2 General Surgery

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RS05 QEUH ST3+ Neurology

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RS04 QEUH ST Neurosurgery

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RS03 QEUH FY2-CF Neurosurgery

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RS02 QEUH CT1-2

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RS13 QEUH ST3+ Renal Medicine

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RS12 QEUH ST Renal Medicine

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RS11 QEUH CT ST Renal Transplant

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RS01 QEUH FY2 Rehabilitation

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Rota Monitoring for Templates

NHSGGC is committed to providing New Deal compliant and educationally sound working pattern for all resident doctors on training rotas. Therefore, a robust monitoring arrangement was put in place to ensure that rota templates are compliant, and to highlight issues that may lead to non-compliance. The purpose of monitoring is to ensure that the rota working pattern that has been approved by the department, compliance teams, NHS Education for Scotland and the Scottish Government is fit for purpose; that the rota is suitable for the work you are doing.

Resident doctor rota monitoring will take place every 6 months, over a 2 week period. All training grade staff are expected to record hours of work and rest accurately by completing a set of electronic monitoring forms, and the opening page of the electronic system for monitoring has a validation statement you will electronically sign to this effect. All completed documentation is returned to your Monitoring Officer for analysis in accordance with New Deal and WTR regulations. Once rota monitoring for your template is complete, you will receive a copy of the results within the time limits laid out.

Guidance on completing the DRS online diary can be found here

Under no circumstances during resident doctor rota monitoring, should staff falsely inflate or decrease the record of hours or rest or be requested to do so. If you are put under any pressure to amend your monitoring information, please contact Medical Staffing.

Resident Doctor Rota Monitoring Officers

Lynne Sutherland – Senior Monitoring Officer

Areas of responsibility

  • Emergency Care North, South & Clyde
  • Medical Services North & South
  • Geriatric Medicine North & South
  • Obstetrics & Gynaecology
  • Sandyford
  • South Stroke
  • North & South Adult Cardiology

Andy Trench – Monitoring Officer

Areas of responsibility

  • General Surgery North and South inc Surgical Specialities
  • Anaesthetics North, South & Clyde
  • Neonatology
  • RHC & RAH Paediatric Medicine
  • LTFT Applications Administrator
  • WordPress Editor – HR Connect Web Content

Albert Chilambwe – Monitoring Officer

Areas of responsibility

  • Clyde palliative medicine
  • Diagnostics
  • Regional inc INS
  • Oral Health
  • Paediatric Services for; Emergency Medicine, Surgery, Orthopaedics, Cardiology, PICU,
  • Haematology Oncology and Anaesthetics

Claire Mortimer – Monitoring Officer

Areas of responsibility

  • Clyde General Surgery
  • Clyde General/Geriatric Medicine
  • Clyde Orthopaedics & Urology
  • Mental Health North & South
  • Public Health
  • Occupational Health
  • General Practice FY2s

Rota Templates

Our rota templates must comply with two sets of regulations

  1. New Deal: is a package of measures designed to improve the conditions under which doctors in training worked. It provides guidance on hours of work, living and working conditions for all doctors in training
  2. Working Time Regulations (WTR): is a directive from the Council of Europe enshrined in UK law in 1998, to protect the Health and Safety of workers by setting minimum requirements for working hours, rest periods and leave

NHSGGC are responsible for ensuring that resident medical staff can work in compliance with New Deal and WTR requirements. Non-compliance could result in financial penalty to the NHS board in which you are working, and a possible loss of training posts for that department

The 3 main types of working templates are detailed below:

Full Shift Rota (most resident doctors work on this pattern)

  • Work carried out is intensive and continuous throughout the 24-hour period.
  • Shifts do not exceed 14hours.
  • A minimum of 8 hours of rest between shifts is required.
  • Natural breaks are required (at least 30 minutes of continuous rest after 4 hours of continuous working).

On Call Rota

  • Work is considered to be low intensity, particularly during OOH.
  • Normal working pattern exists Monday-Friday for all trainees on the rota, and then an on-call person takes over to cover the remainder of each 24hour period.
  • Frequency of on call cover depends on the number of trainees on the rota.
  • Duty periods cannot exceed 32 hours on weekdays, or 56 hours at the weekend.
  • At least 12 hours of rest between duty periods is required.
  • Doctors are expected to spend half of their on call duty period undisturbed, of which a minimum of 5 hours is continuous rest between 10pm and 8am.

Partial Shift & 24hr Partial Shift Rota

  • Work is considered to be higher intensity than on call, but less so than shift working.
  • Duty periods do not exceed 16hours or 24hours depending.
  • Natural breaks are required during normal working hours, and at least ¼ of the out-of-hours duty period should be spent undisturbed.

There are no strict rules about the total hours worked in any week, but average weekly hours must be under 48 over a 26-week reference period (for full time working).

Doctors in training must follow a rota template which has been approved. The rota is agreed, prior to being put in place, by the department in which it will be implemented, the compliance team at the NHS board (for New Deal and WTR) and is reviewed by the Scottish Government. Changes in your working pattern (e.g. swapping a shift) could result in non-compliance (for example, insufficient rest period after a run of nightshifts). Therefore, any changes must be discussed in advance with the rota master to ensure that they will not lead to problems.

NG15 GRI Senior General Medicine

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NG11 GRI FY1 General Medicine

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NG44 GRI ST General Surgery

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NG42/43 GRI FY2-CT General Surgery

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NG39 GRI FY1 Critical Care

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NG36 GRI ST Anaesthetics ICU

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