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Enhancing working lives

The Enhancing Junior Doctors’ Working Lives programme was established in March 2016, to address a range of issues that were having a significant negative impact on the quality of life of doctors in training.

The interim People Plan makes clear the commitment to provide better support for junior doctors at the start of their career, by improving their working experiences and paying greater attention to their health and wellbeing. The initiatives, outlined in the first Enhancing Junior Doctors’ Working Lives report and subsequent progress reports, aim to tackle some of these issues.

2019 Progress report

Enhancing the flexibility and resilience of our workforce is a key theme of the interim People Plan and we recognise that doctors in training aspire to have flexibility in choice of training location, specialty, the pace of training, opportunities to take breaks from training, and opportunities to work and train less than full time.

The Enhancing Junior Doctors’ Working Lives progress report 2019 outlines the expanded opportunities for training less than full time, flexible portfolio training and development of Out of Programme Pause, cementing the flexible training agenda at the forefront of this programme.

The work outlined in this report in in direct response to feedback from doctors in training themselves. We are engaging with doctors in training and have made significant progress on many of the areas they have said were important. We will continue to make improvements as we move through the next year.

2019 summary of highlights

Progress report - 2019




Some of the important areas we will explore over the next year are:

- Review of lessons from Emergency Medicine LTFT pilot and expansion of LTFT options for trainees in Obstetrics and Gynaecology and Paediatrics

- Implementation and evaluation of the Flexible Portfolio careers initiative

- Piloting and evaluating the provision of greater flexibility to step out and into training in OOPP

- Improving the recruitment experience for trainees

- Building on deployment and streamlining initiatives to improve the on-boarding experience for junior doctors

- Improving study leave processes

- Improving transparency on the work Colleges are doing to address costs of training;

- Enhancing the provision of good quality supervision

- Supporting the implementation of recommendations from the NHS Staff and Learners’ Mental wellbeing Commission to improve the mental wellbeing of junior doctors.

A mapping document produced by the National Leadership Fellows highlights initiatives from across the country to enhance junior doctors' working lives. It does not aim to be a fully comprehensive document as we are all continuously working on initiatives, but it gives an overview of activity across the country, highlighting good practice that can be replicated elsewhere in the country and also where there may be gaps.

In April 2019, The Royal College of Pathologists provided an update to the above report.

Enhancing Junior Doctors’ Working Lives

As we launch the latest progress report on Enhancing Junior Doctors’ Working Lives, it is good to see how our work aligns with the priorities set out in the NHS Long Term Plan and Interim People Plan.

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Jun 24 News

Greater flexibility for doctors in training

24 June 2019

Expanded opportunities for training less than full time, flexible portfolio training and the development of a Out of Programme Pause (OOPP) initiative which allows doctors the chance to take time out from their training, are just some of the achie

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