Summer's Over
Days are shortening, holidays are over and there's a chill in the air... Industrial action. Not much time to plan this time so it would be so appreciated if you could be as thorough in the run-up to Sept 12th as you were for the other days by preparing ahead as much as possible for safe discharges and making sure action plans are in the notes from the ward rounds.
Guidance on Industrial Action for those who are not junior doctors from @theBMA is found here:
Mind the Rota Gap
I'd like to say a massive thank you to everyone who has supported the wards and rotas by covering the gaps that have become apparent since Induction. In particular those who have helped out on their zero days in T&O: you're all superstars and it shall not go unrecognised.
T&O have at least three posts unfilled and it is inevitable this causes an extra burden. It's no comfort to know this situation is replicated across the country with some units closing their doors altogether. Horton Hospital has closed its maternity for example and more than one A&E is reducing opening hours.
Post-Francis it is heartening to see safe staffing taken appropriately seriously, including here at the former Mid Staffs where paediatrics has been suspended:
Rota gaps are being collated here: http://nhskeyhole.org/rotagaps/
Should the new contract go ahead, it will be the responsibility of the Guardian of Safe Working to collect this data and act on it.
This FREE event on Saturday 15th October @RCSNews is a must if you're an F1 thinking about Surgery as a career:
And Finally ...
In the days before National Selection could send you anywhere, it was not unusual to study, train and finally practice in a relatively contained area. By chance a particular couple of years' intake from (what was then) Charing Cross & Westminster Medical School produced a phenomenal number of orthopaedic surgeons and we have seem to have settled on Frimley, the Rowley Bristow and Royal Surrey to be consultants and have working relationships built up over approaching three decades.
It is therefore with tremendous sadness we learned this week of the passing of our Royal Surrey colleague, Neil Bradley,
one of the biggest personalities in the business. 
Our thoughts are with his family and his @RoyalSurrey colleagues
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