1. Quality improvement project Anaesthetic Team Leadership day 5 Jan 2012

2. Workforce Model Background Current Model Issues Options

3. Background Immigration rules EWTD Modernising Medical career New workforce model 2009

4. Current model 3 junior Doctor Rotas Hartlepool 1:8 UHNT ITU 1:8 UHNT Obs 1:8 Consultant rotas UHNT ITU 1:8 UHNT theatres 1:8 (1 st responders) UHH

5. Issues Training Reduced consultant sessions during the daytime Loss of traditional consultant working pattern Expensive Progressive reconfiguration of clinical services in the Trust

6. The proposed new model 4 junior doctor rotas -UHNT ITU 1:8 (including 2 F2 Doctors, 1 core trainee and 5 SAS) -UHNT Obs 1:8 (4 ST3 and 4 AS) -UHNT theatres (4 core trainees+4 SAS) -UHH 1:6 (1 SAS+5 fellows)

7. Advantages –Increase training in out of hour emergencies –Increased training opportunity for F2 Doctors –Increased resident Anaesthetic cover at NT –Traditional consultant working pattern –Increased consultant daytime sessions –Cost improvement (£120K) –Favours transition to single site working

8. Risks F2 in rota Terms of reference