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Full Group Analysis
Barnet & Chase Farm Hospitals NHS Trust, Chase Farm, General Surgery, TemplateCF, F1, Full Shift, Resident
Band 1B (Based on template only) Steps through the banding flowchart:
- New Deal Compliant
- Average work 48 hours a week or less
- Work pattern is a full shift, partial shift or hybrid
- Less than 1/3 of duty hours outside 7am to 7pm Mon-Fri (.147) and less than 1 weekend in 4 (1 in 4.50)
Note: The band of a rota may change if monitored hours of work are different to those suggested by the theoretical work pattern. It is particularly important to remember this if a theoretical
work pattern is close to the limits of a particular payband. Differences between calculated prospective cover and actual work done by doctors to cover absent colleagues can also cause a
variance between theoretical and monitored bands.
Template - No prospective cover
Template - New Deal Analysis
Item
Actual
Target
Comments
Average weekly hours of duty
47:30
56:00
Average weekly hours of work
47:30
56:00
Longest duty period
10:00
14:00
Shortest off duty
14:00
08:00
Longest 'off duty' period
231:00
62:00
Next longest 'off duty' period
81:00
48:00
Maximum consecutive duty days
12
13
62+48 hr. breaks every 28 days
OK
Template - European Working Time Directive Analysis
Item
Actual
Target
Comments
Average weekly hours of work
47:30
48:00
Starting each Monday, a 35 hour
continuous rest in 7 days or a 59
OK
hour continuous rest in 14 days
11 hrs continuous rest in any 24
OK
hour period
Availability of normal days (Based on template only) In a 52 week period, doctors are available during normal hours on 183 days
There are 25 days of leave built into the pattern
It is assumed that an additional 35 days of leave will be taken to make 60 in total
This reduces the normal days to 148 in the 52 weeks
This is equivalent to 2.85 days per week.
See the paper "The European Working Time Directive 2009" by Yasmin Ahmed-Little and Matthew Bluck in "The British Journal of Health Care Management" 2006, Vol. 12, No. 12 for
details of the calculation and its implications.
Template work pattern
Wk
Mon
Tue
Wed
Thu
Fri
Sat
Sun
T
T
T
T
1
Zero Hours
13:00 23:00
13:00 23:00
13:00 23:00
13:00 23:00
Stnd Day
Stnd Day
Stnd Day
Stnd Day
Stnd Day
2
08:00 17:00
08:00 17:00
08:00 17:00
08:00 17:00
08:00 17:00
Stnd Day
Stnd Day
H
Stnd Day
Stnd Day
3
08:00 17:00
08:00 17:00
08:00 13:00
08:00 17:00
08:00 17:00
Stnd Day
Stnd Day
Stnd Day
Stnd Day
Stnd Day
4
08:00 17:00
08:00 17:00
08:00 17:00
08:00 17:00
08:00 17:00
Stnd Day
Stnd Day
Stnd Day
Stnd Day
Stnd Day
5
08:00 17:00
08:00 17:00
08:00 17:00
08:00 17:00
08:00 17:00
Stnd Day
Stnd Day
H
Stnd Day
Stnd Day
B
B
6
08:00 17:00
08:00 17:00
08:00 13:00
08:00 17:00
08:00 17:00
08:00 16:00
08:00 16:00
Stnd Day
Stnd Day
Stnd Day
Stnd Day
Stnd Day
7
08:00 17:00
08:00 17:00
08:00 17:00
08:00 17:00
08:00 17:00
8
Leave
Leave
Leave
Leave
Leave
Stnd Day
Stnd Day
H
Stnd Day
T
T
T
9
08:00 17:00
08:00 17:00
08:00 13:00
08:00 17:00
13:00 23:00
13:00 23:00
13:00 23:00
Template normal working days
Normal Week
Start
End
Rest
Hours
Num of Diary Cards
Ave Start
Ave End
Ave Rest
Ave Hours
Mon
08:00
17:00
00:00
09:00
5
08:00
17:00
00:00
09:00
Tue
08:00
17:00
00:00
09:00
5
08:00
16:48
00:00
08:48
Wed
08:00
17:00
00:00
09:00
5
08:00
16:48
00:00
08:48
Thu
08:00
17:00
00:00
09:00
5
08:00
17:18
00:00
09:18
Fri
08:00
17:00
00:00
09:00
4
08:00
17:00
00:00
09:00
Template on call duties
Name
Intensity
Resident
Start
End
Rest
Hours
Num of Diary Cards
Ave Start
Ave End
Ave Rest
Ave Hours
B
Full Shift
Yes
08:00
16:00
00:00
08:00
0
H
Full Shift
Yes
08:00
13:00
00:00
05:00
0
T
Full Shift
Yes
13:00
23:00
00:00
10:00
7
13:00
23:00
00:00
10:00
Cover Analysis
Monday
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
7
8
9
0
0
0
0
0
0
0
0
7
7
7
7
7
8
8
8
8
1
1
1
1
1
1
0
Tuesday
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
7
8
9
0
0
0
0
0
0
0
0
7
7
7
7
7
8
8
8
8
1
1
1
1
1
1
0
Wednesday
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
7
8
9
0
0
0
0
0
0
0
0
7
7
7
7
7
5
5
5
5
1
1
1
1
1
1
0
Thursday
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
7
8
9
0
0
0
0
0
0
0
0
7
7
7
7
7
8
8
8
8
1
1
1
1
1
1
0
Friday
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
7
8
9
0
0
0
0
0
0
0
0
6
6
6
6
6
7
7
7
7
1
1
1
1
1
1
0
Saturday
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
7
8
9
0
0
0
0
0
0
0
0
1
1
1
1
1
2
2
2
1
1
1
1
1
1
1
0
Sunday
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
7
8
9
0
0
0
0
0
0
0
0
1
1
1
1
1
2
2
2
1
1
1
1
1
1
1
0
Band 1B (Based on monitoring results only) Steps through the banding flowchart:
- WARNING! Not a complete study: the banding may not be accurate.
- New Deal Compliant
- Average work 48 hours a week or less
- Work pattern is a full shift, partial shift or hybrid
- Less than 1/3 of duty hours outside 7am to 7pm Mon-Fri (.140) and less than 1 weekend in 4 (1 in 18.00)
Monitoring - Riddell Formula not used
Monitoring Results Analysis
Item
Actual
Target
Comments
Average duty and work hours are
Total cards 33%, Real cards 33%
only calculated if all cards for the
Junior's cards 33%, Junior's real cards 33%
study are entered.
Longest duty period
10:30
14:00
Shortest 'off duty' period
13:30
08:00
% of duties with adequate natural
97
75
breaks
Weekends worked is 1 in
18.00
Duty hours outside 7am to 7pm
14.0%
Mon-Fri
Duty hours for the normal working week are greater than 40. Look for early starts and late finishes. Also consider if half days are
Average standard working week is
44:54
being taken
EWTD - Ave weekly duty hours
47:29
48:00
EWTD - less than 11 hours rest in
0
24
EWTD - docs without adequate
0
(24+11hrs in 7 days or 48+11hrs in 14 days)
long breaks
Monitoring summary by doctor
Doctor Name
% cards
Ave Duty
Ave Work
4 F1
0 (Real 0)
5 F1
0 (Real 0)
6 F1
0 (Real 0)
7 F1
0 (Real 0)
8 F1
0 (Real 0)
9 F1
0 (Real 0)
reynolds F1
100 (Real 100)
44:30
44:30
suleiman F1
100 (Real 100)
52:30
52:30
turner F1
100 (Real 100)
45:45
45:45
Diary cards for 4 F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
16/09/2008
Tue
17/09/2008
Wed
18/09/2008
Thu
19/09/2008
Fri
20/09/2008
Sat
21/09/2008
Sun
22/09/2008
Mon
23/09/2008
Tue
24/09/2008
Wed
25/09/2008
Thu
26/09/2008
Fri
27/09/2008
Sat
28/09/2008
Sun
Diary cards for 5 F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
16/09/2008
Tue
17/09/2008
Wed
18/09/2008
Thu
19/09/2008
Fri
20/09/2008
Sat
21/09/2008
Sun
22/09/2008
Mon
23/09/2008
Tue
24/09/2008
Wed
25/09/2008
Thu
26/09/2008
Fri
27/09/2008
Sat
28/09/2008
Sun
Diary cards for 6 F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
16/09/2008
Tue
17/09/2008
Wed
18/09/2008
Thu
19/09/2008
Fri
20/09/2008
Sat
21/09/2008
Sun
22/09/2008
Mon
23/09/2008
Tue
24/09/2008
Wed
25/09/2008
Thu
26/09/2008
Fri
27/09/2008
Sat
28/09/2008
Sun
Diary cards for 7 F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
16/09/2008
Tue
17/09/2008
Wed
18/09/2008
Thu
19/09/2008
Fri
20/09/2008
Sat
21/09/2008
Sun
22/09/2008
Mon
23/09/2008
Tue
24/09/2008
Wed
25/09/2008
Thu
26/09/2008
Fri
27/09/2008
Sat
28/09/2008
Sun
Diary cards for 8 F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
16/09/2008
Tue
17/09/2008
Wed
18/09/2008
Thu
19/09/2008
Fri
20/09/2008
Sat
21/09/2008
Sun
22/09/2008
Mon
23/09/2008
Tue
24/09/2008
Wed
25/09/2008
Thu
26/09/2008
Fri
27/09/2008
Sat
28/09/2008
Sun
Diary cards for 9 F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
16/09/2008
Tue
17/09/2008
Wed
18/09/2008
Thu
19/09/2008
Fri
20/09/2008
Sat
21/09/2008
Sun
22/09/2008
Mon
23/09/2008
Tue
24/09/2008
Wed
25/09/2008
Thu
26/09/2008
Fri
27/09/2008
Sat
28/09/2008
Sun
Diary cards for reynolds F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
Norm
08:00
17:00
09:00
00:00
OK
15:00
1
15:00
16/09/2008
Tue
Norm
08:00
17:00
09:00
00:00
OK
15:00
2
15:00
17/09/2008
Wed
Norm
08:00
17:00
09:00
00:00
OK
15:00
3
15:00
18/09/2008
Thu
Norm
08:00
17:00
09:00
00:00
OK
15:00
4
15:00
19/09/2008
Fri
Norm
08:00
17:00
09:00
00:00
OK
5
15:00
20/09/2008
Sat
No Work
21/09/2008
Sun
No Work
22/09/2008
Mon
Norm
08:00
17:00
09:00
00:00
OK
15:00
1
15:00
23/09/2008
Tue
Norm
08:00
17:00
09:00
00:00
OK
15:00
2
15:00
24/09/2008
Wed
Norm
08:00
16:00
08:00
00:00
OK
16:00
3
16:00
25/09/2008
Thu
Norm
08:00
17:00
09:00
00:00
OK
15:00
4
15:00
26/09/2008
Fri
Norm
08:00
17:00
09:00
00:00
OK
5
15:00
27/09/2008
Sat
No Work
28/09/2008
Sun
No Work
Diary cards for suleiman F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
Norm
08:00
17:00
09:00
00:00
OK
15:00
1
15:00
16/09/2008
Tue
Norm
08:00
16:00
08:00
00:00
OK
16:00
2
16:00
17/09/2008
Wed
Norm
08:00
17:00
09:00
00:00
OK
15:00
3
15:00
18/09/2008
Thu
Norm
08:00
17:00
09:00
00:00
OK
20:00
4
15:00
19/09/2008
Fri
Full Shift
13:00
23:00
10:00
00:00
OK
00:00
00:00
04:00
14:00
5
14:00
20/09/2008
Sat
Full Shift
13:00
23:00
10:00
00:00
OK
00:00
00:00
04:00
14:00
6
14:00
21/09/2008
Sun
Full Shift
13:00
23:00
10:00
00:00
OK
00:00
00:00
04:00
14:00
7
14:00
22/09/2008
Mon
Full Shift
13:00
23:00
10:00
00:00
OK
00:00
00:00
04:00
14:00
8
14:00
23/09/2008
Tue
Full Shift
13:00
23:00
10:00
00:00
OK
00:00
00:00
04:00
14:00
9
14:00
24/09/2008
Wed
Full Shift
13:00
23:00
10:00
00:00
OK
00:00
00:00
04:00
14:00
10
14:00
25/09/2008
Thu
Full Shift
13:00
23:00
10:00
00:00
OK
00:00
00:00
04:00
11
14:00
26/09/2008
Fri
No Work
27/09/2008
Sat
No Work
28/09/2008
Sun
No Work
Diary cards for turner F1
Date
Day
Type
Start
End
Cont Duty
Rest
Nat Brks
Long Rest
OOH Rest
Work 7PM-7am
Gap After
Cont Days
EWTD Rest in 24hrs
15/09/2008
Mon
Norm
08:00
17:00
09:00
00:00
OK
15:00
1
15:00
16/09/2008
Tue
Norm
08:00
17:00
09:00
00:00
OK
15:00
2
15:00
17/09/2008
Wed
Norm
08:00
17:00
09:00
00:00
OK
15:00
3
15:00
18/09/2008
Thu
Norm
08:00
17:00
09:00
00:00
OK
15:00
4
15:00
19/09/2008
Fri
Norm
08:00
17:00
09:00
00:00
OK
5
15:00
20/09/2008
Sat
No Work
21/09/2008
Sun
No Work
22/09/2008
Mon
Norm
08:00
17:00
09:00
00:00
OK
15:00
1
15:00
23/09/2008
Tue
Norm
08:00
17:00
09:00
00:00
OK
15:00
2
15:00
24/09/2008
Wed
Norm
08:00
17:00
09:00
00:00
OK
15:00
3
15:00
25/09/2008
Thu
Norm
08:00
18:30
10:30
00:00
OK
13:30
4
13:30
26/09/2008
Fri
Norm
08:00
17:00
09:00
00:00
FAIL
5
15:00
27/09/2008
Sat
No Work
28/09/2008
Sun
No Work
Band 1B (Based on template and monitoring combined) Steps through the banding flowchart:
- New Deal Compliant
- Average work 48 hours a week or less
- Work pattern is a full shift, partial shift or hybrid
- Less than 1/3 of duty hours outside 7am to 7pm Mon-Fri (.147) and less than 1 weekend in 4 (1 in 4.50)
Monitoring and Template Combined - No prospective cover
Monitoring and Template Combined - New Deal Analysis
Item
Actual
Target
Comments
Average weekly hours of duty
47:29
56:00
Average weekly hours of work
47:29
56:00
Monitoring and Template Combined - European Working Time Directive Analysis
Item
Actual
Target
Comments
Average weekly hours of work
47:29
48:00
Starting each Monday, a 35 hour
continuous rest in 7 days or a 59
OK
hour continuous rest in 14 days
11 hrs continuous rest in any 24
OK
hour period
Document Outline
