Glasgow Health Board, IRH, Traumatic and Orthopaedic Surgery, Rota C10 October 10, SPR, On Call, Non Resident. No monitoring.

Band 1A (Based on template only)
Steps through the banding flowchart:
     - New Deal Compliant
     - Average work 48 hours a week or less
     - Work pattern is an on call rota
     - 1 in 6 with prosp. cover or more frequent (Calc from pattern as 1 in 6.0)

COMMENTS
This rota represents a 1:6 oncall rota with the post oncall day off.
The rota is both EWTD and New Deal compliant.

Riddell Formula Calculations
Prospective cover for: Duties outside normal hours.
 
Leave: SPR - 68 days/annum for 6 doctors = 408 days/annum
 
Total leave to be covered for the group = 408 days/annum
Between 6 doctors this is 68 days/annum each (13.6 wks/annum each)
 
The normal working week = 42:30 per week.
Number of hours in a leave week = 42.5 (the hours in the normal working week)
For every leave day in the pattern, 08:30 hours has been added to the duty and work hours
(This figure is a fifth of the hours in a leave week)
Riddell hours = (Wkly hrs*52 - Hol Wks*Hrs in leave wk)/(52-Hol wks)
Riddell duty hours = ( 3380*52 - 13.6 * 2550)/(52 - 13.6) =  3673.96 = 61:14
Riddell work hours = ( 2740*52 - 13.6 * 2550)/(52 - 13.6) =  2807.29 = 46:47
Actual New Deal Hours 45:40hrs

New Deal Analysis

Item	Actual	Target	Comments	
Average weekly hours of duty	61:14	72:00		
Average weekly hours of work	46:47	56:00		
Longest weekend on call duty	48:00	56:00		
Longest weekday on call duty	24:00	32:00		
Short off duty (after on call)	24:00	12:00		
Short off duty (after others)	15:30	08:00		
Longest 'off duty' period	72:00	62:00		
Next longest 'off duty' period	63:30	48:00		
Maximum consecutive duty days	 5	13		
62+48 hr. breaks every 21 days	OK			
Ave total rest (weekdays)	08:00	08:00	(50% of out of hours duty)	
Ave total rest (weekends)	12:00	12:00	(50% of out of hours duty)	
% of duties with adequate rest	 100	75		

European Working Time Directive Analysis

Item	Actual	Target	Comments	
Average weekly hours of work	45:40	48:00	Less annual leave calc as per CEL14 = 44:07	
Starting each Monday, a 35 hour continuous rest in 7 days or a 59 hour continuous rest in 14 days	OK			
11 hrs continuous rest in any 24 hour period	Warning 		Mon of week 1 did not pass 11hr rule but had adequate compensatory rest.   A total of 5 days failed but had adequate compensatory rest.	

Template work pattern

Wk	Mon	Tue	Wed	Thu	Fri	Sat	Sun	
1	A: Wkday OC
08:30 08:30	Zero Hours	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	B: Wkend OC
08:30 08:30	B: Wkend OC
08:30 08:30	
2	Zero Hours	A: Wkday OC
08:30 08:30	Zero Hours	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
3	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	A: Wkday OC
08:30 08:30	Zero Hours	Stnd Day
08:30 17:00			
4	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	A: Wkday OC
08:30 08:30	Zero Hours			
5	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	A: Wkday OC
08:30 08:30			
6	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			

Template normal working days

Normal Week	Start	End	Rest	Hours	Num of Diary Cards	Ave Start	Ave End	Ave Rest	Ave Hours	
Mon	08:30	17:00	00:00	08:30	0	00:00	00:00	00:00	00:00	
Tue	08:30	17:00	00:00	08:30	0	00:00	00:00	00:00	00:00	
Wed	08:30	17:00	00:00	08:30	0	00:00	00:00	00:00	00:00	
Thu	08:30	17:00	00:00	08:30	0	00:00	00:00	00:00	00:00	
Fri	08:30	17:00	00:00	08:30	0	00:00	00:00	00:00	00:00	

Template on call duties

Name	Intensity	Resident	Start	End	Rest	Hours	Num of Diary Cards	Ave Start	Ave End	Ave Rest	Ave Hours	
A: Wkday OC	On Call	No	08:30	08:30	08:00	24:00	0					
B: Wkend OC	On Call	No	08:30	08:30	12:00	24:00	0					

New Deal / WTR Footnote

This Non Resident On Call rota has been checked and complies with the limits of the New Deal Contract for Training Grade Doctors, and the limits of the Working Time Regulations, including the 48 hour working week.

Ongoing compliance relies on start and finish times being adhered to, rest and breaks being achieved on at least 75% of occasions, and all other New Deal limits being met.

For New Deal during the On Call shifts, 50% of the out of hours time is required as rest, with five hours of this being continuous between 10pm and 8am.  For WTR an 11 hour rest period is required in each 24 hour period.  

Riddell is included for all leave.

Daniel MacDonald
Senior WTR Adviser / New Deal Manager
Tel: 07818012167
Email: daniel.macdonald@scotland.gsi.gov.uk

27th October 2010.