Glasgow Health Board, RAH, Traumatic and Orthopaedic Surgery, Rota SA69 2drs Mar12, F1, Resident. No monitoring.

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  (.059) and less than 1 weekend in 4 (1 in 12.00)

COMMENTS
This rota is based on 2 FY1 Orthopaedic doctors working an equal share of the HAN nights which is 1in 32.
HAN nights calculation:
Medicine:	17drs
Surgery:	13drs
Ortho:	2drs	TOTAL 32drs working nights.
7nights / 32 = 0.21 nights per doctor per week.  In 18weeks 126 nights need covered.   Surgery + Ortho would work 47% = 59 nights & Medicine would work 53% = 67 nights.

This rota is not a rolling pattern and reflects the nights each doctor will work in 18 weeks based on the overall HAN rota.
Ortho 1 doctor will work Mon-Thurs nights + 1 Sat Daytime 9am – 9pm over 18 weeks.
Ortho 2 doctor will work Frid-Sun nights + 1 Sun Daytime 9am – 9pm over 18 weeks.
There is 1 day off following nights.
There are no other out of hours worked by Ortho Doctors.  Remaining shifts are as follows:
Mon Standard Day 0800 – 1900
Tues – Frid Standard Day 0830 – 1700
This rota is both New Deal and EWTD compliant at 45:31hrs.

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.

Riddell Formula Calculations
Prospective cover for: Duties outside normal hours.
 
Leave: F1 - 35 days/annum for 2 doctors = 70 days/annum
 
Total leave to be covered for the group = 70 days/annum
Between 2 doctors this is 35 days/annum each (7 wks/annum each)
 
The normal working week = 45:00 per week.
Number of hours in a leave week = 45 (the hours in the normal working week)
For every leave day in the pattern, 09:00 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 = ( 2778.33*52 - 7 * 2700)/(52 - 7) =  2790.52 = 46:31
Riddell work hours = ( 2778.33*52 - 7 * 2700)/(52 - 7) =  2790.52 = 46:31

New Deal Analysis
Item	Actual	Target	Comments	
Average weekly hours of duty	46:31	56:00		
Average weekly hours of work	46:31	56:00		
Longest duty period	12:30	14:00		
Shortest off duty	11:00	08:00		
Longest 'off duty' period	76:00	62:00		
Next longest 'off duty' period	70:30	48:00		
Maximum consecutive duty days	 7	13		
62+48 hr. breaks every 28 days	OK			

European Working Time Directive Analysis
Item	Actual	Target	Comments	
Average weekly hours of work	45:31	48:00	As per CEL14 (2009) calculation	
Average hours (before adjustments)	46:18			
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	OK			

Availability of normal days (Based on template only)
In a 52 week period, doctors are available during normal hours on 248 days
This reduces to 188 assuming that 60 of these days will be taken as leave
This is equivalent to 3.62 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	
1	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
2	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
3	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
4	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
5	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
6	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
7	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
8	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
9	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
10	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
11	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
12	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
13	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
14	D: Nights
21:00 09:30	D: Nights
21:00 09:30	D: Nights
21:00 09:30	D: Nights
21:00 09:30	Zero Hours			
15	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
16	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	A: Wkend Day Shift
09:00 21:00		
17	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
18	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
19	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
20	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
21	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
22	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
23	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
24	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
25	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
26	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
27	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
28	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
29	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
30	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
31	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
32	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
33	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	D: Nights
21:00 09:30	D: Nights
21:00 09:30	D: Nights
21:00 09:30	
34	Zero Hours	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00			
35	Stnd Day
08:00 19:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00	Stnd Day
08:30 17:00		A: Wkend Day Shift
09:00 21:00	
36	Stnd Day
08:00 19:00	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	08:00	19:00	00:00	11:00	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: Wkend Day Shift	Full Shift	Yes	09:00	21:00	00:00	12:00	0					
D: Nights	Full Shift	Yes	21:00	09:30	00:00	12:30	0					

New Deal / WTR Footnote

This Full Shift rota has been checked and complies with the limits of the New Deal Contract for Training Grade Doctors.  

Ongoing compliance relies on start and finish times being adhered to, natural breaks being achieved as per HDL 2003_10 and all other New Deal limits being met.

This rota also complies with the limits of the Working Time Regulations, including the 48 hour working week.  

Riddell is included for all leave.

Daniel MacDonald
Medical Workforce Adviser 
Tel: 07818012167
Email: daniel.macdonald@scotland.gsi.gov.uk

9th September 2013.