Irish Medical Organisation

IMO AGM NCHD National Meeting Motions 2013

Saturday 6th April 2013

9.20am – 12.30pm

NCHD Contract

1. This meeting reiterates that NCHDs must be paid for all hours and that the IMO will take all steps necessary to ensure this is done.

Proposer: Dr Louise Cunningham
Seconder: Dr Marie McGarry

Status : Carried

2. This meeting calls on the IMO to publish a document clearly explaining the ways in which overtime payments are defined and calculated, with specific examples including annual leave, study leave, sick leave and maternity leave.

Amendment:

This meeting calls on the IMO tin conjunction with the HSE to publish a document clearly explaining the ways in which overtime payments are defined and calculated, with specific examples including annual leave, study leave, sick leave and maternity leave.

Proposer: Dr Shane Considine
Seconder: Dr Jodie Doyle

Status : Carried as amended

3. The IMO calls on the HSE to publish national guidelines for all hospitals detailing how payment is to be made for overtime hours worked, with specific regard to real life working patterns.

Proposer: Dr Jodie Doyle
Seconder: Dr Ella Harris

Status : Carried

4. This meeting demands that the HSE pay the cost for additional accommodation for doctors who are required to rotate as part of their employment, as is the case for other HSE Staff.

Proposer: Dr Niall Kelly
Seconder: Dr Shane Considine

Status : Carried

5. The IMO calls on the HSE to immediately agree with the IMO and implement a detailed and chronological action plan for the implementation of the EWTD for NCHDs in line with the NCHD Contract 2010 including a maximum 24 hour shift on site on a 1:5 basis and protected training time.

Proposer: IMO NCHD Committee

Status : Carried

6. This meeting acknowledges and will protect surgical trainees, given the need for adequate time to gain the skills necessary to become competent surgeons, in the context of EWTD implementation.

Proposer: Dr John Duddy
Seconder: Dr Eoin Fenton

Status : Carried

7. The IMO calls on the HSE to immediately engage in negotiations with the IMO on the introduction of a National electronic time management system to record NCHD working hours to help in the implementation of EWTD and to ensure adherence to the NCHD contractual entitlement to be paid for all hours worked

Proposer: IMO NCHD Committee

Status : Carried

Investigations

8. The IMO calls on HIQA as a matter of urgency to investigate the patient safety implications of the onerous and illegal work patterns of NCHDs.

Proposer: IMO NCHD Committee

Status : Carried

9. The IMO calls upon the European Commission to investigate the working hours of NCHDs and apply appropriate penalties.

Proposer: IMO NCHD Committee

Status : Carried

Training and Educational Issues

10. The IMO condemns the current working hours of NCHDs and calls upon the post graduate training bodies to devise training programmes that fit within the European working time directive.

Proposer: IMO NCHD Committee

Status : Carried

11. This meeting calls on the IMO to liaise with the Training Bodies to improve training in hospitals and make it more standardised and relevant.

Proposer: Dr Louise Cunningham
Seconder: Dr Marie McGarry

Status : Motion Fell

12. This meeting demands that the HSE reinstate the Training Grant for NCHDs.

Amendment:

This meeting demands that the HSE reinstate the Training Grant directly to NCHDs

Proposer: Dr Niall Kelly
Seconder: Dr Ella Harris

Status : Carried as amended

13. The MO demand that the HSE reinstate the Training Grant and that doctors do not have to pay for courses themselves that are considered a necessary part of their training.

Proposer: Dr Louise Cunningham
Seconder: Dr Marie McGarry

Status : Motion Fell

14. The IMO believes that doctors should not have to pay for any of their first sit compulsory exams or any of the ACLS fees.

Proposer: Dr Louise Cunningham
Seconder: Dr Marie McGarry

Status : Motion Fell

15. The IMO demands that the HSE reimburse NCHDs for all mandatory training courses and certifications.

Amendement:

The IMO demands that the Training Bodies and the HSE reimburse NCHDs for all mandatory training courses and certifications.

Proposer: Dr Jodie Doyle
Seconder: Dr Shane Considine

Status : Carried as amended

16. The IMO calls on the PGTBs to impose sustainable training requirements on trainees, conducive to good mental and physical health, cognisant that NCHDs already work onerous and illegal hours.

Proposer: IMO NCHD Committee

Status : Carried

17. The IMO requests that the HSE permits NCHDs with access to internet sites in hospital libraries which enable research, education and training and to consult with the IMO about this provision.

Amendement:

The IMO requests that the HSE permit NCHDs to access to internet sites in hospital libraries which enable research, education and training and to consult with the IMO about this provision.

Proposer: IMO NCHD Committee

Status : Carried as amended

18. In light of the requirement for senior NCHDs to go abroad to gain valuable experience prior to taking up a Consultant post in Ireland the IMO calls on the HSE to guarantee extended career breaks for these doctors in order that they are not treated as new entrants for pension or any other purpose on their return to the Irish Health Service.

Proposer: IMO NCHD Committee

Status : Carried

Workforce Planning

19. The IMO demands that the HSE and the Medical Council align numbers of approved and paid internship positions with the numbers of EU graduates of Irish Medical Schools so that such graduates can comply with EU requirements for registration.

Amendment: 

The IMO demands that the HSE and the Medical Council align numbers of approved and paid internship positions with the numbers of graduates of Irish Medical Schools so that such graduates can comply with EU requirements for registration.

Proposer: Dr Gillian Judge
Seconder: Dr Shane Considine

Status : Carried as amended

20. The IMO calls on the Minister for Health and the HSE to ensure that there are sufficient Intern training places to meet the increased numbers of medical school graduates

Proposer: IMO NCHD Committee

Status : Carried

NCHD Duties

21. This meeting calls on the HSE to advise all hospital managers that NCHDs will not be providing any phlebotomy cover and that the HSE pay people extra to come in and do it.

Proposer: Dr Louise Cunningham
Seconder: Dr Marie McGarry

Status : Motion Fell

22. The IMO calls on the HSE to establish, in conjunction with relevant stakeholders, a body to look at tasks performed in hospitals and assign them to the appropriate health care professionals and establish appropriate job descriptions.

Proposer: IMO NCHD Committee

Status : Carried 

23. The IMO calls upon the HSE and other NCHD employers to engage with the IMO to look at alternative methods of providing on-call services within hospitals.


Proposer: IMO NCHD Committee

Status : Carried

Hospital Committees

24. The IMO calls on the HSE to ensure that as per NCHD Contract 2010 rostering committees are immediately established in all Hospitals

Proposer: IMO NCHD Committee

Status : Referred to Council

25. This meeting calls on the IMO to coordinate and schedule meetings between NCHD Hospital Reps and the NCHD Committee no less than 4 times per year.

Proposer: Dr Niall Kelly
Seconder: Dr Ella Harris

Status : Referred to Council

26. This meeting calls on the IMO to assist in developing continuity between hospital committees during NCHD changeover periods to ensure that institutional memory is retained.

Proposer: Dr Jodie Doyle
Seconder: Dr Gillian Judge

Status : Referred to Council

Contracts of Indefinite Duration

27. The IMO calls on the Department of Health to enhance the terms and conditions of NCHDs with contracts of indefinite duration to reflect the variety of work they perform in the Irish hospital setting and their invaluable service to the country.

Amendment:

The IMO calls on the Department of Health to enhance the terms and conditions of NCHDs with contracts of indefinite duration to reflect their responsilbilty and experience.

Proposer: IMO NCHD Committee

Status : Awaiting Debate

NCHD Rotations

28. In light of the negative impact on many NCHDs of frequent rotations through hospitals in differing parts of the country from their family members the IMO calls on the HSE and the training bodies to take cognisance of NCHDs personal circumstances in assigning rotations and insofar as possible accede to requests for hospital rotations that are family friendly

Proposer: IMO NCHD Committee

Status : Referred to Council

Facilities for NCHDs

29. The IMO requests that all NCHDs are formally provided with a HSE email address.

Proposer: IMO NCHD Committee

Status : Referred to Council

30. In light of the sub-standard conditions of many NCHD residences, the IMO calls on the HSE to immediately review the agreed guidelines for NCHDs residences and agree new guidelines with the IMO for urgent implementation to ensure that the basic needs of all NCHDs on call are provided by all Hospitals.

Proposer: IMO NCHD Committee

Status : Referred to Council

Student Issues

31. This meeting urges the IMO to engage with graduate entry medical students to seek to offer appropriate advice to address their concerns in relation to fees, loans and employment prospects.

Proposer: Dr Ella Harris
Seconder: Dr Niall Kelly

Status : Referred to Council

Medical Council

32. The IMO calls upon the Irish Medical Council to liaise with the IMO on the current registration process of non-English speaking, non-Irish Medical School graduates before they commence employment to ensure safety of NCHDs and patients alike.

Proposer: IMO NCHD Committee

Status : Carried


 


 

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