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In the 1960s and 1970s hospitals had messes for junior doctors. They also provided accommodation. Both disappeared under cost pressures and a ridiculous belief that as they were not core NHS activities they were dispensable. When withdrawal began I suggested that it was a mistake. Not only did the mess provide a rest space, but it provided a place to meet colleagues, and perhaps chew over a difficult case ("Not sure what I should do, John, would you mind coming with me to have a look?"). On-site accommodation meant that no-one died driving home. Segregated dining facilities allowed doctors to discuss work issues without being overheard by patients or relatives.
I know that medicine is more complex now than it was back then and that many trainees have their own houses or apartments but I do have an overwhelming sense of "I told you so". How long before we abandon the dangerous shift system, I wonder?
Better late than never, I suppose.
But was the BMA asleep while the facilities disappeared?
Are there no Place of Work Accredited Representatives any more?
Are there no Junior Doctors ’ Associations any more?
Well over half a century ago, in a little hospital in London Town, I organised a boycott of the hospital catering. We brought in our own food.
Within 48 hours, the administration came to heel.
Oh, I wish I were fitter.
Competing interests:
If I go to a hospital, I want to be looked after by staff, of all whom are well-fed, well-rested. Anybody who disagrees, please show.
Re: Government commits £10m to doctors’ rest facilities
In the 1960s and 1970s hospitals had messes for junior doctors. They also provided accommodation. Both disappeared under cost pressures and a ridiculous belief that as they were not core NHS activities they were dispensable. When withdrawal began I suggested that it was a mistake. Not only did the mess provide a rest space, but it provided a place to meet colleagues, and perhaps chew over a difficult case ("Not sure what I should do, John, would you mind coming with me to have a look?"). On-site accommodation meant that no-one died driving home. Segregated dining facilities allowed doctors to discuss work issues without being overheard by patients or relatives.
I know that medicine is more complex now than it was back then and that many trainees have their own houses or apartments but I do have an overwhelming sense of "I told you so". How long before we abandon the dangerous shift system, I wonder?
Competing interests: No competing interests