MMC/MTAS: the catastrophe unspun - Morris Brown Addenbrookes Hospital/ University of Cambridge
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MMC/MTAS:
the catastrophe unspun
Morris Brown
Addenbrookes Hospital/
University of Cambridge
‘Bunch of whingers about everyone
and everything’
- Senior medical establishment figure• Fidelio is a loose grouping of senior doctors - leaders in medicine, rather than of medicine • We feel free to speak without constraint, but responsibly, when we consider that authority is oppressive, unjust and inhumane. • Any potential benefits of MMC and MTAS have been cancelled by an arrogant failure to discuss the details and consequences of these changes with those most likely to be affected – doctors, patients and the general public.
• When government introduces major changes affecting the lives of thousands, it is imperative that there is articulate and vocal opposition • The Fidelio group has made a point of projecting not just our views, but more importantly the views of the majority as ascertained through a series of online polls. • In this electronic age, it is no longer acceptable to object – as we were frequently told – that it is too difficult to sample opinion on complex issues.
• A common dictum, ignored at one’s peril, is that change needs to be evolutionary not revolutionary. When the state ignores this advice, alarm bells should ring among constituencies which are threatened. • In such times, there must be clear blue water between the state and the bodies who are under attack. • The extraordinary feature of MMC, and the statutory seizure of decision-making from the medical Royal Colleges by the PMETB, is that this revolution entailed a naked power battle in which one side appeared to lie down without a fight.
• Above all, our aim is to let junior doctors know they are not alone: that there are senior colleagues who share their anguish, and will leave no stone unturned to defend their rights and the future of medical education – in the interests of the service and its patients, present and future.
New (MMC) Old
(‘Calman’)
ST3-7 Registrars
ST1-2 Senior House OfficersST3-7
ST1-2
(FTSTA)ST3-7 (50 posts)
ST1-2 (50 posts)
Dead-end
?
postsOverall Success Rate
50
45
40
% age of applicants
35
30
25
20
15
10
5
0
0 1 2 3 4
Number of Job OffersSuccess Rate by Level of
Application
60
ST1
50 ST2
% age of applicants
ST3
40 ST4
30
20
10
0
0 1 2 3 4
Number of Job Offers‘Selective cull of the best’:
Prediction of MTAS outcome by 1st class
degree or distinction-in-finals
35
%age with 1st &/or distinction
30
25
20
15
10
5
0
0 1 2 >2
Number of Job Offers‘Selective cull of the best’:
Prediction of MTAS outcome by 1st class
degree and/or distinction-in-finals
35
Either
%age with 1st &/or distinction
30 Both
25
20
15
10
5
0
0 1 2 >2
Number of Job OffersST3-7 (50 posts)
ST1-2 (50 posts)
(FTSTA)Is new scheme (MMC) an improvement on
old scheme of training?
100
80
% age saying no
60
40
20
0
SHO RegistrarConclusions
• The future is orange, but
– Who is pulling the strings at DH?
– Who will decide the fate of this year’s junior
doctors?
– If a BBC controller loses his job for mistaking
the monarch’s direction of travel, how many
in the DH (from the Chief Monarchical Officer
down), who caused mass medical migration,
should discover aged parents in Australia?Fidelio authors
Morris Brown, Professor of Clinical Pharmacology, Cambridge Christopher Kennard, Vice Principal, Charing Cross Hospital
Peter Barnes, FRS, Professor of Respiratory Medicine, Imperial Kay-Tee Khaw, CBE, Professor of Clinical Gerontology, Cambridge
Nicholas Boon, President Cardiovascular Society John Lazarus, Professor of Clinical Endocrinology, Cardiff
Stafford Lightman, Professor of Medicine, Bristol
Nicholas Brooks, Past-President Cardiovascular Society David Luesley, Professor of Gynaecological Oncology, University of
Colin Brown, Professor of Renal Medicine, Sheffield Birmingham
Edwina Brown, Professor of Renal Medicine, Imperial College John Macfie, Professor of Surgery, University of Hull
John Camm, Professor of Clinical Cardiology, St George's Hospital Jim McKillop, Professor of Medicine, Glasgow
Peter McCollum, Professor of Vascular Surgery, University of Hull
Mark Caulfield, Professor of Clinical Pharmacology, Queen Mary John Monson, Professor of Surgery, Hull
Edwin Chilvers, Professor of Respiratory Medicine, Cambridge Steve O’Rahilly FRS, Professor of Clinical Biochemistry & Medicine,
Paul Corris, Professor of Thoracic Medicine, Newcastle Cambridge
Paul Durrington, Professor of Medicine, University of Manchester Mark Pepys FRS, Professor of Medicine, RFUCMS
Rodney Phillips, Professor of Clinical Medicine, Oxford
Paul Emery, Professor of Rheumatology, University of Leeds Philip Poole-Wilson, Professor of Cardiology, Imperial College
Angus Dalgleish, Professor of Oncology, St George’s Hospital Stuart Ralston, Professor of Rheumatology, Edinburgh
Pamela Ewan, CBE, Consultant Physician, Addenbrooke's Hospital Jon Rhodes, Professor of Medicine, Liverpool
Jon Friedland, Professor of Infectious Diseases, Imperial Jim Ritter, Professor of Clinical Pharmacology, Kings College
London
Steve Franks, Professor of Reproductive Endocrinology, Imperial Brian Rowlands, President of the Association of Surgeons
Hill Gaston, Professor of Rheumatology, Cambridge Neil Scolding, Professor of Neurology, Bristol
John Gibson, Professor of Respiratory Medicine, Newcastle James Scott, FRS, Professor of Medicine, Imperial College
Peter Grant, Professor of Vascular Medicine, Leeds University Peter Sleight, Emeritus Professor of Cardiology, Oxford
Roger Sturrock, Professor of Rheumatology, Glasgow
George Griffin, Professor of Cellular & Molecular Medicine, St. Robert Sutton, Professor of Surgery, Liverpool
George's David Luesley, Professor of Gynaecological Oncology, University of
Ashley Grossman, Professor of Endocrinology, Queen Mary Birmingham
Alistair Hall, Professor of Clinical Cardiology, Leeds Raj Thakker, Professor of Academic Endocrinology, Oxford
George Hart, Professor of Medicine, Liverpool Douglas Turnbull, Professor of Neurology, Newcastle
Hugh Watkins, Professor of Cardiology, Oxford
Rod Hay, Head, School of Medicine, Queens University, Belfast Alistair Watson, Professor of Gastroenterology, Liverpool
Tony Heagerty, Professor of Medicine, Manchester Robert Wilcox, Professor of Cardiology, Nottingham
Humphrey Hodgson, Vice-Dean, RFUCMS Mark Wiles, Professor of Neurology, Cardiff
Richard Hughes, Professor of Neurology, Kings College London Sir Nicholas Wright, Warden, Queen Mary London
Juan Carlos Kaski, Professor of Cardiovascular Science, St Lord Winston, Emeritus Professor of Fertility Studies, Imperial
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