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Knight of Collingtree, Baroness (3)
Answering member
Legislative stage
Legislation
Subject
Publisher
To ask Her Majesty’s Government what steps they will take to ensure that patient care will not suffer following the introduction of the new European Working Time Directive on 1 August.
To ask Her Majesty’s Government what steps they will take to ensure that patient care will not suffer following the introduction of the new European Working Time Directive on 1 August.
Asked by
Baroness Knight of Collingtree
(Conservative)
Answered by
Lord Darzi of Denham
(Labour)
Oral questions - Lead
Status
Answered
For answer on
29 June 2009
Answered on
29 June 2009
My Lords, the NHS has made excellent progress in implementing this important health and safety legislation, which ensures that patients receive safe, high-quality care from staff who have not worked excessive hours. Only doctors in training remain to become fully compliant by 1 August and two-thirds of them are already working a 48-hour week averaged over 26 weeks. Our overriding principles are patient safety and the quality of care. This is paramount to all that we do.
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c1-2
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, has the Minister noted the severe warnings from the president of the Royal College of Surgeons and bodies representing junior and hospital doctors who are far from pleased about the arrangements that have been made so far and who should know what they are talking about? They say that this diktat will mean surgeons not being properly trained, patient safety being severely compromised and hospitals closing. Does the Minister really think that the problem should continue to be met by junior hospital doctors being ordered by their NHS bosses to lie about the hours they work in order to keep to the restrictions? Why cannot the Government simply refuse to accept these rules or ignore them as other countries do?
My Lords, has the Minister noted the severe warnings from the president of the Royal College of Surgeons and bodies representing junior and hospital doctors who are far from pleased about the arrangements that have been made so far and who should know what they are talking about? They say that this diktat will mean surgeons not being properly trained, patient safety being severely compromised and hospitals closing. Does the Minister really think that the problem should continue to be met by junior hospital doctors being ordered by their NHS bosses to lie about the hours they work in order to keep to the restrictions? Why cannot the Government simply refuse to accept these rules or ignore them as other countries do?
Asked by
Baroness Knight of Collingtree
(Conservative)
Oral questions - 1st Supplementary
Status
Answered
Answered on
29 June 2009
My Lords, I am aware of these debates and refer to a publication from the Institute of Medicine in the US, which is the US academy. It stated that the surgery profession was concerned about the shift in work mentality, loss of professionalism and decreased access to quality surgical care; but that it was difficult to assess how much of the complaining represented rhetoric and resistance to change rather than valid criticism.
I am here to share evidence with noble Lords. The evidence is quite clear from the Institute of Medicine’s publication—the error is human. In 1999, between 44,000 and 98,000 people died in hospitals from adverse effects. The single and most important contributor is sleep deprivation and fatigue. The reduction to 48 hours a week is to enhance patient safety and, let us not forget, to enhance the social well-being of doctors, who have the highest rates of divorce, addiction and depression.
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety; Surgery
Date
29 June 2009
Reference
712 c2
Chamber / Committee
House of Lords chamber
House
House of Lords
Lords debate on motion to call attention to the Government's public health agenda. Motion withdrawn.
Lords debate on motion to call attention to the Government's public health agenda. Motion withdrawn.
Lead member
Baroness Knight of Collingtree
Answering member
Baroness Thornton
Department
Department of Health
Type
Debates
Subjects
Disadvantaged; Health; Hospitals; Health services; Finance; Gender; Disease control; Infectious diseases; Health education; Hospital wards; NHS; Patients; Prisons; Privacy; Preventive medicine; Standards; Exercise
Date
30 April 2009
Reference
710 c390-410
Chamber / Committee
House of Lords chamber
House
House of Lords