The Health Board has made good progress with the implementation of European Working Time Directive (EWTD) compliant rotas but needs to strengthen current arrangements to maintain levels of compliance and patient care.
New rotas and other changes in working practice are supporting compliance but there are concerns about the impact of current arrangements and rotas may not reflect actual hours worked.
While there are inconsistencies in the approach to rota management, all of the Health Board’s junior doctor rotas are, in principle, now EWTD compliant.
New rota patterns have been supported by other changes in working practice but there are concerns about whether some of these changes can be sustained, and the impact on patient care.
Monitoring arrangements do not provide sufficient assurance that junior doctors’ rota patterns reflect the actual hours they work.
Governance and performance arrangements for EWTD compliance are unclear, although the Health Board is now taking action to clarify core responsibilities and accountabilities.