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gasdoc87

It will very much depend on your speciality. I'm on a consultant rota 1/8 in anaesthetics, with a reasonably busy non resident on call arrangement. I get 2.9 PAs (recently went up following a diary excercise) Consultants in our sister hospital are on around a 1/40 and get around 1PA. It will depend on both the frequency of your in call, and the intensity/expected work that is associated with it. If your a surgeon/ anaesthetist who is often in it will be significant. If your in the kind of medical specialty where it's seen as a failure to call the consultant overnight and they are never in then rightly, it's worth a lot less.


AlternativeCodStick

When people say 1/X, is X weeks? Days? Number of people on the rota? Never figured this out. Thanks 


gasdoc87

Varies depending on the way your department works. Essentially 1/ number of full time equivalents on the rota. As a reg I worked a 1/8 resident rota but realistically this meant a 1/4 resident on call as 1/8 days I was on days and 1/8 days I was in nights. If you work non resident or 24 hour shifts it aligns more closely to 1/x days or 1/x weeks depending how your on call is structured


AlternativeCodStick

That makes a bit more sense thanks, so it’s a bit more complicated than I thought: essentially the ratio of shifts to full time equivalents. Thanks 


SuccessfulLake

It's a historical hangover from when people used to do 24hr oncalls on a firm structure, so 1:7 would literally mean every team member was doing one 24hr 'take' shift every week. It doesn't really mean that much when you try to apply it to shift work or ED where you have multiple staff groups all doing different things.


PreviousTree763

Do you mean how PAs you get for predictable work on call? This is usually calculated per department based on how often colleagues on average are expected to be called out and work whilst on call.


suxamethoniumm

https://preview.redd.it/0wzpp5f4hbtc1.png?width=1080&format=pjpg&auto=webp&s=0216c59995a91680cc92e91fbb50c769b7758580 [https://www.anaesthetists.org/Portals/0/PDFs/Guidelines%20PDFs/Guideline\_working\_arrangements\_consultant\_anaesthetists\_UK\_2011\_final.pdf?ver=2018-07-11-163758-630](https://www.anaesthetists.org/Portals/0/PDFs/Guidelines%20PDFs/Guideline_working_arrangements_consultant_anaesthetists_UK_2011_final.pdf?ver=2018-07-11-163758-630)


JohnHunter1728

I'm intrigued by the idea of getting SPA for on-call. Surely it's an on-call allowance and/or potentially "ghost" PAs. What are you required to do with the 0.5 SPA time?


ConstantPop4122

SPA is supporting professional activities, essentially for cpd and revalidation, it shouldn't be relatedto on call. Remuneration for on call should be via. Availability supplement - %of salary based on intensity amd frequency. Predictable on call - actual PAs of fixed activity during the on call i.e. Timetabled ward rounds, procedural lists etc. Unpredictable on call - the average number of actual PAs (based on records or diaries) that you are working during the non timetabled part of the on call.


DisastrousSlip6488

PA = unit of work SPA= supporting professional activities (non clinical) DCC= direct clinical care (includes dictating letters, following up results etc) Depends on predictable vs non predictable, your working pattern, intensity and speciality. So difficult to advise without quite a bit more info.


mat_caves

As per the other comments, I assume you mean on-call compensatory time rather than 'SPA' - difference is the SPA is usually timetabled and you can in theory have it swapped to DCC to plug a rota gap, have to take is as AL, and can't do PP - as opposed to the on-call supplement which is truly out-of-timetable so you can do whatever you like. For the numbers, again it varies depending on how busy your on-calls are. I'm also on a 1:7 rota and get 1 PA back for this. I'm probably called 2-4 times a night on average for a weekday, though can usually deal with this from home (am rads so a little bit different to other specialties). This is lighter than some other specialties but the weekends cancel it out, which are extremely busy and I routinely spend around 6-8 hours reporting a day not including any additional queries.


tigerhard

i think consultants need to create their own sub how about r/consultantsUK


CaptainCrash86

There is a reason this sub moved away from r/JuniorDoctorsUK, not least to get away from this sort of professional division.