NCHD National Meeting Motions    Saturday 2^nd April 10am – 12.30pm

TIME FOR CHANGE

1. The IMO thanks all NCHDs for supporting and contributing to the HAVE YOUR SAY CAMPAIGN and now calls on the HSE and Department of Health to work with the IMO to address the serious issues identified by NCHDs which are obstacles to career development and to remaining in the Irish Health Services.

Proposer: NCHD Committee

Status: Carried

NEW NCHD CONTRACT

2. This meeting calls on the HSE and the Department of Health to immediately enter negotiations on a new NCHD Contract, such negotiations to have taken place in 2014 as per the current contract review provisions.

Proposer: NCHD Committee

Status: Carried

3. This meeting calls on the HSE and the Department of Health to fund appropriate terms and conditions to reward NCHDs with significant experience who are employed in non-training posts and who provide essential services and support to the health services.  Such negotiations to take place in the context of a new NCHD Contract.

Proposer: NCHD Committee

Status: Carried

TRAINING ISSUES

4. This meeting calls on the HSE and the Department of Health to recognise and address the significant and increasing cost of training for NCHDs which in many cases force NCHDs abroad for better funded training programmes. 

Proposer: NCHD Committee

Status: Carried

5. This meeting calls on the HSE, Department of Health and Training Bodies to ensure that all trainees receive appropriate study and exam leave with minimum standards in this regard for each exam.

Proposer: NCHD Committee

Status: Carried

6. The IMO calls on the HSE to recognise that there are a specific group of NCHDs for whom the training provided via the employer is no longer adequate and that new NCHD contract discussions must address the educational requirements of this group while remaining cognisant of the ongoing training requirements for all NCHDs in training and non-training posts.

Proposer: NCHD Committee

Status: Carried

7. The IMO calls on the post graduate training bodies to develop a transparent system which details the level of successful and failed applications to the training schemes and to clearly outline the criteria for assessing applications so as to ensure NCHDs have a clear understanding of what is required when applying to the schemes.

Proposer: NCHD Committee

Status: Carried

8. The IMO calls on the HSE National Doctor Training Programme (NDTP) to give clear support to all NCHDs involved in management and educational activities in light of the fact that these NCHDs are the future leaders within our public health services. Such support to include accrediting time spent on defined management duties as a credited part of their training. 

Proposer: NCHD Committee

Status: Carried As Amended

8. The IMO calls on the HSE National Doctor Training Programme (NDTP) and releveant post graduate training bodies to give clear support to all NCHDs involved in management and educational activities in light of the fact that these NCHDs are the future leaders within our public health services. Such support to include accrediting time spent on defined management duties as a credited part of their training. 

9. The IMO calls on the HSE and NDTP to provide detailed information to all NCHDs wishing to undertake fellowship level training at home and abroad. 

Proposer: NCHD Committee

Status: Carried

10. The IMO calls on the Department of Health and the HSE to expand the approved training list to include training opportunities not provided for by the postgraduate training bodies.

Proposer: NCHD Committee

Status: Carried

11. The IMO calls on all hospitals to ensure that NCHDs have access to all their protected training time.

Proposer: NCHD Committee

Status: Carried

MEDICAL COUNCIL

12. The IMO calls on the Medical Council to undertake regular and adequate site visits to all training locations to ensure training is being maintained and delivered to the standard required.

Proposer: NCHD Committee

Status: Carried

13. The IMO calls on the Medical Council to ensure Professional Competency Schemes are appropriate to the NCHDs enrolled in them through auditing the NCHD cohort and assessing the educational requirements of these doctors so as to ensure appropriate use of time and funds for both the PCS Schemes and NCHDs.

Proposer: NCHD Committee

Status: Carried

CAREER PATHWAYS

14. In light of the ongoing difficulties in retaining NCHDs in the Irish public health service this meeting calls on the Department of Health, HSE and Post Graduate Training Bodies to develop and promote clear realistic career pathways for all NCHDs.

Proposer: NCHD Committee

Status: Carried

15. This meeting calls on the Department of Health and the HSE to urgently progress the recommendations of the McCraith Review in respect of NCHDs and agree implementation dates.

Proposer: NCHD Committee

Status: Carried

NON PAYMENT OF OVERTIME

16. This meeting condemns any hospital for breaching the NCHD Contract by not paying NCHDs for hours worked and calls on the HSE to ensure that all hospitals pay NCHD overtime as per the contract provisions.  Such payment to be made within two weeks of overtime being worked.  Where hospitals deliberately withhold payment of overtime the IMO will issue a ballot for industrial action, up to and including strike action.

Proposer: NCHD Committee

Status: Carried as Amended

16. This meeting condemns any hospital for breaching the NCHD Contract by not paying NCHDs for hours worked and calls on the HSE to ensure that all hospitals pay NCHD overtime as per the contract provisions. Such payment to be made by next hospital pay date. Where hospitals deliberately withhold payment of overtime the IMO will issue a ballot for industrial action, up to and including strike action.

EWTD

17. This meeting calls on the HSE to continue the process of verification and implementation of the European Working Time Directive.

Proposer: NCHD Committee

Status: Carried as Amended

17. This meeting calls on the HSE to continue the process of verification, sanctions and implementation of the European Working Time Directive.

NCHD LEADS

18. The IMO calls on the HSE and hospital management to fully support National Lead NCHDs so as to allow them to promote NCHD involvement in hospital based committees thus ensuring NCHDs issues can be raised and addressed at local level.

Proposer: NCHD Committee

Status: Carried as Amended

18. The IMO calls on the HSE and hospital management to fully support National Lead NCHDs so as to allow them to promote NCHD involvement in IMO supported NCHD hospital based committees thus ensuring NCHD issues can be raised and addressed at local level.

CLOCKING IN SYSTEMS

19. This meeting calls on the HSE to immediately implement electronic clocking-in systems for NCHDs working in the public health service.

Proposer: NCHD Committee

Status: Carried

TAX ISSUES

20. This meeting calls on the Departments of Health and of Finance to agree with the Revenue Commissioners an increase in the Flat Rate Expense Credits for NCHDs to reflect the substantial increased in Medical Council registration fees.

Proposer: NCHD Committee

Status: Carried

BULLYING

21. The IMO condemns any form of bullying and calls on the HSE, Department of Health, Postgraduate Training Forum and the Medical Council to set up a Task Force to examine the prevalence of bullying of NCHDs in the Irish health service and make recommendations to address the issues raised.  Such task force to include representation from the IMO.

Proposer: NCHD Committee

Status: Carried

SEXUAL HARRASSMENT

22. The IMO condemns any form of sexual harassment and calls on the Minister for Health to establish a Working Group to examine the prevalence of sexual harassment of NCHDs within the Irish Health Service and to make recommendations to address any issues raised.  Such Working Group to include representation from the IMO.

Proposer: NCHD Committee

Status: Carried

CULTURE

23. This meeting notes a lack of respect by the employer towards NCHDs and HSE employees generally and notes the results of HSE surveys in this regard.  We call on the HSE to develop and pursue meaningful initiatives to improve morale and allow for an improved relationship between NCHDs and healthcare management at all levels of service provision.

Proposer: NCHD Committee

Status: Carried