Over the past five years we have had the pleasure of working with a number of truly inspirational organisations and individuals that have implemented European Working Time Directive solutions and proven that compliance is achievable whilst ensuring high quality patient care and training for junior doctors. The full implementation of the EWTD 48 hour week presented major challenges for NHS organisations and it was essential to engage all major stakeholders in shaping the National EWTD Programme.
Major features of the EWTD Programme were pilots led by clinicians to redesign services around patients and exploring the impact of new ways of working.
Independent evaluation of the EWTD programme helped us identify those that have not only faced the challenge head on and achieved compliance but have also continued to share their learning across the wider NHS.
We would like to thank all the pilot sites and other collaborative partners who helped make the EWTD programme a success and following much deliberation we saw fit to honour a select few with outstanding contribution awards.
Other recipients include:
Professor William Dunlop:
Improving the Quality of Maternity Services
Dr Simon Eccles:
Chairing the Junior Doctors’ Group
John Bright & Anna Finbow:
Development of Doctors' Rostering Tool
John Wolfe:
Chairing the Programme Delivery Board
Paul Holmes:
Chairing the Programme Delivery Board
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
(Left) Tim Lund, divisional manager at Skills for Health and (far right) Arfan Raja of Skills for Health present Alison Kenny, Troy Welch, Karen Bowers and Marianne Mackenzie with the team’s award.
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust was recognised for their use of IT solutions.
Dan Hughes, senior project manager at Skills for Health - Workforce Projects Team (WPT) said: "Royal Bournemouth and Christchurch Hospitals worked with us as one of the early implementers of the HaNBleep IT system which supports the work of junior doctors working in teams. Their success and learning has helped others implement the system."
NHS East of England Workforce Team
L-R Nicole Callaghan, Boyd Mullins, Jacky Beaumont, Marianne Mullins, Neil Sellen & Deborah Wodhams.
NHS East of England Workforce Team was commended for their exceptional work in assisting WPT deliver a programme of targeted support to trusts across England.
Tim Lund said: “Jacky Beaumont and her team helped trusts across England to implement the EWTD and focus on sustainable solutions to benefit patients and staff.”
South Devon Healthcare NHS Foundation Trust
Alastair Forsyth presents Dr Steve Smith with his award.
South Devon Healthcare NHS Foundation Trust received an award for integrated care delivery.
Alastair Forsyth at WPT presented Dr Steve Smith, medical director at the trust with his award, commending the team for their vision which saw the development of a service that connected with patients at the earliest opportunity through the optimum balance of case mix and skill mix.
Tim Lund, divisional manager at WPT said: “Congratulations to the South Devon team for developing integrated patient services through multidisciplinary teams and integrating care across the whole hospital.”
Guy's & St Thomas' NHS Foundation Trust
Diana receiving her award from Tim Lund
Diana Hamilton-Fairley accepted the award for Guy's and St Thomas' NHS Foundation Trust which was commended for exceptional work around 24/7 team working.
Introduced in two phases the initial phase at Guy's and St Thomas' saw the extension of existing roles and the introduction of new roles to support the new system. Phase two saw the separation of the management of emergency/acute care from planned care.
Tim Lund said: "It has been an honour working with Diana, Pauline and the team. Guy's and St Thomas' winning the HPMA award was a great result and recognised years of innovation, leadership and hard work."
Royal Liverpool & Broadgreen Hospitals NHS Trust
Royal Liverpool & Broadgreen Hospitals NHS Trust received an award for the successful development and expansion of Hospital at Night (HaN) team working.
The trust introduced an Acute Response Team (ART) as a daytime compliment to HaN and expanded the nurse practitioner team.
Tim Lund said: "The Royal Liverpool & Broadgreen Team have been leading the way on hospital at night for several years. They have shared learning both nationally and internationally including training clinicians in Hong Kong to roll out Hospital at Night there."
Salisbury NHS Foundation Trust
Debbie is pictured here with Alastair Forsyth
Salisbury NHS Foundation Trust was honoured for work around handover, education and training.
With financial support from Skills for Health - Workforce Projects Team, Salisbury developed an IT solution to improve the quality and structure of handover within the Hospital at Night model of care. The Trust's work has been further recognised in sector awards with them being shortlisted in the Changing Culture category of the forthcoming Patient Safety Awards.
Alastair Forsyth, project manager at WPT, who worked closely with Debbie Dupont, project manager at Salisbury and her team, presented Debbie with the award following her presentation to delegates at the Hospital 24/7 event held in Manchester in November 2009.
Alastair said: "Salisbury fully deserves this award as their dedication to the handover tool development programme was unfaltering. Work doesn’t stop there for the team as they roll out the system to twenty NHS trusts with support from WPT."
Debbie said: "We are delighted that the hard work of the team and all the Trust staff who contributed to the system development has been recognised."
NHS North West EWTD Team
L-R: Dr Mona Stokes, Dr Joseph Collum, Dr Debbie Kendall, Dr Jenny Harrop
NHS North West EWTD Workforce Development Team was recognised for their excellent leadership qualities.
Dr Debbie Kendall and her team were presented with their award at their EWTD Moving On event held in Manchester in October.
NHS North West's aim was to facilitate the sharing of best practices across their trusts helping them find sustainable solutions for medical workforce planning and EWTD.
Tim Lund who presented the award said: "The entire North West EWTD Team demonstrated innovation and commitment throughout the programme. Working closely with us in developing the NWR Rostering Tool, NHS North West has helped bring a robust IT solution that can be implemented in other trusts across the country."
Dr Kendall said: "NHS North West EWTD Workforce Development Team were honoured to receive the award from Skills for Health as recognition of all the hard work put in by ourselves and all our North West trusts over the last three years. The team, now renamed NHS North West Junior Doctor Advisory Team, continues to support trusts in the regions with junior doctor workforce issues."
Dr Yasmin Ahmed-Little, NHS North West
Dr Yasmin Ahmed-Little, from NHS North West was recognised for her exceptional leadership qualities while performing as a junior doctor.
Tim Lund said: "Yasmin has provided inspirational leadership and demonstrated just how vital is has been for junior doctors to help lead EWTD implementation. The success of her North West team was recognised at the 2008 Health Services Journal awards and she has left a legacy through the continued good work of the new Junior Doctors Action Team."
Professor Lis Paice, dean director, London Deanery
Lis receives her award from Tim Lund.
Professor Lis Paice, dean director at the London Deanery was acknowledged for national leadership for the Hospital at Night (HaN) model of care.
Tim Lund said: "Lis has been honoured with this award because she has demonstrated insight, dedication and leadership throughout the EWTD programme.
Lis’s conception of the Hospital at Night model of care and willingness to share learning is helping the quality of patient care and clinical training in several health services across the globe that are implementing HaN.”
Lis said: "I am delighted to be given this award. It's not often you're given an award for an idea, however, all the real credit must go to the people who had the courage to take it on board and put in the hard work to make it happen."
Dr John Coakley, medical director, Homerton NHS Trust
John is picture here (right) receiving his award from Tim Lund.
Dr John Coakley, medical director at the Homerton NHS Trust was presented with his award for the groundbreaking work the Trust carried out in separating emergency from elective care.
Commenting on the work of John and his team, Tim Lund said: "John and his Homerton team have set the standard for high quality EWTD implementation by redesigning services around patients.
By implementing the 48 hour week two years early, John has been able to share invaluable learning that showed people across the country that EWTD compliance was achievable."
John Coakley said upon receiving his award: "I would like to thank the Skills for Health team for their help while we developed our EWTD complaint scheme, and for their award to me for leading it. What we have achieved would not have been possible without the enthusiastic help of my medical colleagues, both junior and senior, and also nursing and managerial colleagues. This has been an excellent example of multidisciplinary teamwork, and the award is a tribute to their input."
Professor Wendy Reid, national clinical advisor, European Working Time Directive
Suzanne McGuckin (right), WPT, presents Wendy with her award.
Professor Wendy Reid, national clinical advisor, European Working Time Directive, was presented with her award for clinical leadership.
Tim Lund said: "Wendy's national clinical leadership has inspired many NHS hospitals to implement sustainable solutions and Wendy has become a trusted EWTD adviser and spokesperson who backs her claims with hard evidence."
Professor David Sowden, East Midlands Deanery
Professor David Sowden of the East Midlands Deanery received his award for clinical leadership, education
and training.
David was also the first Chair of the EWTD Programme Delivery Board and was influential in bringing together training and EWTD issues as Senior Responsible Owner for Modernising Medical Careers. Tim Lund said:
"David has shown tremendous leadership both as Chair of the EWTD Programme Delivery Board and in saving the NHS from the MTAS crisis. David played a crucial role in helping to align MMC and EWTD solutions."
Working Time Directive 2009 
