Terms And Conditions Of Employment Citation and commencement 1 These Regulations may be cited as the Working Time (Amendment) Regulations 2009 and shall come into force on 1st August 2009. Amendments to regulation 25A of the Working Time Regulations 1998 2 In regulation 25A (doctors in training) of the Working Time Regulations 1998 — a for paragraph (1) substitute— 1 Paragraph (1) of regulation 4 is modified in its application to workers to whom this paragraph applies by substituting for the reference to 48 hours a reference to 52 hours with effect from 1st August 2009 until 31st July 2011. 1A Paragraph (1) applies to workers who are doctors in training who are employed— a by an employer who is listed in column 1 of the table contained in Schedule 2A, b at a place listed in column 2 of that table in respect of that employer, c to provide at that place one of the specialist services listed in column 3 of that table in respect of that place, and d in one of the grades listed in column 4 of that table in respect of that specialist service and, where applicable, working as part of a rota referred to in that column in respect of that grade, or those grades. New Schedule 2A to the Working Time Regulations 1998 3 After Schedule 2 (workers employed in agriculture) of the Working Time Regulations 1998 insert— SCHEDULE 2A Doctors in training Regulation 25A(1A) Column 1 Employer Column 2 Place Column 3 Specialist Services Column 4 Grade and, where applicable, Rota England East Midlands Strategic Health Authority area Derby Hospitals NHS Foundation Trust Derby City General Hospital Acute Medicine – Medical Assessment Unit F2, CT1 and CT2 Anaesthetics F2, ST3 to ST7 Anaesthetics – Obstetrics CT2, ST3 to ST7 Anaesthetics – Intensive Care CT1, CT2, ST3 to ST7 Anaesthetics – Theatres ST3 to ST7 Clinical Oncology/ Haematology/ Palliative Medicine F2, CT1 and CT2 General Medicine F2, CT1, CT2, ST3 to ST7 General Surgery ST3 to ST8 General Surgery/ ENT / Urology F2, CT1 and CT2 Obstetrics and Gynaecology ST3 to ST7 Paediatrics ST3 to ST8 Urology CT2, ST3 to ST7 Nottingham University Hospitals National Health Service Trust Nottingham City Hospital Neonatology ST4 to ST8 Queens Medical Centre, Nottingham General Surgery and Vascular Surgery ST4 to ST8 Neonatology ST4 to ST8 Sherwood Forest Hospitals NHS Foundation Trust Kings Mill Hospital Anaesthetics F2, CT1, CT2, ST3 to ST7 Obstetrics and Gynaecology F2, ST1 to ST7 Paediatrics F2, ST1 to ST8 United Lincolnshire Hospitals National Health Service Trust Grantham and District Hospital General Medicine F2, CT1 and CT2 Lincoln County Hospital Anaesthetics F2, CT1 and CT2 General Medicine ST3 to ST7 Pilgrim Hospital General Medicine ST3 to ST7 University Hospitals of Leicester National Health Service Trust Leicester Royal Infirmary Emergency Medicine ST3 to ST7 Paediatrics F2, ST1 to ST8 Leicester Royal Infirmary and Leicester General Hospital Neonatology ST4 to ST8 East of England Strategic Health Authority area Bedford Hospital National Health Service Trust Bedford Hospital Cardiology ST3 to ST7 Care of the Elderly ST3 to ST7 Endocrinology and Diabetes ST3 to ST7 Respiratory ST3 to ST7 Cambridge University Hospitals NHS Foundation Trust Addenbrookes Hospital Adult Intensive Care F2, CT1, CT2 and ST3 Transplantation ST3 to ST8 Cambridgeshire Primary Care Trust Hinchingbrooke Hospital Paediatrics ST3 to ST8 Hinchingbrooke Health Care National Health Service Trust Hinchingbrooke Hospital General Surgery ST3 to ST7 Ipswich Hospital National Health Service Trust The Ipswich Hospital Paediatrics ST3 to ST8 James Paget University Hospitals NHS Foundation Trust James Paget University Hospital Anaesthetics (Obstetrics, Pain, ITU and Theatres) CT1, CT2, ST3 to ST8 Obstetrics and Gynaecology ST3 to ST8 Paediatrics ST3 to ST8 – on call Norfolk and Norwich University Hospitals NHS Foundation Trust Norfolk and Norwich University Hospital Anaesthetics CT1, CT2 and ST3 Emergency Medicine ST3 to ST8 – Tier 2 (full shift rota – 24 hour service) Trauma and Orthopaedics CST1 and CST2 – Tier 2 (full shift) Papworth Hospital NHS Foundation Trust Papworth Hospital Acute Specialties (Chest Medicine) F2, CT1, CT2, ST3 to ST8 Cardiothoracic Surgery F2, CT1 and CT2 Cardiothoracic Transplant Surgery ST3 to ST8 Peterborough and Stamford Hospitals NHS Foundation Trust Peterborough District Hospital and Edith Cavell Hospital Urology ST3 to ST7 West Hertfordshire Hospitals National Health Service Trust Hemel Hempstead Hospital Obstetrics and Gynaecology ST3 to ST7 St Albans City Hospital Obstetrics and Gynaecology ST3 to ST7 Watford General Hospital Obstetrics and Gynaecology ST3 to ST7 London Strategic Health Authority area Barking, Havering and Redbridge University Hospitals National Health Service Trust Queen’s Hospital Ear Nose and Throat F2, CT1 and CT2 Maxillo Facial F2, CT1 and CT2 Neurosciences (Neurology and Neurosurgery) F2, ST1 and ST2 Great Ormond Street Hospital for Children National Health Service Trust Great Ormond Street Hospital for Children Cardiothoracic Surgery ST4 to ST6 Hillingdon Hospital National Health Service Trust Hillingdon Hospital General Surgery (elective and non-elective) including Colorectal, Breast and Vascular F2, CT1, CT2 and ST3 Imperial College Healthcare National Health Service Trust Charing Cross Hospital Neurosurgery ST3 to ST7 Hammersmith Hospital Cardiothoracic Surgery ST3 to ST7 St Mary’s Hospital Cardiothoracic Surgery F2, CT1, CT2, ST3 to ST7 Kingston Hospital National Health Service Trust Kingston Hospital Anaesthesia and Intensive Care, ACCS CT1, CT2, ST3 to ST7 Whittington Hospital National Health Service Trust Whittington Hospital Anaesthetics/ ITU ST3 to ST7 Obstetrics and Gynaecology ST3 to ST7 Paediatrics ST4 to ST8 Paediatrics – Neonates ST1 to ST3 North East Strategic Health Authority area The Newcastle Upon Tyne Hospitals NHS Foundation Trust Newcastle General Hospital Anaesthetics ST3 to ST7 – 1st on call ST3 to ST7 – 2nd on call Critical Care (ITU) ST3 to ST6 Paediatrics F2, ST1 to ST3 – 1st on call ST4 to ST8 – 2nd on call Paediatrics Intensive Care ST4 to ST8 North West Strategic Health Authority area Alder Hey Children’s NHS Foundation Trust Alder Hey Children’s Hospital Paediatric Cardiothoracic Surgery ST3 to ST8, SpR East Lancashire Hospitals National Health Service Trust Royal Blackburn Hospital Otorhinolaryngology (ENT) F2, ST1, ST2, CT1 and CT2 – 1st on call Royal Blackburn Hospital and Burnley General Hospital, Blackburn and Burnley Urgent Care Centres Emergency Medicine ST3 to ST7, SpR Royal Blackburn Hospital and Burnley General Hospital Trauma and Orthopaedics F2, ST1 and ST2 – 1st on call Lancashire Teaching Hospitals NHS Foundation Trust Royal Preston Hospital Neurosurgery F2, CT1 and CT2 – 1st on call ST3 to ST7, SpR – 2nd on call North Cumbria University Hospitals National Health Service Trust Cumberland Infirmary ENT/ Trauma and Orthopaedics/ OMFS F2, ST1, ST2, CT1 and CT2 General Medicine and medical specialties F1 – Acute 1st on call F2, CT1 and CT2 – Acute 2nd on call ST3 to ST7, SpR – Acute 3rd on call General Surgery F1 – 1st on call F2, CT1 and CT2 - 2nd on call ST3 to ST7, SpR - 3rd on call Obstetrics and Gynaecology F2, ST1 and ST2 – 1st on call Trauma and Orthopaedics ST3 to ST7, SpR – 2nd on call West Cumberland Hospital General Medicine and medical specialties F1 – Acute 1st on call F2, CT1, CT2, ST3 to ST7, SpR – Acute 2nd on call General Surgery F1 – 1st on call F2, CT1 and CT2 – 2nd on call Obstetrics and Gynaecology ST3 to ST7, SpR – 2nd on call Paediatrics F2, ST1 and ST2 – 1st on call Trauma and Orthopaedics ST3 to ST7, SpR – 2nd on call Royal Liverpool and Broadgreen University Hospitals National Health Service Trust Royal Liverpool University Hospital Renal Transplant Surgery ST3 to ST7, SpR Trafford Healthcare National Health Service Trust Trafford General Hospital Anaesthesia F2, CT1 and CT2 – 1st on call University Hospitals of Morecambe Bay National Health Service Trust Furness General Hospital Paediatrics F2, ST1 and ST2 Walton Centre for Neurology and Neurosurgery National Health Service Trust Walton Centre for Neurology and Neurosurgery Neurosciences F2, CT1 and CT2 Neurosurgery ST3 to ST7, SpR South Central Strategic Health Authority area Buckinghamshire Hospitals National Health Service Trust Wycombe Hospital and Stoke Mandeville Hospital Obstetrics and Gynaecology F2, ST1 to ST7, FTSTA1 and FTSTA2 Paediatrics ST3 to ST8 Milton Keynes Hospital NHS Foundation Trust Milton Keynes General Hospital Anaesthetics ST3 to ST7 Anaesthetics – ITU FT2, CT1 and CT2 Anaesthetics – Theatres CT2, ST3 to ST7 Emergency Medicine ST3 to ST7 General Medicine ST3 to ST7 Paediatrics F2, ST1 to ST8 Surgery CT1, CT2, ST3 to ST7 Trauma and Orthopaedics F2, CT1, CT2, ST3 to ST8 Portsmouth Hospitals National Health Service Trust Queen Alexandra Hospital General Paediatrics ST3 to ST8 Obstetrics and Gynaecology ST3 to ST7 Southampton University Hospitals National Health Service Trust Princess Anne Hospital Obstetrics and Gynaecology ST3 to ST7 Southampton General Hospital Anaesthetics – Critical Care F2, CT1, CT2, ST3 to ST7 South East Coast Strategic Health Authority area Brighton and Sussex University Hospitals National Health Service Trust Royal Sussex County Hospital Anaesthetics CT1, CT2, ST3 to ST7 Princess Royal Hospital Anaesthetics CT1, CT2, ST3 to ST7 East Sussex Hospitals National Health Service Trust Conquest Hospital and Eastbourne District General Hospital Emergency Medicine ST4 to ST7 Paediatrics ST4 to ST8 Frimley Park Hospital NHS Foundation Trust Frimley Park Hospital Anaesthetics and Intensive Care (obstetric anaesthesia and critical care medicine) ST3 to ST7 Clinical Haematology ST3 to ST7 Maidstone and Tunbridge Wells National Health Service Trust Kent and Sussex Hospital ENT F2, CT1 and CT2 Pembury Hospital Obstetrics and Gynaecology ST4 to ST7 Royal Surrey County Hospital National Health Service Trust Royal Surrey County Hospital Haematology ST3 to ST7 Trauma and Orthopaedics ST3 to ST8 Urology ST3 to ST7 Surrey and Sussex Healthcare National Health Service Trust East Surrey Hospital Anaesthetics and Intensive Care (obstetric anaesthesia and critical care medicine) CT1, CT2, ST3 to ST7 Western Sussex Hospitals National Health Service Trust St Richard’s Hospital General Medicine F2, CT1 and CT2 Obstetrics and Gynaecology ST3 to ST7 Paediatrics ST4 to ST8 Surgery F1, F2, CT1, CT2, ST3 to ST7 Trauma and Orthopaedics F1, F2, CT1, CT2, ST3 to ST7 Urology ST3 to ST7 South West Strategic Health Authority area Gloucestershire Hospitals NHS Foundation Trust Gloucestershire Royal Hospital and Cheltenham General Hospital Anaesthetics and Critical Care Services F2, CT1, CT2, ST3 to ST7 North Bristol National Health Service Trust Frenchay Hospital Anaesthetics CT1, CT2, ST3 to ST7 – 1st on call CT1, CT2, ST3 to ST7 – 2nd on call Trauma and Orthopaedics CT1 and CT2 – 1st on call Southmead Hospital Anaesthetics CT1, CT2, ST3 to ST7 – 1st on call CT1, CT2, ST3 to ST7 – 2nd on call Trauma and Orthopaedics CT1 and CT2 – 1st on call Poole Hospital NHS Foundation Trust Poole Hospital Anaesthetics: Theatre CT1 and CT2 (16 hour full shift) Anaesthetics: Critical Care ST3 to ST5 (24 hour full shift) Anaesthetics ST3 to ST5 (full shift 24 hours cover for theatres, back up for Obstetrics and Critical Care) Emergency Medicine ST3 to ST7 Obstetrics ST2 to ST4 (24 hour full shift) Paediatrics ST3 to ST8 Trauma and Orthopaedics CT1 and CT2 University Hospitals Bristol NHS Foundation Trust Bristol Heart Institute Cardiothoracic Surgery Services ST3 to ST7 Bristol Royal Infirmary Cardiothoracic Surgery Services CT1 and CT2 West Midlands Strategic Health Authority area Birmingham Children’s Hospital NHS Foundation Trust Birmingham Children’s Hospital General Paediatrics ST4 to ST8 Paediatric Endocrinology ST4 to ST8 Paediatric Gastroenterology ST4 to ST8 Paediatric Haematology/ Oncology ST4 to ST8 Paediatric Hepatology ST4 to ST8 Paediatric Inherited Metabolic Diseases ST4 to ST8 Paediatric Nephrology ST4 to ST8 Paediatric Neurology ST4 to ST8 Paediatric Neurosurgery ST4 to ST9 Paediatric Respiratory Medicine ST4 to ST8 Paediatric Rheumatology ST4 to ST8 Burton Hospitals NHS Foundation Trust Queen’s Hospital Critical Care Anaesthesia ST3 to ST7 General Anaesthesia F2, CT1 and CT2 Obstetrics Anaesthesia ST3 to ST7 George Eliot Hospital National Health Service Trust George Eliot Hospital Paediatrics ST4 to ST8 Heart of England NHS Foundation Trust Birmingham Heartlands Hospital General Medicine ST3 to ST7 Trauma and Orthopaedics ST3 to ST8 Solihull Hospital Trauma and Orthopaedics F2, CT1, CT2, ST1 to ST6 Mid Staffordshire NHS Foundation Trust Stafford Hospital and Cannock Chase Hospital Acute Medical Specialties and Medical Specialties CT1, CT2 and ST3 Shrewsbury and Telford Hospital National Health Service Trust Royal Shrewsbury Hospital General Surgery ST3 to ST8 Trauma and Orthopaedics F2, CT1, CT2, ST1 to ST3 The Princess Royal Hospital General Surgery ST3 to ST8 Trauma and Orthopaedics F2, CT1, CT2, ST1 to ST3 The Royal Wolverhampton Hospitals National Health Service Trust New Cross Hospital Paediatrics including Neonatal Services ST4 to ST8 University Hospital of North Staffordshire National Health Service Trust City General Hospital and Royal Infirmary Acute Medicine ST3 to ST7 Diabetes ST3 to ST7 Elderly Care ST3 to ST7 Gastroenterology ST3 to ST7 General Medicine ST3 to ST7 Infectious Diseases ST3 to ST7 Respiratory ST3 to ST7 University Hospital Birmingham NHS Foundation Trust Queen Elizabeth Hospital Anaesthetics and Critical Care – supporting Surgical Specialties and Obstetrics CT1, CT2, ST3 to ST7 Cardiothoracic Surgery ST3 to ST8 Yorkshire and the Humber Strategic Health Authority area Barnsley Hospital NHS Foundation Trust Barnsley Hospital Acute and Medical Specialties – Combined MAU F2, CT1, CT2, ST3 to ST8 Paediatrics ST1 to ST8 Sheffield Children’s NHS Foundation Trust Sheffield Children’s Hospital Paediatric Surgery F1, CT1, CT2, ST3 to ST8, SpR The Rotherham NHS Foundation Trust Rotherham General Hospital Anaesthetics CT1, CT2, ST3 to ST7 General Surgery/ Urology CT1 and CT2 Oral Maxillo Facial Surgery CT1 and CT2 Paediatrics ST1 to ST8 Trauma and Orthopaedics CT1, CT2, ST1 and ST2 Wales Abertawe Bro Morgannwg University National Health Service Trust, also known as Ymddiriedolaeth Brifysgol Gwasanaeth Iechyd Gwladol Abertawe Bro Morgannwg , and from 1st October 2009 Abertawe Bro Morgannwg University Local Health Board Singleton Hospital General Paediatrics Senior Paediatrics – Neo Natal Junior Morriston Hospital General Paediatrics Senior Neuro Surgery Junior and Senior Neath Port Talbot Hospital General Medicine (incorporating Endocrinology, Respiratory, Gastroenterology, Cardiology and Care of the Elderly) Junior Princess of Wales Hospital Paediatrics Junior and Senior Cardiff and Vale National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Caerdydd a’r Fro , and from 1st October 2009 Cardiff and Vale University Local Health Board University Hospital of Wales Paediatrics Junior and Senior Paediatrics (neonatal intensive care unit) Junior and Senior Cwm Taf National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Cwm Taf , and from 1st October 2009 Cwm Taf Local Health Board Prince Charles Hospital Anaesthetic Junior and Senior Paediatrics Junior and Senior Royal Glamorgan Hospital Neo Natal Junior Paediatrics Junior and Senior Gwent Healthcare National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Gofal Iechyd Gwent , and from 1st October 2009 Aneurin Bevan Local Health Board Nevill Hall Hospital Combined Paediatric/ Neo Natal Junior and Senior Royal Gwent Hospital Neo Natal Junior and Senior Paediatrics Senior Hywel Dda National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Hywel Dda , and from 1st October 2009 Hywel Dda Local Health Board Withybush General Hospital Paediatric Junior West Wales General Hospital Paediatric Junior North Wales National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Gogledd Cymru , and from 1st October 2009 Betsi Cadwaladr University Local Health Board Glan Clwyd Hospital Obstetrics and Gynaecology Junior and Senior Paediatrics Junior and Senior Wrexham Maelor Hospital Obstetrics and Gynaecology Junior and Senior Paediatrics Junior and Senior North West Wales National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Gogledd-orllewin Cymru , and from 1st October 2009 Betsi Cadwaladr University Local Health Board Ysbyty Gwynedd Anaesthetics Junior and Senior Obstetrics and Gynaecology Senior Paediatrics/ Neo Natal Junior and Senior Andy Burnham Secretary of State, Department of Health 25th June 2009