David Oliver: NHS England’s proposals to aid ȷunior doctor retention are basic good practice presented as radical ideas

On 25 April, with the pay restoration dispute between the BMA’s Junior Doctors Committee and the government still unresolved, NHS England published a document on Improving the Working Lives of Doctors in Training.1 This was aimed at “tackling the concerns of doctors in training and staff who rotate.” But how radical, credible, or new were the actions proposed?The document recommends improving rota management and deployment, reducing duplicative inductions and pay errors, and better HR support. Key actions include protecting training time for learners and educators; tackling issues to help “foster a sense of wellbeing and belonging”—for instance, around car parking, lockers, and availability of facilities; and using free e-learning and the NHS staff digital passport to make online statutory and mandatory training shorter, simpler, and more transportable between organisations.So, what’s wrong with any of this? Well, the things that weren’t included. There’s no mention of pay, nor of hard financial…
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