An analysis of the General Medical Council’s annual junior doctor training survey by HSJ has identified the trusts with the poorest satisfaction rates among trainee medics.
The data has also highlighted the worst performing trusts on satisfaction on handovers, and on workload.
The annual survey was published earlier this month and showed one in 20 junior doctors were concerned about patient safety.
Some 2,745 junior doctors raised concerns as part of the survey, 5 per cent of the 52,797 doctors who completed the UK-wide survey.
An analysis by HSJ of the data from the GMC survey revealed those NHS trusts at which junior doctors’ overall satisfaction was significantly worse than elsewhere.
Yeovil District Hospital Foundation Trust scored 70, on a performance indicator with a maximum score of 100, while Weston Area Health Trust and George Elliot Hospital Trust scored just under 71, compared to an average national score of 81.
Isle of Wight Trust scored 72.
Forty-four organisations were identified as outliers on the measure of satisfaction with shift handovers. Devon Partnership Trust scored just 30 compared with a national average of 66.
The next worst performers were Lincolnshire Partnership Foundation Trust and Moorfelds Eye Hospital Foundation Trust which both scored 34.
Across England, 81 per cent of trainees said they were satisfied with their training overall, with 19 per cent rating their training as fair, poor or very poor.
Sixty five per cent rated quality of teaching as excellent or good. About fifth of trainees described handover arrangements before or after night duty as being “informal”.
Dean Royles, chief executive of NHS Employers, said: “The GMC’s survey has highlighted some concerns about handovers at night and weekend. It’s clear that we need to make sure the channels of communication between staff groups are working well and we have more consultants on duty and present so care for patients is as seamless and as safe as possible, regardless of the time of day.”
Mr Royles said the results on workload also raised concerns with the numbers of those working beyond their hours providing “compelling” evidence for changes to both junior doctor and consultant contracts.
The GMC said in a statement: “Every patient safety concern raised is reviewed and investigated with the local education provider and the GMC can immediately flag concerns about patient safety so that we could act, if required, before the survey closed.” A further report on these concerns is due in the autumn.
Workload satisfaction (GMC indicator out of 100)
- Luton and Dunstable Hospital Foundation Trust 32
- Southend University Hospital Foundation Trust 34
- Weston Area Health NHS Trust 34
- West Middlesex University Hospital Trust 35
- Birmingham Women’s Foundation Trust 35
- Surrey and Sussex Healthcare Trust 35
- Portsmouth Hospitals Trust 36
- Royal Berkshire Foundation Trust 37
- Barking, Havering and Redbridge University Hospitals Trust 37
- West Hertfordshire Hospitals Trust 37
- Heatherwood and Wexham Park Hospitals Foundation Trust 37
- Devon Partnership NHS Trust 30
- Lincolnshire Partnership Foundation Trust 34
- Moorfields Eye Hospital Foundation Trust 34
- 2gether Foundation Trust 35
- Dorset Healthcare University Foundation Trust 36
- Avon and Wiltshire Mental Health Partnership Trust 37
- Royal National Hospital for Rheumatic Diseases Foundation Trust 38
- Birmingham and Solihull Mental Health Foundation Trust 38
- Surrey and Borders Partnership Foundation Trust 38
- Southern Health NHS Foundation Trust 39
- Yeovil District Hospital Foundation Trust 70
- George Eliot Hospital Trust 71
- Weston Area Health Trust 71
- Isle of Wight Trust 72
- Burton Hospitals Foundation Trust 72
- Ipswich Hospital Trust 73
- Ealing Hospital Trust 74
- Tameside Hospital Foundation Trust 74
- Milton Keynes Hospital Foundation Trust 74
- West Middlesex University Hospital Trust 74