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Working at night increases the" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <link rel="canonical" href="https://shop.rcp.ac.uk/products/designing-safer-rotas-for-junior-doctors-in-the-48-hour-week" /> <meta property="og:type" content="product" /> <meta property="og:title" content="Designing safer rotas for junior doctors in the 48-hour week" /> <meta property="og:image" content="http://shop.rcp.ac.uk/cdn/shop/products/pub180_grande.jpg?v=1515581762" /> <meta property="og:image:secure_url" content="https://shop.rcp.ac.uk/cdn/shop/products/pub180_grande.jpg?v=1515581762" /> <meta property="og:price:amount" content="0.00" /> <meta property="og:price:currency" content="GBP" /> <meta property="og:description" content="Report of a multidisciplinary working group Most junior doctors work night shifts, many of them doing seven consecutive nights, each lasting 13 hours. That has been shown to be potentially the most dangerous type of rota that could be devised, in terms of risks to both patients and staff. Working at night increases the" /> <meta property="og:url" content="https://shop.rcp.ac.uk/products/designing-safer-rotas-for-junior-doctors-in-the-48-hour-week" /> <meta property="og:site_name" content="RCP London" /> <meta name="twitter:card" content="product"> <meta name="twitter:title" content="Designing safer rotas for junior doctors in the 48-hour week"> <meta name="twitter:description" content="Report of a multidisciplinary working group Most junior doctors work night shifts, many of them doing seven consecutive nights, each lasting 13 hours. That has been shown to be potentially the most dangerous type of rota that could be devised, in terms of risks to both patients and staff. Working at night increases the risk of errors, but the length of shifts and the number of shifts worked in succession are also crucial. The guide (published in 2006) discusses the evidence of hazards associated with shift work at night and the suitability of different rotas, in anticipation of the 48-hour week in 2009. It sets out six possible rotas, clearly assessing their safety, compliance with regulations, and practicality. 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week","handle":"designing-safer-rotas-for-junior-doctors-in-the-48-hour-week","description":"\u003cdiv class=\"panel-pane pane-views-panes pane-uc-publications-panel-pane-1 \" id=\"publications-main-pane\"\u003e\n\u003cdiv class=\"inner\"\u003e\n\u003cdiv class=\"pane-content content\"\u003e\n\u003cdiv class=\"view view-uc-publications view-id-uc_publications view-display-id-panel_pane_1 view-dom-id-575e45eb02dceae85540575e35259e09\"\u003e\n\u003cdiv class=\"view-content\"\u003e\n\u003cdiv class=\"views-row views-row-1 views-row-odd views-row-first views-row-last\"\u003e\n\u003cdiv class=\"views-field-field-stitle-value\"\u003e\n\u003ch4 class=\"resource-secondary-title\"\u003eReport of a multidisciplinary working group\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"views-field-body\"\u003e\n\u003cdiv class=\"field-content\"\u003e\n\u003cp\u003eMost junior doctors work night shifts, many of them doing seven consecutive nights, each lasting 13 hours. That has been shown to be potentially the most dangerous type of rota that could be devised, in terms of risks to both patients and staff. Working at night increases the risk of errors, but the length of shifts and the number of shifts worked in succession are also crucial.\u003c\/p\u003e\n\u003cp\u003eThe guide (published in 2006) discusses the evidence of hazards associated with shift work at night and the suitability of different rotas, in anticipation of the 48-hour week in 2009. It sets out six possible rotas, clearly assessing their safety, compliance with regulations, and practicality. The main advice is to limit the number of night shifts worked in succession to no more than four, and to consider reducing the length of each night shift when possible. 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itemtype="http://data-vocabulary.org/Breadcrumb"> <a href="/collections/free-downloadable-reports" title="Free downloadable reports">Free downloadable reports</a> </span> <span class="arrow-space">></span> <strong>Designing safer rotas for junior doctors in the 48-hour week</strong> </div> </div>   <div class="span6">  <div class="image featured"> <a href="//shop.rcp.ac.uk/cdn/shop/products/pub180_1024x1024.jpg?v=1515581762" class="zoom" id="placeholder"> <img src="//shop.rcp.ac.uk/cdn/shop/products/pub180_1024x1024.jpg?v=1515581762" alt="Designing safer rotas for junior doctors in the 48-hour week" /> </a> </div>  </div>   <div class="span6"> <h1 class="title product-title">Designing safer rotas for junior doctors in the 48-hour week</h1> <div class="purchase"> <h2 class="price"> <strike>£0.00</strike> <span id="price-preview"> £0.00 </span> </h2> </div> <div class="description"> <div class="panel-pane pane-views-panes pane-uc-publications-panel-pane-1 " id="publications-main-pane"> <div class="inner"> <div class="pane-content content"> <div class="view view-uc-publications view-id-uc_publications view-display-id-panel_pane_1 view-dom-id-575e45eb02dceae85540575e35259e09"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <div class="views-field-field-stitle-value"> <h4 class="resource-secondary-title">Report of a multidisciplinary working group</h4> </div> <div class="views-field-body"> <div class="field-content"> <p>Most junior doctors work night shifts, many of them doing seven consecutive nights, each lasting 13 hours. That has been shown to be potentially the most dangerous type of rota that could be devised, in terms of risks to both patients and staff. Working at night increases the risk of errors, but the length of shifts and the number of shifts worked in succession are also crucial.</p> <p>The guide (published in 2006) discusses the evidence of hazards associated with shift work at night and the suitability of different rotas, in anticipation of the 48-hour week in 2009. It sets out six possible rotas, clearly assessing their safety, compliance with regulations, and practicality. The main advice is to limit the number of night shifts worked in succession to no more than four, and to consider reducing the length of each night shift when possible. The guide encourages the testing of three nine-hour shifts to cover the 24 hours, to achieve improved health, safety, teaching and supervision, and efficiency.</p> <p>The guide is not only for hospital administrators who design rotas for medical staff but also for junior doctors, who should be involved in planning the optimal rotas for their particular team and hospital.</p> <p>The guide is available to download as a <a href="https://cdn.shopify.com/s/files/1/0924/4392/files/designing_safer_rotasweb.pdf?2801907981964551469">pdf</a>.</p> </div> </div> <div class="views-field-phpcode"> <div class="resource-full-details res-visible"> <h4><span class="res-pad">Contents </span></h4> <div id="res-id1"> <ul> <li>Problems with night work</li> <li>Designing rotas</li> <li>Seven-nights-in succession rota</li> <li>Four-and three rota</li> <li>Two-two-and-three rota</li> <li>One-night-at-a-time weekday rota</li> <li>Three nine-hour shifts rota</li> <li>Three nine-hour workday shifts with 12.5-hour weekend shifts</li> <li>Practical issues</li> </ul> <p>The guide is available to download as a <a href="https://cdn.shopify.com/s/files/1/0924/4392/files/designing_safer_rotasweb.pdf?2801907981964551469">pdf</a>.</p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <form id="add-item-form" action="/cart/add" method="post" class="variants clearfix">  <div class="product-options "> <div class="select clearfix"> <select id="product-select" name="id"> <option value="6337026885" selected="selected" >Default Title - £0.00</option> </select> </div> <div class="purchase-section"> <div class="purchase"> </div> </div> </div>  </form>  <div class="social"> <div id="social" class="clearfix"> <div class="facebook-like"><iframe src="//www.facebook.com/plugins/like.php?href=https://shop.rcp.ac.uk/products/designing-safer-rotas-for-junior-doctors-in-the-48-hour-week&send=false&layout=button_count&width=90&show_faces=false&action=like&colorscheme=light&font&height=21" scrolling="no" frameborder="0" style="border:none; overflow:hidden; width:90px; height:21px;" allowTransparency="true"></iframe></div> <div class="tweet-btn"> <a href="//twitter.com/share" class="twitter-share-button" data-url="https://shop.rcp.ac.uk/products/designing-safer-rotas-for-junior-doctors-in-the-48-hour-week" data-count="none" data-via="">Tweet</a><script src="//platform.twitter.com/widgets.js"></script> </div> <div class="google-plus"><g:plusone size="medium" annotation="none"></g:plusone></div> <div class="pinterest"> <a href="//pinterest.com/pin/create/button/?url=https://shop.rcp.ac.uk/products/designing-safer-rotas-for-junior-doctors-in-the-48-hour-week&media=//shop.rcp.ac.uk/cdn/shop/products/pub180_large.jpg?v=1515581762" class="pin-it-button" count-layout="horizontal">Pin It</a> <script src="//assets.pinterest.com/js/pinit.js"></script> </div> </div> <script type="text/javascript"> (function() { var po = document.createElement('script'); po.type = 'text/javascript'; po.async = true; po.src = '//apis.google.com/js/plusone.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(po, s); })(); </script> </div>  </div>  <div class="span12"><div id="shopify-product-reviews" data-id="2206283077"></div></div> </div>  <div class="row products"> <h2 class="collection-title span12 clearfix">Related products</h2> <div class="product span3"> <div class="image"> <a href="/collections/free-downloadable-reports/products/alcohol-can-the-nhs-afford-it-recommendations-for-a-coherent-alcohol-strategy-for-hospitals"> <img src="//shop.rcp.ac.uk/cdn/shop/products/alcoholcover_large.jpg?v=1515581763" alt="Alcohol - can the NHS afford it? 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"Sold Out" : "Unavailable"; jQuery('#price-preview').text(message); } }; jQuery(document).ready(function($){ new Shopify.OptionSelectors("product-select", { product:{"id":2206283077,"title":"Designing safer rotas for junior doctors in the 48-hour week","handle":"designing-safer-rotas-for-junior-doctors-in-the-48-hour-week","description":"\u003cdiv class=\"panel-pane pane-views-panes pane-uc-publications-panel-pane-1 \" id=\"publications-main-pane\"\u003e\n\u003cdiv class=\"inner\"\u003e\n\u003cdiv class=\"pane-content content\"\u003e\n\u003cdiv class=\"view view-uc-publications view-id-uc_publications view-display-id-panel_pane_1 view-dom-id-575e45eb02dceae85540575e35259e09\"\u003e\n\u003cdiv class=\"view-content\"\u003e\n\u003cdiv class=\"views-row views-row-1 views-row-odd views-row-first views-row-last\"\u003e\n\u003cdiv class=\"views-field-field-stitle-value\"\u003e\n\u003ch4 class=\"resource-secondary-title\"\u003eReport of a multidisciplinary working group\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"views-field-body\"\u003e\n\u003cdiv class=\"field-content\"\u003e\n\u003cp\u003eMost junior doctors work night shifts, many of them doing seven consecutive nights, each lasting 13 hours. That has been shown to be potentially the most dangerous type of rota that could be devised, in terms of risks to both patients and staff. Working at night increases the risk of errors, but the length of shifts and the number of shifts worked in succession are also crucial.\u003c\/p\u003e\n\u003cp\u003eThe guide (published in 2006) discusses the evidence of hazards associated with shift work at night and the suitability of different rotas, in anticipation of the 48-hour week in 2009. It sets out six possible rotas, clearly assessing their safety, compliance with regulations, and practicality. The main advice is to limit the number of night shifts worked in succession to no more than four, and to consider reducing the length of each night shift when possible. 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