Full Text of Mam - gov agreement of Casualty
AGREEMENT BETWEEN ST LUKE’S HOSPITAL AND MEDICAL ASSOCIATION OF MALTA REGARDING ACCIDENT AND EMERGENCY DEPARTMENT.
1. The health authorities agree to increase the medical staff complement working at the accident and emergency department to 36 Whole Time Equivalents as from the 1st January 2006. This complement of staff shall include registrars, senior house officers, medical officers and house physicians. This number excludes consultants and senior registrars, doctors on long study leave and A&E doctors on rotation in other departments. This proposal is however linked to agreement with MAM on improving and modifying the current shift and roster systems so as to match demand for services with human resource availability, which as a consequence would improve job satisfaction and attract and retain medical staff. It is agreed that both parties will strive to reach agreement on this matter by the end of 2005.
2. The health authorities agree to advertise in the government gazette as soon as possible, registrar posts at the accident and emergency department, and every effort will be made to see that this occurs within the next two months. It is expected that such registrars will form an integral part of the roster system and will also be expected to provide or assist in providing supervision for each shift on duty.
3. Up to the first of 1st of January 2006 the health authorities will engage extra doctors at night (from 2000 – 0800 hrs) from amongst suitable medical officers on off duty to ensure that the night complement of 6 medical officers is reached.
4. Should occasional additional/substitutional requirements arise due to unforeseen or unpredictable circumstances (e.g. sick leave, urgent leave, major accident, sudden increase in workload), the hospital authorities shall increase the complement according to exigencies of the service. However it is understood that such measures will be taken in times of pressing need and not on a routine basis.
5. The hospital authorities will strive to support post graduate training at A&E, by facilitating those doctors who need to have rotations outside the emergency department, to satisfy examination and specialization pre-requisites. Wherever possible, replacements shall be obtained to maintain the staff number on roster.
6. MAM agrees to lift the directive issued on the 25th of October immediately following the signing of this agreement.
7. CHOGM (Malta) - Should any dispute arise during the CHOGM (Malta) period of events, MAM binds itself that no directives will be issued before the end of the CHOGM (Malta).
Dr Kenneth Grech
Dr Stephen Fava
Mr Mark Scicluna
Dr Martin Balzan
15th November 2005