Even if you are working with an annualized job plan and self-rostering, or follow a pre-set rolling rota, the number and types of shifts, and their distribution must follow specific regulations. These regulations are complex and ensure a fair distribution of workload, resting time and the ability to maintain a healthy work-life balance. The two main regulatory frameworks are the Working Time Regulations (WTR - Previously the European WTR) and the 2016 Contract regulations. Furthermore, the BMA has issued a number of guidances which are not legally binding regulations but support the medical workforce, and we observe these regulations also. The compliance to these is checked every year for both rota versions.
The calculations are based on the 18-week rolling rota for the junior and the registrar tiers. Our junior trainees will use the rolling rota (with the ability to choose the starting week), and our specialist registrars and trust grade colleagues will use self-rostering. During self-rostering, you will need to provide the same number and types of shifts you would do on the rolling rota but with some more freedom to choose their distribution. During self-rostering, the BMA guidance regarding the distribution of workload will be your choice to follow.