Jack Fletcher

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Jack Fletcher

Jack Fletcher

@fletchjack

Doctor | interested in critical illness | chair @BMAResidents | chair @BMANorthernRDC |🌹| he/him

North East Katılım Eylül 2010
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Jack Fletcher
Jack Fletcher@fletchjack·
insanely proud of our new #doctorsmess - it was the outcome of a fabulous group of people coming together and having a laugh painting until 3am one weekend it’s not often that you see, let alone make, genuine and sincere change in the NHS but we did it! the NHS needs more of it
Jack Fletcher tweet mediaJack Fletcher tweet mediaJack Fletcher tweet media
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The BMA
The BMA@TheBMA·
A lack of training posts has led to spiralling competition ratios and a jobs crisis in the NHS. Something had to change. This emergency legislation for UK Graduate Prioritisation, is about restoring fairness, valuing NHS experience, and giving doctors hope again. @DocShivSharma, Deputy Chair UK Resident Doctor Committee, explains this win.
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Jack Fletcher
Jack Fletcher@fletchjack·
@Doc_IonaCollins I agree Iona, and I certainly will be voting for more than 24 people. Though I do believe that those people who have done the heavy lifting, many of whom are active within the BMA now, have done so outside of a conference hall!
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Jack Fletcher
Jack Fletcher@fletchjack·
When casting your vote in the BMA council election - look at what candidates have delivered and won for doctors. Standing on a stage at a conference airing your views =/= winning for doctors. It’s easy to stand on a stage. It’s less easy delivering wins and I’m standing with a team who have a track record of winning 👇
DoctorsTogether@DocsTogether_

The BMA Council elections are now open, and DoctorsTogether candidates are standing as a team of reps with a strong record of delivering results for doctors locally/nationally. Vote for your DoctorsTogether candidates, who will tackle doctor unemployment, support full UK Graduate Prioritisation, push back against unsafe scope creep, and fight to restore our pay. When your ballot arrives in the post, rank every DoctorsTogether candidate in the order shown. Once you’ve completed your ballot, return it using the freepost envelope included in your pack. Don’t miss the opportunity to make your vote count!

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Jack Fletcher
Jack Fletcher@fletchjack·
The pay campaign did not start at a conference. The jobs campaign did not start at a conference. The call to prioritise UK graduates for training did not start at a conference. Emergency legislation was not delivered because of a conference. We need less hot air and more people with track records of winning for doctors!
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DoctorsTogether
DoctorsTogether@DocsTogether_·
The BMA Council elections are now open, and DoctorsTogether candidates are standing as a team of reps with a strong record of delivering results for doctors locally/nationally. Vote for your DoctorsTogether candidates, who will tackle doctor unemployment, support full UK Graduate Prioritisation, push back against unsafe scope creep, and fight to restore our pay. When your ballot arrives in the post, rank every DoctorsTogether candidate in the order shown. Once you’ve completed your ballot, return it using the freepost envelope included in your pack. Don’t miss the opportunity to make your vote count!
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Dr Haseena Wazir
Dr Haseena Wazir@DrHWazir·
You’ve all probably received a chunky A4 election pack in the post for the BMA UK Council election. It’s the most important committee in the BMA, and the election only happens once every 3 years. Here’s an explainer on how to vote - it’s a complex vote system which means ranking as many people from this list helps get people elected as your votes get moved around (transferred). You just need to rank everyone by putting numbers next to each name in the order above! Once you’ve filled out your paper ballot, you can send it back using the free post envelope in your pack (like a strike ballot). Don’t lose your chance to have your say!
DoctorsTogether@DocsTogether_

BMA Council ballots are arriving on your doorstep. This election decides how hard the BMA pushes on jobs, pay, training, UKGP and stopping unsafe scope creep. Watch the video laying out how to complete your ballot and return it by 20th April. linktr.ee/DoctorsTogether

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Balazs (🦋cannulaservice.hibalazs.net)
Balazs (🦋cannulaservice.hibalazs.net)@cannula_service·
The voting sheet is a bit unwieldy but it still doesn't take long to preference your candidates in order. It might be Sunday but I posted mine at the end of my shift today, you can too! @DocsTogether_
DoctorsTogether@DocsTogether_

BMA Council ballots are arriving on your doorstep. This election decides how hard the BMA pushes on jobs, pay, training, UKGP and stopping unsafe scope creep. Watch the video laying out how to complete your ballot and return it by 20th April. linktr.ee/DoctorsTogether

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DoctorsTogether
DoctorsTogether@DocsTogether_·
BMA Council ballots are arriving on your doorstep. This election decides how hard the BMA pushes on jobs, pay, training, UKGP and stopping unsafe scope creep. Watch the video laying out how to complete your ballot and return it by 20th April. linktr.ee/DoctorsTogether
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Jack Fletcher
Jack Fletcher@fletchjack·
Whilst I agree Mike, residents should be viewed as their own workforce and be given some agency instead of being infantilised at every level. E.g. recruitment - I personally can’t think of a single example where a resident doctor, of any seniority, has been on a recruitment panel. The GOSW interviews are as close as they come and it’s often tokenistic. Nurses recruit nurses. Physios recruit physios. Radiographers recruit radiographers. Managers recruit managers. Consultants recruit consultants. GPs recruit GPs. Yet managers, consultants and GPs are the ones recruiting residents. They then also have every say about residents - where they go to work, how often they rotate, when they’re allowed to take leave etc etc. There is no agency. Residents are so infantilised that they aren’t even trusted to play a part in recruitment of themselves as a workforce group. Every single operational part of @NHSE_WTE relating to residents should be ran directly by a resident, not a dean/ a manager. The same principle applies locally too - I’m sure the needle would shift and we’d see less toxic behaviour if rota coordinators were line managed by a resident. Because after all; rotas for nurses are managed by nurses, rotas for consultants are managed by consultants, rotas for physios are managed by physios. Rotas for residents are managed by anyone but the residents. And on it goes…
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Mike Henley 🤨
Mike Henley 🤨@trentconsultant·
@DrBeckyl @2manypeople4me @medicalmodelbri @DevanSinha @RCRadiologists @fletchjack @thomasdolphin @Melissa_S_Ryan @WAlladin1 @DrHWazir @DrNeenaJha @mmamas1973 @parthaskar @AliJaneMoore @journo_kituno @DrNickDalmon @BMA_Consultants @HSJEditor @ShaunLintern @DoctorsVoteUK Yep, the appointment and role should be decided on by all of the Drs in the team. If these individuals are doing work traditionally performed by Drs they should be directed & managed by Drs not parallel silos. That management & oversight must also be properly funded.
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Jack Fletcher
Jack Fletcher@fletchjack·
Happy to setup a call to chat through? We are not a royal college and therefore am not going to lay into the specifics of curricula, but we are firmly committed to upholding the standards that training and royal college curricula bring. My focus is stopping the reality that is the LED jobs market essentially turning into a gig economy. When doctors are on 4-6 month exploitative contracts - a supervisor is hugely important, but are almost irrelevant if you don’t have a job in the first place. As a union and a profession, we have let that situation develop over the last few years and I’m very happy to chat to anyone interested in fixing that. In my trust, we’re now in a position where all LEDs are entitled to equivalent SDT, study leave, access to study budgets, all have supervisors, supported annual appraisals and are on 2016 terms with the ability to convert to specialty doctors if they have the appropriate experience and want to. Lots to do, but it’s certainly not just hot air.
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Partha S Kar 🇮🇳🇬🇧🏏🎥
Partha S Kar 🇮🇳🇬🇧🏏🎥@parthaskar·
@fletchjack @DocsTogether_ Ok- I am the person who authored the LED work from RCP as regards what posts should be ike, supervision, progression etc Are you following that or have another plan? Cos saying it is one thing- actually lobbying for it is another.
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Jack Fletcher
Jack Fletcher@fletchjack·
Imagine a union that: strikes in your trust over underpayments & late rotas, puts jobs AND pay on the agenda despite opposition, protects the doctor labour market to ensure job security for EVERY doctor is non-negotiable. @DocsTogether_ candidates will make the BMA deliver.
DoctorsTogether@DocsTogether_

Calling doctors & medical students: don’t let @TheBMA go backwards. Vote in the Council elections for reps who will tackle doctor unemployment, back UGKP, stop scope creep & restore our pay. When your ballot arrives, rank every DoctorsTogether candidate in the order shown.

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Jack Fletcher
Jack Fletcher@fletchjack·
@parthaskar @DocsTogether_ No, I don’t think it is. I think it’s reflective of my/ our asks and what we’re pushing for!
Jack Fletcher@fletchjack

Hello! Yes - I mean job security for everyone. I’m currently fighting for substantive, secure contracts for everyone as part of our jobs dispute. If LEDs had a substantive contract, the risks of the current labile labour market and IMG visa concerns would be somewhat mitigated. In addition, we’re fighting to make sure every LED is on a national contract (2016 terms), which also safeguards LEDs from exploitation and underpayment, and bolsters the terms and conditions on which doctors are employed. We are also collectively fighting to ensure career and pay progression for LEDs in several ways. Whether it’s pay progression as an LED, or ensuring that trusts are offering Specialty Doctor contracts for every LEDs who have the relevant experience which would see lifelong pay and career progression. So yes, the BMA/ I continue to fight for these basic (and enhanced) contractual rights for every doctor, including IMGs, to make sure we can bring stability to the labour market to ensure both fair pay and career progression for every doctor.

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Jack Fletcher
Jack Fletcher@fletchjack·
Hello! Yes - I mean job security for everyone. I’m currently fighting for substantive, secure contracts for everyone as part of our jobs dispute. If LEDs had a substantive contract, the risks of the current labile labour market and IMG visa concerns would be somewhat mitigated. In addition, we’re fighting to make sure every LED is on a national contract (2016 terms), which also safeguards LEDs from exploitation and underpayment, and bolsters the terms and conditions on which doctors are employed. We are also collectively fighting to ensure career and pay progression for LEDs in several ways. Whether it’s pay progression as an LED, or ensuring that trusts are offering Specialty Doctor contracts for every LEDs who have the relevant experience which would see lifelong pay and career progression. So yes, the BMA/ I continue to fight for these basic (and enhanced) contractual rights for every doctor, including IMGs, to make sure we can bring stability to the labour market to ensure both fair pay and career progression for every doctor.
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Raja Tiwary
Raja Tiwary@RajaTiwaryST·
@fletchjack @DocsTogether_ Damn, job security for every doctor including IMGs? Do you have more information on this? ( Jokes, we know when you say 'every doctor' us IMGs are not included)
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DoctorsTogether
DoctorsTogether@DocsTogether_·
Calling doctors & medical students: don’t let @TheBMA go backwards. Vote in the Council elections for reps who will tackle doctor unemployment, back UGKP, stop scope creep & restore our pay. When your ballot arrives, rank every DoctorsTogether candidate in the order shown.
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Jack Fletcher
Jack Fletcher@fletchjack·
…and that’s without stating the obvious given the wildly inappropriate conflation of two professions to substitute doctors. It is clearly inappropriate as a job advert in the first place, made even more ridiculous by the double standards applied. It’s good that most professionals in the NHS are on substantive contracts, but it’s such a preposterous inequity for residents that I’m trying to address.
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Jack Fletcher
Jack Fletcher@fletchjack·
Resident doctors - the only large workforce in the NHS where almost everyone is on a fixed term contract. Nurses, AHPs, managers? Substantive contracts on day 1. @uhbwNHS egregiously spells it out below: Nurse? - permanent contract. Resident doctor? - you get 6 months.
Jack Fletcher tweet media
Iona Collins.DOCTOR.@Doc_IonaCollins

Someone posted a screenshot of this and I looked up the advert, which is still live. An NHS hospital equates a doctor with a nurse. findajob.dwp.gov.uk/details/180190…

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Jack Fletcher
Jack Fletcher@fletchjack·
I agree, it’s crazy. It needs to change. Very keen to fix this though as I can’t quite believe employers are this poor. It was negotiated and written into the contract in summer 2025, which was ~2 months before I took over. The assumption is that doctors are dishonest enough to risk their entire careers to claim 16 minutes of extra work, which is clearly just egregious. I am very keen to get a fix to this!
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Jack
Jack@jackbardwell99·
So as a doctor I can be trusted to assess, investigate and manage acute life-threatening emergencies, but if I want to report having to stay late I need to download Google Maps and screenshot my exact location and time to prove I’m not lying? Absolutely wild
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Keşfet

@DocShivSharma @Doc_IonaCollins @Aadam_Aziz @DocsTogether_ @NHSE_WTE @DrBeckyl @2manypeople4me @medicalmodelbri