Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what assessment he has made of the potential effect of the new junior doctors' contract on patients' safety.

The proposals are to introduce a safer, fairer contract for junior doctors that will help improve their training experience to better support patient care every day of the week.

Our ambition for the National Health Service to be the safest healthcare system in the world is underpinned by reducing, not increasing, the number of hours junior doctors work each week. The new contract will include improved, legally (and contractually) enforceable safeguards - including that no junior doctor working full time will be expected to work on average more than 48 hours a week, unless they opt-out of the European Working Time Directive in which case it is maximum of an average 56 hours a week. The number of hours that can be worked in any single week by any junior will be limited to 72 (down from 91 currently) and there will be a limit of five consecutive long days or four consecutive nights.

We will also bring the working hours and service delivery of junior doctors within the Care Quality Commission (CQC) inspection regime. Putting patients first is the responsibility of employers and staff. Juniors must feel confident that when they raise safety concerns they are listened to. Where doctors are asked to work in conditions that they believe are unsafe, including being asked to work patterns that put patient safety at risk, they will be asked to use the reporting mechanisms available to them (including alerting their line managers/clinical supervisors, reporting through the local incident reporting system which will upload to the National Reporting and Learning System) to raise the issue with both the board of their trust, and reporting data will be available for the CQC to use during inspections. We would expect trust boards to look at any such report and decide how to respond to it; and we would expect the CQC, when it carries out an inspection, to look at how the board has responded to this and other data reporting safety incidents and concerns.