Improving working conditions for junior doctors

Hospital staff


Funding was made available to NHS trusts in England for improving working conditions for junior doctors

The £10 million funding, outlined by the Secretary of State in September 2018, was made available to enhance facilities and the working environment for junior doctors.

Health Education England (HEE) wrote to chief executives and medical directors with information on how the funding will be made available to NHS trusts in England.

All NHS trusts in England who employ junior doctors, received £30,000, and the remaining balance was shared between 120 trusts defined as having a greater need, using data from a number of different sources. These 120 trusts each received £60,833 in total. The HEE letter outlines the amount each trust received.

A working group, led by HEE, with representatives from NHS Employers, the British Medical Association (BMA) Junior Doctors Committee, NHS Improvement and the Academy of Medical Royal Colleges, came together to agree how the funding should be allocated.

The BMA Fatigue and Facilities Charter can be used as a guide to inform the use of the funding, but circumstances vary between employers and there is some flexibility in how this is used to improve junior doctors working conditions, providing it is agreed through the junior doctor forum.

Health Education England's (HEE) update to facilities funding (February 2020)

The following information has been shared by HEE regarding the funding:

The £10million fund sits within HEE's 2019/20 budget allocation, and we consider the monies to have been distributed during this financial year. HEE is unable to defer income and will require trusts to report on their investment plans before March 31st 2020. Reporting templates will be cascaded to trusts for completion via HEE regional finance teams during quarter four of the 2019/20 financial year. 

HEE requires assurance in the 2019/20 financial year that the Junior Doctors’ Fatigue and Facilities fund will be invested appropriately. However, it is at the discretion of individual trusts whether to incur expenditure after March 2020 and is, as such, to be discussed and agreed locally.

Question mark key


Answers to some commonly asked questions about the facilities funding for junior doctors.

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