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Working beyond your job plan

  • Alex Till and Jan Wise
  • Please note a correction has been issued for this article.

A job plan is part of a modern contract, informing employee and employer what they are paid to do. It is not a mandatory, inflexible tablet of stone, but frequently National Health Service (NHS) clinicians find themselves working, to their detriment, in excess of what they have agreed to do, by bridging the gap between resources and demand. So what do we do when we are persistently going above and beyond and there is no more left to give: how can we fix the system, and who really gets left behind?

Corresponding author
Dr Alex Till, Mersey Care NHS Foundation Trust, Trust Headquarters, V7 Building, Kings Business Park, Prescot, Liverpool L34 1PJ, UK. Email:
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Declaration of Interest


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Dekker, S (2016) Just Culture: Restoring Trust and Accountability in Your Organization (3rd edn). CRC Press.
NHS Employers (2013) Terms and Conditions – Consultants (England) 2003 (version 9). NHS Employers.
NHS Employers (2017) Terms and Conditions of Service for NHS Doctors and Dentists in Training (England) 2016 (Version 2). NHS Employers.
Royal College of Psychiatrists (2017) Safe Patients and High-Quality Services: Job Descriptions for Consultant Psychiatrists (College Report CR207). Royal College of Psychiatrists (in press).
Wannan, G, Wise, MEJ (2015) Are psychiatrists only fools and horses to be open all hours? BJPsych Bulletin, 39: 265–7.
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BJPsych Advances
  • ISSN: 2056-4678
  • EISSN: 2056-4686
  • URL: /core/journals/bjpsych-advances
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Working beyond your job plan

  • Alex Till and Jan Wise
  • Please note a correction has been issued for this article.
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