Seven-day NHS: Jeremy Hunt should try shadowing a junior doctor for a month

Health secretary Jeremy Hunt needs to shadow a junior doctor to understand what is needed to provide a seven-day NHS, says Dr Chris Mimnagh.

Seeing the people camping out for the Black Friday promotions put me in mind of that famous quote from Shakespeare ‘now is the winter of our discount tents’. But there’s a lot more discontent in the NHS this winter around the strangulation of a system through funding and the apparent pressure on medics to flex and ‘stop coasting’.

The recent junior doctors’ dispute has centred around what’s fair and what’s safe for the NHS, staff and patients. I won’t rehearse the argument here, you should know it well by now, but here’s a thought you might like from the world of philosophy.

A philosopher called John Rawls wrote the book A Theory of Justice in 1971. It has become The Book on fairness and justice in society.

One of Rawls best ideas in my opinion was that people who did not know what role they would occupy in the system should design the system. It’s a smart idea really, based on the understanding that we all unconsciously create our worlds in our own image.

Seven-day NHS

It’s the reason why medics struggle to understand young ‘buff’ men who work out to get fit but use steroids to do it. We think those behaviours are not congruent, but in their world it is perfectly sensible to get muscly and use steroids, it’s what young blokes do because it’s not about being fit, just about being attractive.

It’s the same as Jeremy wanting a seven-day NHS and the junior doctors knowing they already work a seven-day NHS. The two parties inhabit different worlds.

Maybe it would be really useful for our health secretary and a typical junior doctor to shadow each other for a month.

Then let’s see if the junior would better understand the need to make the NHS better and safer within a fixed financial envelope, and the health secretary would understand that the sheer physical and mental fatigue that existing duties require means that it’s impossible to stretch a five-day NHS over seven days without investment.

That would be justice.

  • Dr Chris Mimnagh is a GP in Liverpool co-director of clinical strategy at the NHS partnership organisation Liverpool Health Partners

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

GP consultation

GP practices delivering 150,000 extra appointments per day compared with 2019

GP practices in England delivered 150,000 more appointments per working day in the...

Surgeon looking at a monitor in an operating theatre

NICE recommends non-invasive surgical procedure to target obesity

NICE has said that a non-invasive weight loss procedure should be used by the NHS...

GP trainee

Two training posts deliver one full-time GP on average, report warns

Two training posts are needed on average to deliver a single fully-qualified, full-time...

Dr Fiona Day

How to flourish as a GP by learning from the good and the difficult

Leadership and career coach Dr Fiona Day explains how GPs can grow and develop from...

Unhappy older woman sitting at home alone

Low mood – red flag symptoms

Low mood is a common presentation in primary care and can be a sign of a mental health...


PCN to take on GMS practice contract in landmark move for general practice

A GP practice in Hertfordshire could become the first to be run directly by a PCN...