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Hello, I'm Tiffany, one of the BMA rep to um Asset Council. So um just gonna fly through some BMA updates, it's quite a short presentation so everyone can go for the lunch after. Ok. So um as I said, I'm the BMA rep to asset, but I'm also on the UK JDC as the deputy chair of Thames Valley um R JDC, but I'm also the U CT one in Oxford. So it's just kind of a summary of what B has done so far this year. So obviously, you know that we have the full pay restoration campaign. We've done our strikes and we've been negotiating with the government for a pay offer. We've also done a map scope definition which I'll go into as well. Um We've always negotiated with the government and the NHS England for increasing training placement, renaming junior doctors, wellbeing checklist and improving accessibility for the workspace. So just a short summary of our pay restoration campaign. So as you know, the pay rewards for doctors have been below inflation since 20 well, 2008. So our calculation shows that the pay award for junior doctors in England from 2008 to 2022 have delivered a real term pay cut of 26.1 per cent. And therefore in 2022 we have started our full pay rest restoration campaign. So we've delivered 10 strikes from March 2023. And in England, we were joined by our consultants colleague for the consultants strikes for a period of time. And we've also seen our colleagues in Wales and Northern Ireland joining in calling for the first set of strikes in late 2023. And these are just some summary of how the pickets were looking like. There was a video of ST Thomas Hospital recently as well for our baked pickets. And with our strikes, we saw a three per cent pay award before starting striking to five per cent to 8.8 per cent on average to now 12 per cent on average. And therefore, we know that the strike is working and is moving the government and there you go. That's the video now working. And you can see that we still have a lot of support from our junior colleagues and from all of you as well for the industrial actions. So what's next? We're now approaching the end of the re ballot, our second re ballot sessions. And without all you participating in strike actions, we wouldn't have got here, we wouldn't have moved the government. So therefore we need all of you to return your ballot and take for both walk out and action, shoulder strike and you need to return your ballot as soon as possible before this Friday 15 March. And the other things that we've worked on this year is defining scopes of practice for medical associate professions. So since 2022 we've raised concerns regarding the position of maps including pas and aa anesthetic associates within the NHS. We've started, our uncertainty is unsafe campaign for public awareness of the role of PA and, and, and aiming to educate the difference between maps and doctors and we believe that patients have the right to know who is treating them and what their roles are. And in 2023 we have published a few statements on our position of the roles of maps as well as our uncertainty is unsafe campaign. We call for alternative regulations for PAS and we believe that they should not be regulated by the GMC and we also call for renaming Pas as we feel that the title could be misleading. And in 2023 we contacted our first ever survey on the role of maps within the UK across the four nations. We received more than 18,000 response from all grades of doctors across all specialties. Around 80 per cent of the respondents were concerned that maps were case or frequently working beyond their competencies and almost 70 per cent believe that training somewhat effects or very negatively impacts doctors training. And these findings correspond to the pa reports published by assets and therefore showing that these are common concerns between all specialties. And we have also have our first maps portal to raise concerns. But noting that this is really just a way to express your concerns but not a formal way to raise concerns regarding patient safety and therefore local protocols still exist. But this is just a way for us to gather more evidence. And just in the past week, we have published a scope of practice for maps. The first one within the whole UK the first one within the NHS. And we emphasize the role of maps really just a system for doctors helping with simple practical procedure, administrative task and working with patients in supportive and specific role. One main takeaway point is mabs must not see undifferentiated patients. So the only exceptions is unless they have been assessed and phase to phase assessed by doctors, for example, GP referral to Ed and Pas and other medical associates can see them. And also we say that doctors must have first right of reviews, all clinical and training opportunities, meaning that within the department, any procedures, any training clinic opportunity must first be offered to doctors before making it available to other staff. And the other thing that we've worked on recently is changing the title of junior doctors. As we all know that we see a lot of junior doctors title floating around in the media. And we believe that this is actually quite patronizing because some of us have been working in the for more than 10 years and we still name as junior doctors. And we have conducted our first survey on what we should be called and 91 per cent of the members voted for the title residence doctor. And therefore this change has now been escalated to the BMA UK council. And therefore, we may see the new name change in the next coming years and work behind the scene. As I briefly mentioned, we've been working with NHS England to increase accessibility and training plays within the whole UK as we know that training numbers are very limited and it's not actually catching up with the demand of the market. And therefore, we've been working year by year with England to improve that and also increasing flexibility of training. So improving less than full time training, also improving the well being of doctors and other guidelines to safeguard the working of junior doctors. So that's really the end of the talk. So if you haven't received your ballot, um do kind of scan a QR code to chase up your ballot. And the deadline of doing that is by tomorrow. So do fill in your form. And if you haven't returned your re ballot paper, please do return it by Friday and that's it. Thank you.