Sunday 26 July 2015


Dear Jeremy Hunt MP,

I am a newly appointed NHS Consultant and receive £313.54 for my on call supplement per month. My on calls per month add approximately 120 hours of work in addition to my normal working week. This is made up of being on call one day per week and one weekend in 5 - 5pm on Friday to 8am on Monday. Simple maths says that works out as £2.61 per hour - significantly less than the minimum wage let alone the living wage.

I have never looked to opt out, even though financially it would make sense. I am genuinely offended that you have openly questioned my professionalism and vocation or that of my colleagues. I am no different to the thousands of Consultants, Junior Doctors, Nurses, Physios, Pharmacists, Secretaries, Speech Therapists, etc. We don't go on strike, we don't hold the country to ransom, we don't compromise patient care because we were meant to go home 2 hours ago, instead we go above and beyond, understanding the true meaning of professionalism and being exemplar to any health service in the world. Without this silent and diligent commitment, the NHS would have crumbled many years ago.

Would you mind enlightening me as to the percentage of Consultants within the NHS who have actively opted out of weekend work? I have looked on the Department of health Website, on NHS England and can find no details on this, or further information regarding your plans for implementing 7 day working.

It is self evident that either your expert advisers are missing or your speech writers incompetent. As a workforce we are very understanding and forgiving. We are often verbally and even physically abused by people who are confused and clearly don't understand how they got into such a state; we forgive them and do our best to fix them. I would urge you to simply apologise for the language you have used, and look to engage in a conversation rather than an ultimatum.

I,  my colleagues and the Royal Colleges and agree with the principle of the NHS working efficiently every day of the week. The NHS has spoken clearly that the current proposals do not address the problem, and are not a viable solution.

Yours sincerely

Karan Kapoor
ENT Consultant
For further information on how completely inept Hunt is, see this coverage of his history in government.


  1. tris

    Dear is that a adjective or a noun as the former means
    he is a regarded with deep affection and the latter
    that he is a total cretinous cnut.

    1. Clearly it's not an adjective. Unless it's coming form one of the people who is going to hugely profit from his sell off of the NHS, in which case possibly darling is a more likely choice of words..

  2. Now that is what I call a letter, and I thought I was good with them. (I've got a PhD in Complaints Letters from the Victor Meldrew Academy).

    Hunt is like any other Cabinet minister - he tells people to jump and expects them to do so, without any consideration of realities. Other departments are the same, cutting them to the bone (no pun intended) but expecting more productivity.

    I've had many experiences with the NHS, both in England and Scotland, and have nothing but praise for them. I've been in A&E on a couple of occasions on a Saturday night (DIY and one child with broken finger) and seen the abuse they have to deal with. The staff if they wished could probably hurt someone quite badly in response (well, they know anatomy!) but they don't react.

    What exactly are Hunt's medical qualifications? If he had experience within the NHS, then I could listen to his arguments. But he doesn't have them, is unaffected by what happens to the NHS and frankly doesn't give a shit about the staff.

    Whistleblowers aren't protected (and in other government departments as well, including NGOs) and those causing problems are protected. The consultant who wrote that letter might get some hassle for it no doubt.

    The NHS is NOT a business. True, there is no money tree and costs must be controlled. But never, ever for political reasons.