Grimy
The shift pattern is agreed by staff at (ambulance) station level and then ratifed by management as long agreed manning levels are met. The problem is the 'relief' week which has to be built into the rota. This was deemed necessary in order to cover shortfalls at your own and other stations due to holiday/sickness etc. This seems quite reasonable and would work if some more thought was put into the allocation of workdays taking the shifts before and after the week into account.
In reality, there is a skill shortfall due in part to the ambulance service employing 'ECSW's' who have limited skill levels and are not allowed to make any clinical decisions (there are other factors but this is long-winded as it is). Their role is simply to assist the paramedic and drive. Obviously, they are paid considerably less than a paramedic. The problem arises because A&E ambulances used to be crewed by 2 qualified people, either a paramedic or advanced technician in any combination. ECSW's cannot work together, so you have immediately limited the crewing possibilities. The consequence of all this is that paramedics almost always have to work weekend nightshift on the relief week to cover the busiest times. In effect, this means (depending on annual leave) an additional 12 weekend nightshifts a year, which is neither family friendly or conducive to anything like a normal social life.
Basically it's crap and should never have been agreed to in the first place as shortfalls could be covered using overtime and other staff who have not yet been allocated a permanent station. The union will not do anything about it despite numerous representations from members. :evil: