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Conclusion and next steps

The urgency of these recommendations cannot be overstated. The RCOG should lead the way by discussing and implementing those relevant to the College itself.

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Individuals are invited to consider our suggestions relating to their own plans and working patterns, and discuss our recommendations with their Clinical Directors.

Clinical Directors are urged to take the initiative in helping their Trust to lead the way in creating a culture that values the contribution of senior staff. Local rates of early retirement should be monitored and published.

Change at national level is essential. It is imperative that the NHS and the GMC acknowledge the current crisis and respond swiftly to it. However, individuals and Trusts do not need to wait for national directives before taking the necessary action at a personal and local level.