Resident doctors’ extra-contractual rates are under threat. Across the South East, a regional framework is being used to set ceilings on rates for extra-contractual work. In Kent and Medway, a system-wide rate card is being introduced, with some rates lower than those previously available locally. Your regional South Thames team is already challenging this. We wrote to Kent and Medway trust leaders, calling on them to reconsider the cuts and retain higher existing rates. We also warned that lower rates risk leaving more shifts unfilled, increasing pressure on colleagues and affecting patient care. (Post 1 of 4)