Amongst the sea of negativity I would like to share some positivity about the expection report reforms. As a relatively senior SpR in a surgical speciality exception reports culturally have never been a thing. Staying late/coming in early was just an expected part of the job and given the level of toxicity in some departments taking the potential fallout of submitting them and being seen as a "problem" just wasn't worth it.
Being able to submit anonymous reports to HR without any consultant involvement has been a huge change. I have been diligently exception reporting since April, it has worked out as an extra 2-3 days per month that was previously unpaid. I think a few of my colleagues have also clocked on to this and have also started putting them in. I'm cureous what the implications for trusts will be.