The Bottom Line
- Underpayment usually comes from <strong>rota design</strong> or <strong>recording</strong> errors, not malice—fix the system.
- Use the <strong>BMA Rota Checker</strong> to test compliance and identify pay-driving components.
- Exception reporting is your leverage: it creates evidence and triggers a <strong>work schedule review</strong>.
What the rota checker actually does
The BMA rota checker is an online tool for resident doctors in England to check rotas under the 2016 contract. It helps you spot safe working issues and mismatches between planned and actual work that can drive pay errors and compliance problems.
Break theft is the most common invisible underpayment
If you miss breaks and never report it, the system interprets your rota as workable. Repeated missed breaks should be exception reported—otherwise nothing improves, and the rota remains unsafe.
Exception reporting: think ‘audit trail’ not ‘complaint’
Exception reporting records departures from your work schedule: hours, rest, and training opportunities. The endgame is a work schedule review if the problem is recurrent. This is how you fix the root cause (rota design) rather than chasing individual payslip corrections forever.
Recent reforms: more confidentiality and direct routing
Exception reporting processes have been reformed in some settings to route reports more directly to HR and the Guardian of Safe Working Hours, increasing confidentiality and reducing conflicts.
Weekly system: 12 minutes to protect your pay and safety
1
Step 1: Track actual start/finish times
Use a simple note: date, shift type, start, finish, breaks taken. Keep it factual.
2
Step 2: Record missed breaks explicitly
Write “break missed due to clinical workload” with one line of context.
3
Step 3: Compare to the work schedule
If actual deviates (time/rest/training), log it. Patterns matter more than one-offs.
4
Step 4: Exception report promptly
Do it while details are fresh. Attach your log if your local system allows.
5
Step 5: Trigger review if repeated
If the same issue happens repeatedly, request a work schedule review—this is how rotas get redesigned.
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Step 6: Reconcile with payslip monthly
Make sure nights/weekends/additional hours appear correctly. If not, escalate with evidence.
Practice
Test your knowledge
Apply this concept immediately with a high-yield question block from the iatroX Q-Bank.
SourceBMA: Check your rota (rota checker)
Open Link SourceBMA: Exception reporting reforms (summary and FAQs)
Open Link SourceGOV.UK: Maximum weekly working hours (48-hour average)
Open Link