This guide for RCN members covers breaks, daily and weekly rest, compensatory rest, night work and on-call work.
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The Working Time Regulations 1998 apply across the UK. The regulations affect the number of hours that an employee can work per week and the rest breaks the employee is entitled to - including breaks between shifts, annual leave and days off. The key aim of the regulations is to ensure standards of health and safety in the workplace.
The regulations apply to most ‘workers’. 'Workers' is a wider category than ‘employees’ (employees work under a contract of employment) so the regulations will apply to most agency workers.
There are certain exceptions to the application of the regulations, such as in relation to active membership of the armed forces. This area is complex and if you are in dispute with your employer over whether the regulations apply to you, please contact us for advice.
Read more about agency workers.Back to contents
The following are generally not regarding as working time:
Check your contract and your employer's policies if you are unsure about what is treated as working time in your workplace.Back to contents
You cannot be forced to work over 48 hours a week over a standard reference period of 17 weeks. Hours are normally averaged over this reference period by taking actual hours worked divided by the number of weeks. If the reference period includes any 'excluded' days then the hours worked in the equivalent number of days following the reference period must be included. 'Excluded' days include paid annual leave, sick leave and maternity leave.
You can opt out of the 48 hour weekly limit if you agree this with your employer in writing. The decision to exercise the opt-out option is an individual and voluntary one and there should be no pressure placed on you to take the option. Any agreement may also relate to a specified period or may apply indefinitely. If you make the agreement and then wish to end the agreement, you must give written notice to your employer.
If you are in dispute with your employer over the 48 hour weekly limit, contact us for advice and support.Back to contents
You are entitled to a minimum break of 20 minutes when your daily working time is more than six hours. This should:
The regulations are silent on whether a rest break is paid time but the RCN recommends that the break should be paid.
Check your employment contract and/or policies to find out if you can leave your workplace during a break.
If current working patterns mean you cannot take your breaks (for example, where you are the only nurse), these working arrangements need to be reviewed. If you are in this position, call us to discuss arrangements for local support.
Read more about staffing concerns during handover and breaks.
You are entitled to a rest period of at least 11 consecutive hours in each 24 hour working period. This time may be taken over two calendar days.
Where this is not possible, you must be given “equivalent compensatory periods of rest” or “appropriate protection”.
12 hour shifts are legal. However, the regulations generally require that there should be a break of 11 consecutive hours between each 12 hour shift.
We believe that no shift should be longer than 12 hours, and that a 12 hour shift may not be appropriate for all nurses. 12 hour shifts should be considered in the context of both patient safety and the physical and psychological demands of shift work.
You are entitled to an uninterrupted rest period of at least 24 hours in each seven day reference period. This is in addition to an 11 hours daily rest period.
Your employer can average the weekly reference period over 14 days. In a 14 day period, your employer should provide either two uninterrupted rest periods of not less than 24 hours or one uninterrupted rest period of not less than 48 hours.
Where this is not possible, equivalent compensatory rest or appropriate protection must be given to you.Back to contents
The regulations state that compensatory rest must be given when the relevant rest requirements cannot be met. Compensatory rest will most likely be necessary when you are either:
In each situation the rest provided should make up for the rest you missed. Gov.uk recommends the rest is taken during the same or following working day. It will not be sufficient to aggregate the rest available to you over a period and assume that the minimum requirements have been met.
The arrangements for taking compensatory rest will need to be determined locally in the light of individual circumstances.
The regulations recognise that services such as the NHS and social care will have instances where a continuous emergency service must be maintained. Where it is not possible for objective reasons to grant you a period of compensatory rest, an employer should give you 'appropriate protection' to safeguard your health and safety.
If you believe your work routine does not provide you with adequate rest, you should raise this with your employer.
If you believe that you are being denied any of the entitlements due to you, or need specific advice about your circumstances, you should contact us for further advice on 0345 772 6100.Back to contents
If you are required as part of your duties to be resident in hospital (or other place of work) out of hours and are provided with on-call facilities, you are considered to be 'working' during your period of duty. The whole of the resident on-call period counts as working time whether or not you are working - even where you are sleeping or resting.
If you are off-site, non-resident on-call, or are not required to be continuously present at the hospital or other place of work, you are not considered to be working unless called to do so. Where you are called out to respond to an emergency and are unable to take your daily rest entitlement, you are subject to the requirements of compensatory rest.Back to contents
It is possible to work a 12 hour night shift as long as the average length of a night shift does not exceed eight hours in a 24 hour period, when measured over a standard reference period of 17 weeks.
As a night worker, you must have the opportunity of free health assessment before taking up night work and at regular intervals.
Whenever possible a night worker should be transferred to suitable day work if a medical practitioner confirms to the employer that they are suffering health problems connected with doing night work.Back to contents
An agency should monitor working hours to ensure that healthcare professionals do not work beyond the average 48 hours per week, unless the healthcare professional has individually agreed to not apply the limit. This must be by means of a written agreement which can be terminated by the healthcare professional giving a minimum of seven days’ notice (in the absence of an agreed period within the agreement itself).
An agency is responsible for recording the total number of hours worked and could be asked by the Health and Safety Executive (HSE) or Health and Safety Executive Northern Ireland (HSENI) to produce this information.
In all circumstances you should check your contract with the agency to see what it says about maximum weekly working time.
Read more about agency work.Back to contents
As the aim of the regulations is to protect health and safety, the amount of combined hours worked per week should not be excessive.
Each employer must take reasonable steps to ensure that if the worker is also working for another employer, the total combined working time does not exceed 48 hours per week. In this instance you should have an agreement with both employers if you intend to work more than 48 hours on average.
To monitor hours, we advise that it is reasonable for your employers to ask for details of any other jobs held and hours worked, but no further details such as salary.
Check your contract - it may state that you must have the prior consent of your first employer before taking up a job elsewhere.Back to contents
Long hours, fatigue and lack of rest breaks or time to recuperate between shifts are associated with an increased risk of errors. Healthcare professionals therefore need to be vigilant about the impact of fatigue on their professional practice. Nurses should, for example, consider their obligations under the Nursing and Midwifery Council (NMC) Code regarding the management of risk. You should also consider the impact of multiple jobs and your working hours on your ability to practice safely.
Issues such as an inability to take scheduled rest breaks, insufficient rest periods between shifts and pressure to carry out excessive overtime - or to stay on after the shift has ended - are legitimate issues to act on and raise professional concerns about.
Read about raising professional concerns about. If your concerns are not being addressed by your manager, contact us for help and support.Back to contents