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13-hour day 13-hour shift 24 hours 8h 3 Daytime 8h 5 Daytime 8h Daytime 8h Accident & Emergency acute medical average 48-hour week cell College of Physicians consecutive night shifts Daytime 8h Daytime Daytime 8h shifts Daytime 9h 9 daytime shifts DDNN system design rotas different doctors doctors cover doctors in training doctors rotating duty Emergency Medicine EWTD-compliant fatigue and risk Fatigue Index flexible Daytime 8h flexible trainees Folkard four-and-three rota Fri Sat Sun guide for junior handover Hospital at Night hours Daytime 8h hours Zero hours junior doctors maximum number of doctors number of hours provide extra cover provides an average Regulations Risk Index risk of accident rostered Royal College scheduled seven-nights-in-succession rota shift workers sleep deprivation specialist registrar specialties survival and recovery Table three doctors three nine-hour shifts Thur Fri Sat Trainees Committee Tues Wed Thur Wed Thur Fri weekend Zero hours Daytime Zero hours Zero