HOSPITALS which sanction junior doctors for shifts of more than 24 hours face penalties of up to €650,000, according to proposals aimed at settling their industrial dispute.
The sanctions could see a significant slice of a hospital's budget withheld until it complies with the rosters.
They are a key element of the deal worked out by the Labour Relations Commission. (LRC).
The junior doctor committee of the Irish Medical Organisation (IMO) is recommending acceptance of the deal, and a ballot will conclude on November 14.
It is expected to be accepted by members, lifting the threat of further cancellations of operations and appointments in the coming weeks.
The doctors wanted an end to shifts of more than 24 hours and the introduction of a 48-hour week in 2014.
The LRC document states that the financial sanctions would be based on different "bands" of hospital with ceilings of €225,000, €350,000 and €650,000.
The national director of acute hospitals Ian Carter will withhold an annual sum of €15m from the allocation to public hospitals from which the penalty could be taken.