Agenda for Change

1
Agenda for Change

• The Ongoing Saga

The story to the present
2
Agenda for Change

• NEED FOR CHANGE-PROBLEM

• Poor pay is endemic in the NHS
• The system had not kept pace with changes in
  clinical practice
• Employers were eroding clinical grading criteria
• Equal pay challenges

3
Agenda for Change

• NEED FOR CHANGE-LOGISTICS

• 1.3 million employees
• Approximately 500 different occupations
• Infinite variation in terms and conditions

4
Agenda for Change

• NEED FOR CHANGE-HARMONISATION

• Terms and conditions
• Working hours
• Annual leave, sick pay, overtime
• Unsocial hours payments

5
Agenda for Change

• NEED FOR CHANGE-SOLUTION

• Spine 1 Doctors and Dentists
• Spine 2 Nurses, and other Professions
• Spine 3 Rest mainly clerical, maintenance
  and ancillary staff

6
Agenda for Change

• NEED FOR CHANGE-SOLUTION

• Under social partnership
• Trade unions and staff side bodies involved at
  every stage
• Four working parties

7
Agenda for Change

• FOUR WORKING PARTIES

• Job Evaluation
• Terms and conditions
• Career progression
• Implementation

8
Agenda for Change

• JOB EVALUATION

This will determine a new job weight for roles
in the NHS and therefore determine the rate of
pay
9
Agenda for Change

• JOB EVALUATION

• Establishes relativities between roles
• Measures role not people
• Based on the demands of the role

10
Agenda for Change

• JOB EVALUATION

• It is not mystical
• It is not scientific
• It is not an assessment of performance
• It is not a measurement of workload

11
Agenda for Change

• JOB EVALUATION

• It is logical
• It is consistent
• It is systematic
• It is transparent

12
Agenda for Change

• JOB EVALUATION

• Post holder completes questionnaire
• Post analyst interviews
• Evaluation against scheme rules
• Checked against national and local posts

13
Agenda for Change

• JOB EVALUATION-JOB WEIGHT

14
Agenda for Change

• JOB EVALUATION-PAY BAND WEIGHT

1 0-160 7 466-539 2 161-215 8a 540-584 3
216-270 8b 585-629 4 271-325 8c 630-674 5
326-395 8d 675-720 6 396-465
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Agenda for Change

• JOB EVALUATION

• Over 300 NHS jobs to be evaluated
• Computerised system

16
Agenda for Change

• JOB EVALUATION-PROBLEM

• If appropriate benchmarks not agreed nationally
  the DOH intend to sort out at early
  implementation
• Local appeals only

17
Agenda for Change

• JOB EVALUATION-REALLITY

• Matched against existing agreed profile
• Local evaluation performed

18
Agenda for Change

• JOB EVALUATION-SALARY AGREED

• Biomedical Support Worker
• MLA
• 9,619-13,397
• Band 2
• 11,148-13,832

19
Agenda for Change

• JOB EVALUATION-SALARY AGREED

• Biomedical Support Worker Higher Level
• MLA
• 9,619-13,397
• Band 3
• 12,852-15,381

20
Agenda for Change

• JOB EVALUATION-SALARY AGREED

• Cytology Screener
• Trainee Cytology Screener
• 10,184-10,506
• Band 3
• 12,450-14,900

21
Agenda for Change

• JOB EVALUATION-SALARY AGREED

• Cytology Screener Higher Level
• Cytology Screener
• 12,027-17,761
• Band 4
• 14,550-17,500

22
Agenda for Change

• JOB EVALUATION-SALARY AGREED

• Newly qualified BMS
• MLSO1
• 16,302-19,835
• Band 5
• 17,548-22,710

23
Agenda for Change

• JOB EVALUATION-SALARY AGREED

• BMS Team Leader
• MLSO1 with/without scale advancements
• 19,835-22,307
• Band 6
• 20,955-28,387

24
Agenda for Change

• JOB EVALUATION-SALARY AGREED

• BMS Section Manager
• MLSO2
• 20,622-29,355
• Band 7
• 25,290-33,342

25
Agenda for Change

• JOB EVALUATION-SALARY AGREED

• Professional Managers
• MLSO3-4
• 26,097-38,626
• Band 8a-8d
• 32,258-67,096

26
Agenda for Change

• JOB EVALUATION-GRADE AGREED

• Director of Pathology
• Above Band 8d
• Greater than 67,096

27
Agenda for Change

• JOB EVALUATION-GRADE AGREED

• Clerk/Typist
• Data Entry Clerk
• Personal Secretary
• Band 2 (11,148-13,832)

28
Agenda for Change

• JOB EVALUATION-GRADE AGREED

• Medical Secretary/Personal Secretary higher
  level
• Band 3 (12,852-15,381)
• Medical Secretary higher level
• Band 4 (15,019-18,064)

29
Agenda for Change

• JOB EVALUATION-OUTSTANDING PROFILES

• Assistant Practitioner Biomedical Science
• Specialist BMS
• Highly Specialist BMS
• Consultant BMS

30
Agenda for Change

• JOB EVALUATION-OUTSTANDING PROFILES

• Assistant Practitioner Biomedical Science
• MLA
• 9,619-13,397
• Band 4
• 14,550-17,500

31
Agenda for Change

• JOB EVALUATION-OUTSTANDING PROFILES

• Specialist BMS
• MLSO1
• 16,302-19,835
• Band 6
• 20,955-28,387

32
Agenda for Change

• JOB EVALUATION-OUTSTANDING PROFILES

• Higher Specialist BMS
• MLSO2
• 20,622-29,355
• Band 7
• 25,290-33,342

33
Agenda for Change

• JOB EVALUATION-OUTSTANDING PROFILES

• Consultant BMS
• Advanced Practitioner
• 38,628-52,867
• Band 8c-8d
• 45,213-67,096

34
Agenda for Change

• TERMS AND CONDITIONS

Common for all staff
35
Agenda for Change

• HOURS OF WORK

• Currently 37 hours per week
• Proposed 37.5 hours per week

36
Agenda for Change

• ANNUAL LEAVE

• New starters 27 days 8 public holidays
• After 5 years 29 days 8 public holidays
• After 10 years 33 days 8 public holidays

37
Agenda for Change

• ANNUAL LEAVE SUMMARY

• No extra leave for higher grading
• Few Pathology staff worse off
• Some staff to gain up to 8 extra days.

38
Agenda for Change

• OVERTIME

• BMS1, Support staff Cytology Screener(Up to new
  Band 7)
• Currently Time and a half and double time
  for public holidays
• Proposed As above

39
Agenda for Change

• OVERTIME

• BMS2(Up to new Band 7)
• Currently Normal hourly rate only
• Proposed Time and a half and double time for
  public holidays

40
Agenda for Change

• OVERTIME

• BMS 3 4 (if Band 8 or greater)
• Proposed No extra payment

41
Agenda for Change

• UNSOCIAL HOURS-DEFINITION

• Bands 1-7
• Proposed Before 7am after 7pm Monday-Friday
• Any time Saturday or Sunday
• Public holidays

42
Agenda for Change

• UNSOCIAL HOURS-PAYMENT

• Bands 1-7
• Proposed Less
  than 5 hours Local agreement More than 5 hours
  9 More than 9 hours 13
  More than 13 hours 17 More
  than 17 hours 21 More than 21 hours
  25

43
Agenda for Change

• UNSOCIAL HOURS-DEFINITION

• Band 8
• Proposed Before 7am or after 10pm
  Monday-Friday
• Before 9am or after 1pm Saturday or
  Sunday
• Public holidays

44
Agenda for Change

• UNSOCIAL HOURS-PAYMENT

• Band 8
• Proposed Less
  than 5 hours Local agreement More than 5 hours
  9 More than 9 hours 10
  More than 13 hours 10 More
  than 17 hours 10 More than 21 hours
  10

45
Agenda for Change

• ON CALL

On call in most professions is not what is
thought of as on call in Pathology
46
Agenda for Change

• ON CALL-PROTECTION

All existing local arrangements will be
protected for up to 4 years
47
Agenda for Change

• TERMS AND CONDITIONS

Pay in high cost areas
48
Agenda for Change

• RECRUITMENT RETENTION PREMIA-TYPE ONE (RRP)

• Long term Pensionable
• Taken into account for overtime, on call
  etc
• May be national

49
Agenda for Change

• RECRUITMENT RETENTION PREMIA-TYPE ONE (RRP)

• Long term
• Chaplains Cytology Screeners Dental
  Technicians Estates Works Officers MLSOs
  Pharmacists Qualified MTOs Qualified
  Perfusionists Qualified Midwives

50
Agenda for Change

• RECRUITMENT RETENTION PREMIA-TYPE TWO (RRP)

• Short term Not pensionable
• Normally time limited

51
Agenda for Change

• SKILLS AND KNOWLEDGE FRAMEWORK

• Common description of the skills and knowledge
  applied across NHS posts
• Applicable and transferable across the NHS

52
Agenda for Change

• PAY PROGRESSION

• Gateways
• No later than 12 months
• Band 1 Before final point
• Bands 2-4 Before first of last 2 points
• Bands 5-7 Before first of last 3 points
• Band 8 Before final point

53
Agenda for Change
54
Agenda for Change

• IMPLEMENTATION-TRIAL PERIOD

January 2004 April 2004
55
Agenda for Change

• IMPLEMENTATION-TRIAL SITES

James Paget Guy St Thomas Sunderland Hosp
Papworth Hosp Aintree Hospitals Avon Mental
Health SW London St Georges Mental
Health W Kent Social Care Hereford Primary
Care Central Cheshire
Primary Care NE Ambulance Service
E Anglia
Ambulance
56
Agenda for Change

• IMPLEMENTATION-PAY

Fully funded by Treasury until 2008
57
Agenda for Change

• ASSIMILATION-PAY

If new Band contains old salary assimilate to
next highest point on scale
58
Agenda for Change

• ASSIMILATION -PAY

• If new salary is lower than old salary
  protection till 2011
• Till 2010 for early implementers
• Use of long term RRP

59
Agenda for Change

• ASSIMILATION -PAY

• If new Band minimum is higher than present scale
  will assimilate at no more than 4 per year
• Temporary points on Band

60
Agenda for Change

• SUMMARY

• It is an overall package
• Pay Review Body groups extended

61
Agenda for Change

• OUTSTANDING ITEMS-SUMMARY

• More Job profiles
• Pathology 11 now agreed (Plus non-medical
  Director of Pathology)
• On-call

62
Agenda for Change

• OUTSTANDING ITEMS-SUMMARY

• Skills and knowledge framework
• Career progression eg Healthcare Scientists
• Recruitment Retention Premia

63
Agenda for Change

• COMMUNICATIONS-E-MAIL

david.houliston_at_rbch-tr.swest.nhs.uk
64
Agenda for Change

• COMMUNICATIONS-DEPARTMENT OF HEALTH AGENDA FOR
  CHANGE WEB SITE

• www.doh.gov.uk/agendaforchange
• www.modern.nhs.uk/agendaforchange

65
Agenda for Change

• THE END?

Or just a new beginning?