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Agenda for Change. “The Ongoing Saga”. The story to the present. Agenda for Change. 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. NEED FOR CHANGE-PROBLEM.

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agenda for change

Agenda for Change

“The Ongoing Saga”

The story to the present

agenda for change2

Agenda for Change

  • 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

NEED FOR CHANGE-PROBLEM

Prepared for Thames Valley Cytology Society

agenda for change3

Agenda for Change

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

NEED FOR CHANGE-LOGISTICS

Prepared for Thames Valley Cytology Society

agenda for change4

Agenda for Change

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

NEED FOR CHANGE-HARMONISATION

Prepared for Thames Valley Cytology Society

agenda for change5

Agenda for Change

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

NEED FOR CHANGE-SOLUTION

Prepared for Thames Valley Cytology Society

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Agenda for Change

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

NEED FOR CHANGE-SOLUTION

Prepared for Thames Valley Cytology Society

agenda for change7

Agenda for Change

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

FOUR WORKING PARTIES

Prepared for Thames Valley Cytology Society

agenda for change8

Agenda for Change

This will determine a new “job weight”

for roles in the NHS and therefore

determine the rate of pay

JOB EVALUATION

Prepared for Thames Valley Cytology Society

agenda for change9

Agenda for Change

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

JOB EVALUATION

Prepared for Thames Valley Cytology Society

agenda for change10

Agenda for Change

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

JOB EVALUATION

Prepared for Thames Valley Cytology Society

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Agenda for Change

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

JOB EVALUATION

Prepared for Thames Valley Cytology Society

agenda for change12

Agenda for Change

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

JOB EVALUATION

Prepared for Thames Valley Cytology Society

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Agenda for Change

JOB EVALUATION-JOB WEIGHT

Prepared for Thames Valley Cytology Society

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Agenda for Change

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

JOB EVALUATION-PAY BAND WEIGHT

Prepared for Thames Valley Cytology Society

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Agenda for Change

  • Over 300 NHS jobs to be evaluated
  • Computerised system

JOB EVALUATION

Prepared for Thames Valley Cytology Society

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Agenda for Change

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

JOB EVALUATION-PROBLEM

Prepared for Thames Valley Cytology Society

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Agenda for Change

  • Matched against existing agreed profile
  • Local evaluation performed

JOB EVALUATION-REALLITY

Prepared for Thames Valley Cytology Society

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Agenda for Change

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

JOB EVALUATION-SALARY AGREED

Prepared for Thames Valley Cytology Society

agenda for change19

Agenda for Change

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

JOB EVALUATION-SALARY AGREED

Prepared for Thames Valley Cytology Society

agenda for change20

Agenda for Change

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

JOB EVALUATION-SALARY AGREED

Prepared for Thames Valley Cytology Society

agenda for change21

Agenda for Change

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

JOB EVALUATION-SALARY AGREED

Prepared for Thames Valley Cytology Society

agenda for change22

Agenda for Change

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

JOB EVALUATION-SALARY AGREED

Prepared for Thames Valley Cytology Society

agenda for change23

Agenda for Change

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

JOB EVALUATION-SALARY AGREED

Prepared for Thames Valley Cytology Society

agenda for change24

Agenda for Change

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

JOB EVALUATION-SALARY AGREED

Prepared for Thames Valley Cytology Society

agenda for change25

Agenda for Change

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

JOB EVALUATION-SALARY AGREED

Prepared for Thames Valley Cytology Society

agenda for change26

Agenda for Change

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

JOB EVALUATION-GRADE AGREED

Prepared for Thames Valley Cytology Society

agenda for change27

Agenda for Change

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

JOB EVALUATION-GRADE AGREED

Prepared for Thames Valley Cytology Society

agenda for change28

Agenda for Change

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

JOB EVALUATION-GRADE AGREED

Prepared for Thames Valley Cytology Society

agenda for change29

Agenda for Change

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

JOB EVALUATION-OUTSTANDING PROFILES

Prepared for Thames Valley Cytology Society

agenda for change30

Agenda for Change

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

JOB EVALUATION-OUTSTANDING PROFILES

Prepared for Thames Valley Cytology Society

agenda for change31

Agenda for Change

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

JOB EVALUATION-OUTSTANDING PROFILES

Prepared for Thames Valley Cytology Society

agenda for change32

Agenda for Change

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

JOB EVALUATION-OUTSTANDING PROFILES

Prepared for Thames Valley Cytology Society

agenda for change33

Agenda for Change

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

JOB EVALUATION-OUTSTANDING PROFILES

Prepared for Thames Valley Cytology Society

agenda for change34

Agenda for Change

Common for all staff

TERMS AND CONDITIONS

Prepared for Thames Valley Cytology Society

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Agenda for Change

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

HOURS OF WORK

Prepared for Thames Valley Cytology Society

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Agenda for Change

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

ANNUAL LEAVE

Prepared for Thames Valley Cytology Society

agenda for change37

Agenda for Change

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

ANNUAL LEAVE SUMMARY

Prepared for Thames Valley Cytology Society

agenda for change38

Agenda for Change

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

OVERTIME

Prepared for Thames Valley Cytology Society

agenda for change39

Agenda for Change

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

OVERTIME

Prepared for Thames Valley Cytology Society

agenda for change40

Agenda for Change

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

OVERTIME

Prepared for Thames Valley Cytology Society

agenda for change41

Agenda for Change

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

UNSOCIAL HOURS-DEFINITION

Prepared for Thames Valley Cytology Society

agenda for change42

Agenda for Change

  • 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%

UNSOCIAL HOURS-PAYMENT

Prepared for Thames Valley Cytology Society

agenda for change43

Agenda for Change

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

UNSOCIAL HOURS-DEFINITION

Prepared for Thames Valley Cytology Society

agenda for change44

Agenda for Change

  • 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%

UNSOCIAL HOURS-PAYMENT

Prepared for Thames Valley Cytology Society

agenda for change45

Agenda for Change

On call in most professions is not what is thought of as on call in Pathology

ON CALL

Prepared for Thames Valley Cytology Society

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Agenda for Change

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

ON CALL-PROTECTION

Prepared for Thames Valley Cytology Society

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Agenda for Change

Pay in high cost areas

TERMS AND CONDITIONS

Prepared for Thames Valley Cytology Society

agenda for change48

Agenda for Change

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

RECRUITMENT & RETENTION PREMIA-TYPE ONE (RRP)

Prepared for Thames Valley Cytology Society

agenda for change49

Agenda for Change

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

RECRUITMENT & RETENTION PREMIA-TYPE ONE (RRP)

Prepared for Thames Valley Cytology Society

agenda for change50

Agenda for Change

  • Short term Not pensionable
  • Normally time limited

RECRUITMENT & RETENTION PREMIA-TYPE TWO (RRP)

Prepared for Thames Valley Cytology Society

agenda for change51

Agenda for Change

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

SKILLS AND KNOWLEDGE FRAMEWORK

Prepared for Thames Valley Cytology Society

agenda for change52

Agenda for Change

  • 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

PAY PROGRESSION

Prepared for Thames Valley Cytology Society

agenda for change53
Agenda for Change

Prepared for Thames Valley Cytology Society

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Agenda for Change

January 2004 – April 2004

IMPLEMENTATION-TRIAL PERIOD

Prepared for Thames Valley Cytology Society

agenda for change55

Agenda for Change

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

IMPLEMENTATION-TRIAL SITES

Prepared for Thames Valley Cytology Society

agenda for change56

Agenda for Change

Fully funded by Treasury until 2008

IMPLEMENTATION-PAY

Prepared for Thames Valley Cytology Society

agenda for change57

Agenda for Change

If new Band contains old salary assimilate to next highest point on scale

ASSIMILATION-PAY

Prepared for Thames Valley Cytology Society

agenda for change58

Agenda for Change

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

ASSIMILATION -PAY

Prepared for Thames Valley Cytology Society

agenda for change59

Agenda for Change

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

ASSIMILATION -PAY

Prepared for Thames Valley Cytology Society

agenda for change60

Agenda for Change

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

SUMMARY

Prepared for Thames Valley Cytology Society

agenda for change61

Agenda for Change

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

OUTSTANDING ITEMS-SUMMARY

Prepared for Thames Valley Cytology Society

agenda for change62

Agenda for Change

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

OUTSTANDING ITEMS-SUMMARY

Prepared for Thames Valley Cytology Society

agenda for change63

Agenda for Change

[email protected]

COMMUNICATIONS-E-MAIL

Prepared for Thames Valley Cytology Society

agenda for change64

Agenda for Change

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

COMMUNICATIONS-DEPARTMENT OF HEALTH AGENDA FOR CHANGE WEB SITE

Prepared for Thames Valley Cytology Society

agenda for change65

Agenda for Change

Or just a new beginning?

THE END?

Prepared for Thames Valley Cytology Society

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