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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


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  1. Agenda for Change “The Ongoing Saga” The story to the present

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. Agenda for Change • Job Evaluation • Terms and conditions • Career progression • Implementation FOUR WORKING PARTIES Prepared for Thames Valley Cytology Society

  8. 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

  9. 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

  10. 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

  11. Agenda for Change • It is logical • It is consistent • It is systematic • It is transparent JOB EVALUATION Prepared for Thames Valley Cytology Society

  12. 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

  13. Agenda for Change JOB EVALUATION-JOB WEIGHT Prepared for Thames Valley Cytology Society

  14. 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

  15. Agenda for Change • Over 300 NHS jobs to be evaluated • Computerised system JOB EVALUATION Prepared for Thames Valley Cytology Society

  16. 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

  17. Agenda for Change • Matched against existing agreed profile • Local evaluation performed JOB EVALUATION-REALLITY Prepared for Thames Valley Cytology Society

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. Agenda for Change • Director of Pathology • Above Band 8d • Greater than £67,096 JOB EVALUATION-GRADE AGREED Prepared for Thames Valley Cytology Society

  27. 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

  28. 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

  29. Agenda for Change • Assistant Practitioner Biomedical Science • Specialist BMS • Highly Specialist BMS • Consultant BMS JOB EVALUATION-OUTSTANDING PROFILES Prepared for Thames Valley Cytology Society

  30. 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

  31. 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

  32. 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

  33. 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

  34. Agenda for Change Common for all staff TERMS AND CONDITIONS Prepared for Thames Valley Cytology Society

  35. Agenda for Change • Currently 37 hours per week • Proposed 37.5 hours per week HOURS OF WORK Prepared for Thames Valley Cytology Society

  36. 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

  37. 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

  38. 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

  39. 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

  40. Agenda for Change • BMS 3 & 4 (if Band 8 or greater) • Proposed No extra payment OVERTIME Prepared for Thames Valley Cytology Society

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. Agenda for Change All existing local arrangements will be protected for up to 4 years ON CALL-PROTECTION Prepared for Thames Valley Cytology Society

  47. Agenda for Change Pay in high cost areas TERMS AND CONDITIONS Prepared for Thames Valley Cytology Society

  48. 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

  49. 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

  50. Agenda for Change • Short term Not pensionable • Normally time limited RECRUITMENT & RETENTION PREMIA-TYPE TWO (RRP) Prepared for Thames Valley Cytology Society