NHS pay - AfC

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    What is it?

    A Programme across the entire NHS designed to:

    Eliminate inconsistencies in pay

    Provide a Pay/Grade structure that isdemonstrably equal in application

    Describe routes for personal & careerdevelopment

    Develop a climate for service modernisation ofthe NHS

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    What is it?

    Undertake a comprehensive job evaluation for allidentified NHS Jobs exceptMedical Staff andSenior Management.

    As a result of the evaluation allocate all jobs to a pre-determined level in an Eleven grade structure.

    Provide for consistency in Terms & Conditions otherthan basic pay:- Shift Pay,

    On Call allowance, Holidays

    Working hours.

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    Where are Terms and Conditions setout?

    Agenda for Change Agreement

    Agenda for Change Terms & ConditionsHandbook

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    Pay Bands

    There are 9

    Although band 8 is split into 4 (8A, 8B, 8C and8D)

    Very few staff would ever reach band 9(politically impossible at BPL!)

    Different terms and conditions on band 8 e.g.

    no overtime; longer notice period etc.

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    AfC Payscales - 2005

    Pay bands

    Band 1 Band 2 Band 3 Band 4 Band 5 Band 6 Band 7 Band 8a Band 8b Band 8c Band 8d Band 9

    0 11,494.00 11,494.00 12,044.00 13,914.00 16,389.00 19,523.00 22,768.00 31,127.00 35,527.00 41,246.00 49,496.00 59,395.00

    1 11,879.00 11,879.00 12,539.00 14,739.00 17,049.00 20,458.00 24,198.00 32,117.00 36,957.00 43,336.00 51,695.00 61,870.00

    2 12,209.00 12,209.00 13,144.00 15,289.00 17,598.00 21,448.00 25,628.00 33,217.00 38,387.00 45,756.00 54,115.00 64,894.00

    3 12,539.00 12,539.00 13,694.00 16,004.00 18,698.00 22,328.00 26,948.00 34,372.00 40,036.00 48,176.00 57,745.00 68,194.00

    4 12,924.00 14,189.00 16,389.00 19,248.00 23,208.00 27,828.00 35,527.00 41,246.00 49,496.00 59,395.00 71,494.00

    5 13,309.00 14,739.00 16,994.00 19,798.00 24,198.00 28,817.00 36,957.00 43,336.00 51,695.00 61,870.00 74,925.00

    6 13,694.00 15,069.00 17,598.00 20,458.00 25,188.00 30,247.00 38,387.00 45,756.00 54,115.00 64,894.00 78,521.00

    7 14,189.00 15,509.00 18,148.00 21,118.00 26,068.00 31,127.00 40,036.00 48,176.00 57,745.00 68,194.00 82,291.00

    8 14,739.00 16,004.00 18,698.00 21,723.00 26,948.00 32,117.00 41,246.00 49,496.00 59,395.00 71,494.00 86,240.00

    9 16,389.00 19,248.00 22,328.00 27,828.00 33,217.00

    10 23,208.00 28,817.00 34,372.00

    11 24,198.00 30,247.00 35,527.00

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    Pay spines

    Two pay spines:

    Nurses and other professional staff = payreview body

    Other NHS staff = NHS Staff Council (similar toWhitley)

    Future differences?!

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    Transitional Points

    Used where the minimum of the newpay band is significantly higher than

    existing pay. Will be removed year on year

    Implications for pay of newly recruitedstaff

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    Process

    Job matchingto national profiles

    Job evaluationa 16 factor Job Analysis

    Questionnaire (JAQ) Both undertaken in partnership (a panel of

    3 or 4 where staffside must be equal or inthe majority)

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    Process

    BPL experience is that:

    Job matching is better for NHS standard postslike IT, Finance, Personnel

    Job evaluation is better for scientific andtechnical posts

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    Process

    Job evaluation AfC Job Evaluation is unusually complex. This coupled

    to the weighting given to the factors has resulted in arevaluation of some of the components that have beentraditionally rewarded .

    For example there is no value distinction between theresponsibility for a 10,000 budget and a 1m budget.Similarly HR responsibility for a department with 2people & 20 people carries no differential.

    This difference in weighting will alter some previouslyestablished differentials.

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    Process

    Identifies a number of different factorswhich all jobs require:-

    Knowledge & Experience. Complexity & Judgement

    Responsibilities

    Physical Effort. Dealing with People.

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    Process

    Factor Maximum Points

    Knowledge 200

    Complexity 140

    People Skills 100

    Responsibilities 140

    Physical Effort 70

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    Process

    Each factor level gives a score (e.g.Freedom to Act level 1 = 5 points, level 2 =12 points, Knowledge level 1 = 16 points)

    Some factors are more heavily weighted(have more points) than others (Knowledgeis most heavily weighted)

    Total score for job gives pay band (e.g. 300total points is in pay band 4)

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    ProcessAgenda for Change Job Evaluation System

    Factor Weightings

    Factor Total Available Points % of Total

    Communication 60 6

    Knowledge & Experience 240 24

    Analytical & Judgement 60 6

    Planning & Organisation 60 6

    Physical skill 60 6

    Patient & Client care 60 6

    Policy & Service

    Development 60 6

    Responsibility Finance

    and physical resources 60 6

    Responsibility HR 60 6

    Responsibility Information 60 6

    R&D 60 6

    Freedom to Act 60 6

    Physical Effort 25 2.5

    Mental Effort 25 2.5

    Emotional Effort 25 2.5

    Working Conditions 25 2.5

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    Process

    The JAQ

    The Key document ! 38 pages long.

    Covers all the Job Evaluation Factors

    When completing each section consider whatthe evaluators will be looking for.

    Important to include all aspects of your jobeven those that you may consider insignificante.g. use of keyboards.

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    Process

    Job matching

    Not very precise

    Assumes large numbers doing same or verysimilar job

    Not as time consuming as Job Evaluation butstill requires a significant time commitment

    May still require a Job Evaluation (if no match)

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    Process

    Results can be categorised into 4 maintypes :

    An increase in pay,An increase in pay with a Recruitment &

    Retention Premium

    Transfer to the Transitional Register ( with an

    increase in pay) Pay Protection.

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    Process

    Other outcomes:

    Grade compression

    Change in relative position, status anddifferentials

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    Incremental Dates-For staff assimilated or appointed to TransitionalPoints

    Existing staff Will retain existing incremental date (BPL didnt

    do this)

    New employees

    Will have incremental date at the anniversaryof starting

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    Temporary Movement into a higher pay band(Previously know as -acting -up)

    Normally at minimum of new pay band

    or

    If no pay increase would result, the firstpay point which would deliver anincrease

    Usually 1 - 6 months duration

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    Protection Provisions onAssimilation

    Pay protection based on:-

    - Average & combined previous earnings

    - Reference period - 12 weeks or 3

    months This means that staff will not receive an

    increase as a result of AfC and that theircurrent pay will be frozen until generalincreases to the AfC scales overtake theircurrent pay.

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    Protection continued

    Conditions protection based on

    - hours & annual leave entitlements

    - Prior to assimilation- After assimilation

    Key end date for both - 31 March 2011

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    High Cost Area Allowance

    High Cost Area supplements

    % of Basic Pay Minimum*Maximum*

    Inner London 20% 3,300 5,500

    Outer London 15% 2,750 3,850Fringe 5% 825 1,430

    *1st April 2005 rates

    Payment zones defined by;-

    PCT geographical boundaries

    NBS location postcodes. Post codes of essential home workers.

    Recruitment & Retention Premia

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    Recruitment & Retention Premia[RRP]

    Applied to posts in definedcircumstances.

    For recruitment and retention issuescaused by the external labour market

    Long or Short Term

    Payments will not exceed 30% A committee will decide if applicable

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    Unsocial Hours & On Call

    Both arrangements decoupled from AfC

    Certain elements of both types of arrangementswill be in accordance with AfC e.g. Sickness payments, Annual Leave entitlements &

    Overtime payments

    Both to be reviewed by March 2006

    O C ll & U i l H

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    On Call & Unsocial Hours

    On-call option to retain existing agreements (4yrs)

    or transfer to AfC payment (by agreement -

    by group)Frequency of On Call Payment % of basic

    pay

    1 in 3 or more frequent 9.5%

    1 in 6 but less than 1 in 3 4.5%

    1 in 9 or more but less than 1 in 6 3.0%

    Between 1 in 12 or more but less than 1 in 9 2.0%

    Less frequent than 1 in 12 By local agreement

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    Unsocial hours

    Enhancements (unsocial hours etc.)

    Existing enhancement & shift regimes

    continue Where none exists Nursing & Midwifery

    applies

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    Annual Leave

    Length of service Annual Leave +

    General Public Holidays

    On appointment 27 days + 8 days

    After 5 years service 29 days + 8 daysAfter 10 years service 33 days + 8 days

    There will be a protection period for 5

    years from 1st October 2004 for annualleave entitlements that exceed the newharmonised entitlements.

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    Review & Grievance Procedures

    Two new procedures often produced

    AfC Grievance Procedure

    AfC Review Procedure

    Both normally time limited and specifically forAssimilation process

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    Review continued

    An appeal may be lodged on the basis of process

    e.g. There was not a staff side representative present at yourjobs evaluation.

    That you feel that your job could be more accurately matched

    against another National Profile. An appeal can be made on on the basis that the evaluation panel

    did not understand some component of the job and consequentlyunderscored 1 or more of the factors.

    You cannot appeal simply because you dont like the result or

    because you think some other job is more highly valued thanyours.

    Finally scores can go down as well as up in a Review

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    Hours of WorkA standard working week of 37.5 hours excluding meals

    Current full time standard Protection arrangements

    hours Years from 01/12/04

    37 hours Three years on 37 hours

    36.5 hours Three years on 36.5 hoursOne year on 37 hours

    36 hours Three years on 36 hours

    Two years on 37 hours

    35 hours Four years on 35 hours

    two years on 36 hoursOne year on 37 hours

    33 hours Four years on 33 hours

    Two years on 35 hours

    One year on 37 hours

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    BPL outcomes

    90% staff no loss of pay

    60% staff a pay increase

    From 6.95 to 8,000 but 40% no further increments

    10% on pay protection (between 500 and13,000!)

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    KSF

    AfC also brings a new appraisal system

    Knowledge and Skills Framework

    Personal Development Review

    All pay bands have gateways (form ofcompetency / performance pay)

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    Useful Links

    nbsweb/supplemental/agenda_for_change/a_to_z_index/afc_handbook.pdf

    http://www.nhsemployers.org/KeepingInTouch/publications_paycirculars.asp

    www.doh.gov.uk

    www.modern.nhs.uk/agendaforchangehttp://

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    Any Questions?