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Access to less than full time working – improvements and concerns

Access to less than full time working – improvements and concerns. Jayn Ammantoola Chair, National Association of Medical Personnel Specialists Medical Personnel Specialist. Flexis – pros ‘n’ cons……. …Differences. What’s Different?. What happens now…

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Access to less than full time working – improvements and concerns

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  1. Access to less than full time working – improvements and concerns • Jayn Ammantoola Chair, National Association of Medical Personnel Specialists Medical Personnel Specialist Flexis – pros ‘n’ cons…….. …Differences

  2. What’s Different? • What happens now… • Dr Flexible arrives on the first day with no papers……. OR • Dr Flexible comes the Trust after having contacted the Flexible Dean, and has all the signatures and papers, working through a check list.

  3. Check List

  4. The junior doctor… • Must collect the signatures – applications should not take longer than 3 months to process. • They will need to find out who organises the rota patterns – HR / Medical Staffing / Directorate; • - and get the papers to them in advance. • Consultant needs to talk to Dr. • Timely return to work after maternity leave…….and 6 monthly rolling rotations. …

  5. The clinical tutor • …”education and service elements…..each component …allocated” • ..”funded at the level contracted for educational purposes” • How to designate this? • work with the doctor to organise the timetable.

  6. Sorting out the rota…. • …”identifying total hours of work, which will include out of hours….” • The agreement will include an assessment of intensity banding. • So, how to do this?

  7. What do the full timers do…. • 7 doctors doing a 1 in 7 non resident on call • Band 2B • Hybrid - Full shift and on call

  8. Just 3 steps…. • Step 1 – look at the full time pay and how much of that the flexible is doing • Step 2 – work out the supplement • Step 3 do all the sums Pay!

  9. The banding flowchart http://www.nhsemployers.org/PayAndConditions/doctors_in_training_including_gp_registrars.asp

  10. What do part timers do…. • Part time • only does the nights when they have done the days • Band FB

  11. Future…. • Part time • does 70% of all the nights, no matter whether on for that day or not • Band FA 1 weekend in 5

  12. On full shifts - • The full time doctors average 50 hours • Part time 3 ½ days • does 70% of all the nights • Band FA 1 weekend in 4 70% of 50 full time hours = 35 is F8 F8 is 80% of FBP 1 in 4 full shift is a Band FA (O.5) Supplement is 50% x Basic Basic = 0.8 x FBP Supplement = 0.5 x Basic Pay 0.8 x 0.5 x FBP = 0.40 x FBP Pay = (0.8 + 0.4) x FBP = 1.2 x FBP

  13. Monitoring • Currently, monitoring against the theoretical pattern for 7 doctors (1 in 7)with 2 flexis on slot share, checking 6 full timers, and the slot shares individually*. • Supernumerary – monitor against their individual pattern. • When to monitor – just after they start, one off monitoring…and again every 6 months….. • With 20% of workforce envisaged as flexible, additional analysis of monitoring ? • Software packages / PDAs etc to help • The normal monitoring mutual obligation applies.

  14. Dr Slot works 3 days per week M, T, W. 30 hours, FB 1 in 14 weekends Dr Share works for 3½ days a week T,W,Th,F. 36½ hours, FB 1 in 14 weekends… Slot shares –. 70% of 50 hours = 35 hours = F8, so basic is 0.8 x FBP Supplement is 40% of F8 Which is 0.4 x 0.8 = 0.32 Pay = (0.8 + 0.32) x FBP = 1.12 x FBP 60% of 50 hours full time = 30 hours = F7 so Basic pay is 0.7 x FBP Supplement for ON call = 1 in 14 with cover = FB, so that is 40% of F7, Which is 0.4 x 0.7 = 0.28 Pay = (0.7+0.28) x FBP = 0.98 x FBP

  15. Pay protection, etc • So, what happens to the trainees who are collecting signatures now? • The initial banding, worked out before starting, is the level of pay protection for those starting after the new pay start date. • Current trainees stay at their current band if it is higher, until the end of the post or placement ….is this CCST? …or just until next year?

  16. Final questions • Is it a good thing to rely on supernumerary trainees for rota compliance? • Access to flexible training is resource limited.. • Numbers of flexible trainees will double in the next 3-5 years…aim to increase the numbers over 5 years to 20% of trainees within all educational contracts… a trust with 50 / 100 / 300 junior doctors….(10, 20, 60) • Last – does payroll know?

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