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Job planning as a new consultant

Job planning as a new consultant. Dr Mark Porter FRCA Consultant anaesthetist, University Hospital Deputy chairman, BMA consultants committee. Job planning as a new consultant. Sources of advice The consultant contract Reading advertisements Reading job descriptions

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Job planning as a new consultant

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  1. Job planning as a new consultant Dr Mark Porter FRCA Consultant anaesthetist, University Hospital Deputy chairman, BMA consultants committee

  2. Job planning as a new consultant • Sources of advice • The consultant contract • Reading advertisements • Reading job descriptions • Reading contracts and job plans • When you start in a post • Reviewing your job plan • Question time

  3. A forty-minute seminar… • Can’t cover everything • Much advice in the public domain • Most of it is good advice • You’d prepare for the final FRCA, wouldn’t you?

  4. Sources of advice - AAGBI • The Association of Anaesthetists published advice in June 2005 • Available for download at www.aagbi.org/ • Follow • Publications • Guidelines • ‘Contract…’

  5. Sources of advice - BMA • The British Medical Association published advice in September 2004 • Available for download at www.bma.org.uk/ • Follow • Consultants • 2003 consultant contract • Job planning • Sample job plans are available • Also read the ‘Consultant Handbook May 2005’

  6. Sources of advice - CCIT • The NHS published advice in January 2005 • Available for download at www.wise.nhs.uk/ • Follow • Workforce themes • Retaining and developing staff • Pay and Reward • Implementing the consultant contract • Concise guide for consultants

  7. Documentation links • Consultant job planning diary www.consultantscommittee.info • Department of Health tinyurl.com/kyoml • NHS Employers tinyurl.com/g7u8r • NHS Modernisation Agency, ‘Effective job planning’ tinyurl.com/cazft • BMA guide to consultant job planning tinyurl.com/potue • Advisory Committee on Clinical Excellence Awards tinyurl.com/kz5a3 • Scottish Executive Health Department tinyurl.com/mutoh • Welsh Assembly tinyurl.com/lmsmt • DHSSPS Northern Ireland tinyurl.com/ny3yu

  8. What is a contract? • A contract of employment governs the relationship between the employee and the employer • Agreed and binding rules for work and pay

  9. Your contract of employment • A consultant contract comprises: • The governing laws • A written contract – the statement of particulars • Supporting Terms and Conditions of Service as amended from time to time • JNC(S): CCSC and NHS Employers • NHS Staff Council • A job plan and schedule of (weekly) commitments • And a reality check: what you do and what you are given in return

  10. New consultant contracts • Introduced over a period from October 2003 • Separate territorial contracts • New consultants offered new contracts • Most other consultants in most hospitals also now on new contracts • Usually with APAs • This makes comparison much easier than during the transition period

  11. Reading advertisements • Total one week: 13 posts, 9 adverts • 3 in BMJ, 2 in Hospital Doctor, 4 in both n=9

  12. Reading job descriptions • An actual proposed job plan (not the same thing) • Number of programmed activities • Number of lists and commitments • On call recognition • Local variations e.g. APA, SPA location • Essential skills • Desirable skills

  13. Reading contracts and job plans • Try to obtain these when visiting or enquiring • It is a leap of faith to sign up without them • Key points • Time allocated to list • preoperative + postoperative, all-day lists, 1.25 PAs per list? • Balance of DCC to SPA (7.5:2.5) • Objectives • Location of SPA • Treatment of private practice and pay progression

  14. Job plan – job content • Job content – where and when • Direct clinical care • Including predictable and unpredictable emergency work • Including patient-related administration • Supporting professional activities • Additional NHS responsibilities • External duties • Travel time • Accountability for contracted time

  15. Direct clinical care Work relating to prevention, Dx or Rx Emergency work (includingon-call) Operating, ward rounds, clinics, treatment sessions, MDM, public health, etc Admin. related to the above Supporting PAs Work underpinning Clinical Care. Training, education, teaching CPD, Audit & Research Job planning / Appraisal Service Management Local clinical governance Programmed Activities Typically 7.5 : 2.5 balance (you should not accept less without careful consideration) also External Duties Royal College / Spec. Soc HMG / Trades Union etc Additional NHS Responsibilities Lead clinician College tutor etc

  16. Rebalancing programmed activities • Most consultants should “typically” average: 7.5 : 2.5 Direct Clinical Care : Supporting activities • If your balance is different, you may need to reassess your current activities • If direct clinical care significantly exceeds 7.5 PAs this should be redressed or recognised during job planning • If supporting activities exceed 2.5PA, for example due to heavy admin or teaching duties, then this should be accounted for in the job plan • NOTE: for part-time consultants the ratio should normally be 2:1

  17. Job plan: objectives and resources • Availability supplement • rota and category • Objectives and how they will be met • Personal objectives (appraisal) • Service objectives • Supporting resources • Everything you need • Additional NHS responsibilities • External duties

  18. Job plan – other agreements • Other comments and agreements • Category 2 • Flexibility of location • Additional programmed activities and private practice • A dotted line

  19. Essential advice before starting • Make sure you get good advice • Contact your trade union representative • askBMA  0870 60 60 828 • askBMA@bma.org.uk • BMA regional offices employ advisors to check contracts • Check with the Local Negotiating Committee • But you must do some of the work yourself in order to get the best results • Good luck and welcome to the world of work

  20. Reviewing your job plan • Prepare in first year (interim if necessary) • Diaries – start one, but beware the ‘newbie effect’ • Read the advice again • AAGBI & BMA • All work agreed to be done must be recognised in the job plan • Collect data to make your case • Appraisal and personal development plan • SPA outputs – teaching & training, clinical governance • Account for clinical workload

  21. Putting your SPAs to good use • There’s more time available than you think. • 2003 consultant contract – 5, 6 and 7 lists. • Perhaps 2 or 2.5 days free of significant clinical commitment per week. • Need for professional satisfaction. • Finding a unique role. • Need to earn more money.

  22. Clinical excellence awards • A waiting list initiative is for Christmas, but a clinical excellence award is for life. • One CEA from age 40 to age 80 is worth £92,625. • Preparation starts on day 1. • Just like a tax return, only more lucrative. • ACCEA • http://tinyurl.com/kz5a3

  23. Any questions or points?

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