1. PayModernisation NHS Wales Working in Partnership 1 Job Planning Training Programme Draft January 2014

2. PayModernisation NHS Wales Working in Partnership 2 Module 3 Relevant Consultant Contract Terms and Conditions of Service

3. PayModernisation NHS Wales Working in Partnership 3 Consultant Contract  The following reflect some of the main TCS elements that affect job planning

4. PayModernisation NHS Wales Working in Partnership 4 The Working Week(1)  Average 37.5 hours  10 sessions of 3 to 4 hours each  Typically 7 sessions direct clinical care, 3 sessions supporting professional activities  Scope for flexible working  Additional/ external duties by agreement

5. PayModernisation NHS Wales Working in Partnership 5 The Working Week(2)  Fee paying work - no double payments  covers  Category 2, Family Planning fees etc.  But fee may be retained if carried out in uncontracted time eg domiciliary visits  or if minimal disruption eg post mortems  otherwise fee remitted to employer

6. PayModernisation NHS Wales Working in Partnership 6 The Working Week(3)  ‘Supporting professional activity’ sessions may be scheduled outside normal hours  Locations agreed in job planning  Exclusively devoted to NHS work  Additional sessions may be agreed

7. PayModernisation NHS Wales Working in Partnership 7 Flexibility  Allows flexible time-tabling eg  annualised hours  term time working  ‘consultant of the week’ arrangements  varying types of work or numbers of sessions at different times of year  To be agreed with the Consultant in light of service needs

8. PayModernisation NHS Wales Working in Partnership 8 Pay Progression  Salary scale comprises:  6 (annual) incremental points, then  8 Commitment Awards  available every three years after successful job plan reviews

9. PayModernisation NHS Wales Working in Partnership 9 Commitment Awards  Available once reach top of scale  Open to all consultants  Linked to satisfactory appraisal and job plan review  Depends on continued employment in NHS Wales  Overwhelming majority expected to achieve

10. PayModernisation NHS Wales Working in Partnership 10 Clinical Excellence Awards  Joint England & Wales scheme  except no local CEAs as in England  Four levels; bronze, silver, gold, platinum  Different eligibility criteria in Wales  Not dependent on previous Commitment Awards

11. PayModernisation NHS Wales Working in Partnership 11 Planned Additional Sessions  Where the Health Board/Trust requires, may be agreed  Will be voluntary  May be undertaken in uncontracted time  Payment to be locally agreed  In reality plain time rates

12. PayModernisation NHS Wales Working in Partnership 12 On Call / Emergency Work(1)  Regular and predictable work to be programmed into sessions on prospective basis  Average of 3 hours worked will be equivalent to 1 session in basic working week  If more than this, is on-call appropriate?

13. PayModernisation NHS Wales Working in Partnership 13 On Call / Emergency Work(2)  Former system for assessing intensity banding payments has continued  Three levels of payment depending on out- of-hours intensity banding formula

14. PayModernisation NHS Wales Working in Partnership 14 Other Features  Paid sabbaticals, up to three months  Private practice rules

15. PayModernisation NHS Wales Working in Partnership 15  End of Module 3