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Nhs Pay Modernisation In England
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Book Synopsis NHS Pay Modernisation in England by : Great Britain. National Audit Office
Download or read book NHS Pay Modernisation in England written by Great Britain. National Audit Office and published by The Stationery Office. This book was released on 2009 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: The NHS has successfully transferred 1.1 million NHS employees on to a new simplified pay system. This was a substantial task which the NHS, in partnership with the trade unions, achieved in a short timescale. There are some examples of NHS trusts using Agenda for Change to help introduce new roles. But the Department of Health did not put enough emphasis on getting trusts to develop these new ways of working to secure the full benefits from the new pay system, so the programme is not yet achieving the intended value for money. Agenda for Change has reduced pay administration in the NHS, simplified pay negotiations and made it easier to estimate staff costs and monitor budgets. The NAO estimates that for 2007-08 the £28 billion NHS paybill is broadly similar to what it might have been if the programme had not been implemented. The Department predicted that Agenda for Change would save at least £1.3 billion by 2008-09 and productivity would increase, but it did not put in place any central monitoring arrangements to show what impact the new contract has had on productivity. The only productivity measure available for the NHS as a whole shows that productivity continued to fall when Agenda for Change was introduced, though the rate has since slowed. A key element of Agenda for Change, the Knowledge and Skills Framework, which defines the skills needed for a certain role and provides a tool for reviewing their use in the workplace, has not yet been fully implemented by many trusts. Effective use of the Framework is fundamental to achieving the full benefits of Agenda for Change.
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215532268 Total Pages :44 pages Book Rating :4.5/5 (322 download)
Book Synopsis NHS pay modernisation in England by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book NHS pay modernisation in England written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2009-06-18 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Agenda for Change, the pay modernisation programme for 1.1 million NHS staff in England, representing a pay bill of £28 billion in 2007-08, was implemented between December 2004 and December 2006. It covered all NHS staff, except doctors, dentists and senior managers. Agenda for Change introduced a job evaluation scheme and harmonised employment terms and conditions for the multitude of jobs within the NHS. A key part of the programme is a process for encouraging staff development and improving staff performance known as the Knowledge and Skills Framework. Agenda for Change was expected to bring about new ways of working which would contribute to improved patient care and to more efficient delivery of services. Total savings of £1.3 billion over the first five years were predicted. These were to come from improvements in productivity of 1.1 to 1.5 per cent a year, reductions in equal pay claims, reduced use of agency staff and more controllable pay costs. The Department and NHS Trusts did not establish ways of measuring the effects of Agenda for Change and there is no active benefits realisation plan. The NHS pay bill for the staff covered by Agenda for Change has risen by 5.2 per cent a year on average since 2004-05 while productivity fell by 2.5 per cent a year on average between 2001 and 2005. By autumn 2008 (nearly two years after Trusts had completed transferring staff to Agenda for Change terms and conditions and pay rates) only 54 per cent of staff had had a knowledge and skills review.
Book Synopsis NHS pay modernisation in England by : Tim Burr
Download or read book NHS pay modernisation in England written by Tim Burr and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Government is committed to conducting impact assessments on new regulations. An NAO report shows that scrutiny of proposed legislation is strengthening. But 20% of assessments did not include any quantified data to assess costs or benefits. The Knowledge and Skills Framework has not been realised by many trusts.
Book Synopsis NHS pay modernisation by : Great Britain: National Audit Office
Download or read book NHS pay modernisation written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2008-02-28 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year general medical practices provide some 290 million consultations. The new contract (implemented in April 2004 but increased spending began in April 2003) changed the basis for commissioning primary care services. Instead of contracting with individual General Practitioners (GPs), Primary Care Trusts (PCTs) commission services from some 8,325 GP practices with around 33,000 GPs. This study examines the negotiation and implementation of the new contract and how well it is working in practice. In the first three years the PCTs spent £1.76 billion (9.4 per cent) more than the minimum committed by the Department of Health. Mostly this was due to an underestimation of the amount that GPs would earn from the pay for performance scheme, the Quality and Outcomes Framework (QOF), and the additional cost of providing out-of-hours care (most GPs have opted out of providing this service). GPs' salaries have increased by an average of 58 per cent. Practice nurses have not benefited to the same extent. While the number of consultations with patients has increased, these are not in proportion with the increase in costs, and productivity has fallen by 2.5 per cent per year. GPs are working less hours. Some progress has been made in extending the range of patient services, reduced administration, high quality care and linking pay and performance, and staff satisfaction and morale. Progress has not yet been demonstrated in productivity, and re-designing the services around patients. The contract has contributed to improved recruitment and retention of GPs. The NAO recommends that the Department develop a strategy for yearly negotiations on the QOF, which should be based more on health outcomes. PCTs should provide more services based on local need and review the number and skills of staff employed to commission and performance manage GP services with the aim of improving local commissioning.
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215037299 Total Pages :44 pages Book Rating :4.0/5 (372 download)
Book Synopsis Pay modernisation by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book Pay modernisation written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2007-11-22 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: In October 2003, the Department of Health (the Department) agreed a new national contract for NHS medical consultants in England. This report examines the contract negotiation; the cost implications; the effectiveness of the implementation process; and the extent to which the expected benefits for patients and the NHS had been realised. It was intended that employers would get greater control and management of their consultants' workload, and patients would benefit from a more flexible and responsive service. The Department hoped to reward consultants who made the biggest contribution to NHS work and reduce the average number of hours worked, in exchange for increased productivity. These benefits were dependent on a mandatory and rigorous process of workload planning for individual consultants (job planning). The implementation of the contract was rushed and the NHS has yet to see many of the intended benefits. Over the first three years, the Department allocated an additional £715 million to NHS trusts which was £150 million more than originally estimated. Although consultants' pay has, on average, increased by 27 per cent (from £86,746 to £109,974) and their working hours have decreased, there are no measurable improvements in productivity. The Department has succeeded in increasing the number of consultants working in the NHS, from 28,750 in October 2003 to 31,990 by September 2005, but the number of hours consultants work in private practice has neither increased nor significantly decreased. Other intended benefits have not been realised: for example the proportion of time consultants spend on direct clinical care is less than intended, and the contract has not been used to extend and develop new services for patients.
Book Synopsis The Modernisation of the Public Services and Employee Relations by : Stephen Bach
Download or read book The Modernisation of the Public Services and Employee Relations written by Stephen Bach and published by Bloomsbury Publishing. This book was released on 2011-09-29 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Modernisation of the Public Services and Employee Relations provides an integrated and up-to-date account of changes in work and employment in the public services. The book examines a range of different sectors focusing on core public services, especially local government, the NHS and the civil service.
Book Synopsis Nhs Pay Modernisation by : House of Commons
Download or read book Nhs Pay Modernisation written by House of Commons and published by The Stationery Office. This book was released on 2008-10-31 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis 24 Hours to Save the NHS by : Nigel Crisp
Download or read book 24 Hours to Save the NHS written by Nigel Crisp and published by Oxford University Press. This book was released on 2011-09-15 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: '24 hours to save the NHS' is the inside story written by the man with unprecedented authority as both Chief Executive of the NHS and Permanent Secretary of the Department of Health. It describes the successes and failures as well as the pressures and the difficulties of making improvements in the 4th biggest organization in the world.
Book Synopsis Market-facing Pay by : NHS Pay Review Body
Download or read book Market-facing Pay written by NHS Pay Review Body and published by The Stationery Office. This book was released on 2012-12-05 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report considers how to make pay more market-facing in local areas for NHS Agenda for Change (AfC) staff and recommends market-facing pay to support recruitment and staff retention. The AfC system is perceived as fair and objective by all parties, supports stable industrial relations, and is viewed as compliant with equal pay principles. Analysis does not provide firm evidence for further investment in additional market -facing pay in the NHS at this time and further development of AfC is needed to meet the challenges and cost pressures in the NHS. AfC is considered the appropriate vehicle through which to develop market-facing pay as it already has positive features for it. The Review Body therefore specifically recommends a fundamental review of high cost area supplements, appropriate use of local recruitment and retention premia, and regular review of AfC, including its flexibilities, with any necessary negotiations brought to a conclusion at a reasonable pace
Book Synopsis The Quality and Outcomes Framework by : Stephen Gillam
Download or read book The Quality and Outcomes Framework written by Stephen Gillam and published by CRC Press. This book was released on 2018-05-08 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Quality and Outcomes Framework has deeply divided UK general practitioners. I commend this book and applaud its determination to scrutinise every aspect of the Quality and Outcomes Framework - good and bad and in-between. - From the Foreword by Iona Heath General practice in the UK faces transformation following the introduction of the Quality & Outcomes Framework (QOF), a pay-for-performance scheme unprecedented in the NHS, and the most comprehensive scheme of its kind in the world. Champions claim the QOF advances the quality of primary care; detractors fear the end of general practice as we know it. The introduction of the QOF provides a unique opportunity for research, analysis and reflection. This book is the first comprehensive analysis of the impact of the QOF, examining the claims and counter-claims in depth through the experience of those delivering QOF, comparisons with other countries, and analysis of the wealth of research evidence emerging. Assessments of the true impact of QOF will influence the development of health services in the UK and beyond. This book is essential reading for anyone with an interest in the future of general practice and primary care, including health professionals, trainers, students, MRCGP candidates and researchers, managers, and policy-makers and shapers.
Book Synopsis Industrial Relations by : Trevor Colling
Download or read book Industrial Relations written by Trevor Colling and published by John Wiley & Sons. This book was released on 2010-09-07 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: This revised edition of Industrial Relations: Theory and Practice follows the approach established successfully in preceding volumes edited by Paul Edwards. The focus is on Britain after a decade of public policy which has once again altered the terrain on which employment relations develop. Government has attempted to balance flexibility with fairness, preserving light-touch regulation whilst introducing rights to minimum wages and to employee representation in the workplace. Yet this is an open economy, conditioned significantly by developing patterns of international trade and by European Union policy initiatives. This interaction of domestic and cross-national influences in analysis of changes in employment relations runs throughout the volume.
Book Synopsis Management of NHS hospital productivity by : Great Britain: National Audit Office
Download or read book Management of NHS hospital productivity written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2010-12-17 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Productivity in hospitals has been falling by around 1.4 per cent a year since 2000 whilst NHS expenditure has increased by over two thirds in ten years. The Department of Health has achieved significant improvements in such areas as waiting times, healthcare associated infection rates, patient outcomes, reduced cancer mortality and the patient experience. However, the NHS pay contracts introduced since 2003 have increased costs but are not always used effectively by hospitals to drive productivity improvements. The NHS needs to deliver between £15 billion and £20 billion of efficiency savings per year by 2013-14. Around 40 per cent of these savings are expected to come from increasing efficiency in hospitals, requiring productivity gains of approximately six per cent per annum. The 'Payment by Results' system of setting national tariffs has promoted some efficient practice, but there is still substantial variation between hospitals. If all hospitals performed at the level of the top 25 per cent in respect of staff costs, use of estate, control of emergency admissions and bed management, the NAO estimates that the NHS could save around £1.6 billion a year. The Department has launched a national initiative (QIPP) to help the NHS deliver annual savings of up to £20 billion. There are risks to the delivery of the initiative, which is the responsibility of Strategic Health Authorities and Primary Care Trusts, whose focus may be distracted by the proposals for their closure by 2013.
Book Synopsis The Economics of the UK Health and Social Care Labour Market by : Robert Elliott
Download or read book The Economics of the UK Health and Social Care Labour Market written by Robert Elliott and published by Oxford University Press. This book was released on 2024-03-06 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: Three million workers delivered health and social care in the UK in 2019, accounting for a tenth of the workforce. These frontline workers were the nurses, doctors, adult care workers, and Allied Health Professions that worked in our hospitals, GP practices, and care homes. Spending on this workforce is the largest single item of cost on health and social care, with fifty percent of the current spend of a typical UK hospital going on its frontline workforce. The Economics of the UK Health and Social Care Labour Market details the size, occupational composition, geographical coverage, and growth of this workforce. Here, Robert Elliott explains why people work in frontline care and what drives the demand for these workers, details the heavy dependence of UK health and social care on foreign trained workers and explores its consequences, and considers how the labour market for frontline workers operates, how these workers' pay is set, and what has happened to it in recent years. Elliott explores the reasons for the acute shortage of some key frontline occupations and explains why economic theory is essential to understanding the way this labour market works and to constructing coherent and effective policy. Finally, the book proposes policies to improve the efficiency of this market and to resolve the problems that currently plague it.
Download or read book Becoming a Nurse written by Derek Sellman and published by Routledge. This book was released on 2014-09-09 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt: The guidelines and skills required to become a nurse are always changing and it can be difficult to stay up-to-date with the current standards. This book has been specifically designed to address the main skills you need to meet NMC requirements. Becoming a Nurse will demystify what you need to know while preparing you to meet NMC standards and become a confident, practicing professional. This book is ideal for both pre-registration and practicing nurses. It is an excellent resource to prepare you for your programme or to refresh your knowledge of current NMC standards. User-friendly language describes the key NMC standards to Become a Nurse: · Personal and professional development · Professional and ethical practice · Care delivery · Care management · 17 overarching standards of the NMC. "More readable than texts on single topics such as ethics or management, it is also a better preparation for the accountability of Registration than clinically oriented books usually are. ... Would you recommend it? Resoundingly, yes."- Sue McBean, University of Ulster, THES, Feb 2010
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher : ISBN 13 :9780215523662 Total Pages :47 pages Book Rating :4.5/5 (236 download)
Book Synopsis NHS Pay Modernisation by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book NHS Pay Modernisation written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by . This book was released on 2008-10-09 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the 41st report (HC 463, NHS Pay Modernisation: New Contracts for General Practice Services in England) from the Committee of Public Accounts in the 2007-08 session, and follows an NAO report on the same topic (HC 307, session 2007-08), published in February 2008. There are around 33, 000 GPs who hold some 290 million consultations each year, with the services costing some £7.7 billion, which amounts to almost 10 per cent of NHS expenditure. In April 2004 a new GP contract was implemented that was intended to encourage more doctors into general practice through better pay and conditions. This report examines the contract negotiation, the cost implications, and the extent to which expected benefits for patients and the NHS are being realised. The Committee has set out a number of conclusions and recommendations, including: that the new contract cost some £1.8 billion more than planned; that there has been an increase of some 4,098 GPs working in primary care, but general practice productivity has decreased annually by an average of 2.5 per cent; many primary care trusts do not have the capability to use the new contracts to maximise benefits for patients; that such contracts have not led to improved services in deprived areas and that access to general practice services has not significantly improved overall; GP pay and the Quality and Outcomes Framework requires further improvements; that GP's partners' pay has increased on average by 58 per cent and not the 15 per cent originally expected.
Book Synopsis Taking the measure of government performance by : Great Britain: National Audit Office
Download or read book Taking the measure of government performance written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2010-07-14 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Good performance measurement frameworks show taxpayers what they are getting for their money and enable the Government to assess whether it is achieving its key objectives cost-effectively. In its final review of the quality of the data systems used by government departments to measure progress against Public Service Agreements (PSAs), the NAO concludes that the PSA framework provided a clear focus on the objectives that mattered for the then Government, and had gradually improved. The quality of data systems and of disclosures about measurement policies has risen: 58 per cent of PSA data systems, under 2007's Comprehensive Spending Review (CSR07), were fit for purpose, up from 30 per cent under the 2002 Spending Review. The NAO notes, however, that a third of CSR07 systems needed strengthening to improve controls or transparency and 10 per cent of systems were not fit for purpose. PSAs became progressively more focused on key priorities, and more clearly stated however they generally did not make clear the extent to which outcomes were the result of government activity. And financial information has been poorly linked with PSA indicators. The apportionment of annual departmental expenditure was not broken down by the indicators used to report progress and did not facilitate more in-depth analysis of the cost of progress. This hinders strategic decision-making because it is not clear what allocation of available resources could achieve the best overall results. The ability to link financial and performance information is particularly significant at a time when public sector budgets face severe cuts.
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215556851 Total Pages :44 pages Book Rating :4.5/5 (568 download)
Book Synopsis Management of NHS hospital productivity by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book Management of NHS hospital productivity written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2011-03-15 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Government spending on the NHS has increased by 70%, from £60 billion in 2000-01 to £102 billion in 2010-11., with around 40% spent on services provided by acute and foundation hospitals. There have been significant improvements in the performance of the NHS, particularly in those areas targeted by the Department of Health (the Department) such as hospital waiting times and outcomes for patients with cancer and coronary heart disease. But productivity has actually fallen over the last decade. The Office for National Statistics estimates that, since 2000, total NHS productivity fell by an average of 0.2% a year, and by an average of 1.4% a year in hospitals. The trend of falling productivity will need to be reversed if the NHS is to meet the Department's productivity challenge, to deliver up to £20 billion of efficiency savings a year, by 2014-15, without compromising services. The Payment by Results approach (a tariff for procedures) has driven some improvements, but it only covers 60% of hospital activity and there is substantial variation in hospital costs and activity. The tariff system could, though, prioritise price over quality. National pay contracts have not yet been used to manage staff performance effectively, and consultants' productivity has fallen at the same time as they have had significant pay rises. There are risks to the NHS being able to deliver up to £20 billion savings annually, for reinvestment in healthcare, alongside implementing a substantial agenda of reform. Productivity improvements will be key to delivering these savings.
