NHS modernisation programme hit by more delays

PUBLIC SECTOR

NHS modernisation programme hit by more delays

A radical shake-up pay arrangements in the health service has stalled once more. Initially, the government hoped that a new NHS-wide pay system would be implemented in April 2001 &#8212 a timescale which has proved to be, in the words of one seasoned NHS pay analyst, hopelessly optimistic .

A statement issued in November 2001 by the Department of Health said:

In view of the scale of investment required for pay reform, the Government has decided to leave final decisions on funding and implementation until after the 2002 spending review is announced. These decisions will be informed by an assessment of economic prospects which is not yet available.

The health department was somewhat coy in offering a completion date for the pay modernisation programme, although it stated that considerable progress had been made in the past year, particularly in developing the job evaluation scheme which will underpin the new pay structure.

Background

The government white paper Agenda for Change &#8212 Modernising the NHS Pay System , published in February 1999, set out proposals for sweeping changes to health workers' pay. Up for discussion are team bonuses and career progression based on responsibility, competence and satisfactory performance .

Proposals for modernising NHS pay

National pay spines

Creation of three new national pay spines to cover all NHS staff (for doctors nurses and professions allied to medicine and all other staff) to replace the plethora of existing pay scales.

National minimum pay thresholds

Setting of national minimum pay thresholds for certain roles (for example, newly qualified professional ). But, in general, there would be a move away from national grades employers would decide locally where to place each post on the pay spine.

Job evaluation

A single, unified job evaluation scheme against which all NHS jobs could be assessed.

Progression

Move away from automatic, service-based increments to progression based on competencies, responsibilities and performance.

Team bonuses

Consideration of ways of rewarding team performance through bonuses.

Pay awards

A national framework for determining pay uplift, with the two review bodies continuing as at present and a single pay negotiating forum to cover all other staff.

Terms and conditions

Core conditions of service to be overhauled and laid down nationally, with other terms and conditions to be negotiated locally.

 

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Posted 21 January 2002