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Transcript of Job planning as a new consultant24 November 2006 Job planning as a new consultant Dr Mark Porter...
Job planning as a new consultant 24 November 2006
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 24 November 2006
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
Job planning as a new consultant 24 November 2006
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?
Job planning as a new consultant 24 November 2006
Sources of advice - AAGBI• The Association of
Anaesthetists published advice in June 2005
• Available for download at www.aagbi.org/
• Follow Publications Guidelines ‘Contract…’
Job planning as a new consultant 24 November 2006
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’
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
Reading advertisements• Total one week: 13 posts, 9 adverts
– 3 in BMJ, 2 in Hospital Doctor, 4 in both
Number of PAs 3
Number of SPAs 1
Number of lists or commitments 0
On call frequency 4
On call banding 0
Local variants e.g. APA, SPA location
0
National salary and TCS 3
n=9
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
Programmed ActivitiesDirect clinical careWork relating to prevention, Dx or Rx• Emergency work (including on-call)• Operating, ward rounds, clinics,
treatment sessions, MDM, public health, etc
• Admin. related to the above
Supporting PAsWork underpinning Clinical Care. • Training, education, teaching• CPD, Audit & Research• Job planning / Appraisal• Service Management• Local clinical governance
Typically 7.5 : 2.5 balance
(you should not accept less without careful consideration)
alsoAdditional NHS Responsibilities
Lead clinicianCollege tutoretc
External DutiesRoyal College / Spec. SocHMG / Trades Union etc
Job planning as a new consultant 24 November 2006
Rebalancing programmed activities
• Most consultants should “typically” average:
7.5 : 2.5Direct 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
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
Job plan – other agreements
• Other comments and agreements– Category 2– Flexibility of location
• Additional programmed activities and private practice
• A dotted line
Job planning as a new consultant 24 November 2006
Essential advice before starting
• Make sure you get good advice
• Contact your trade union representative– askBMA 0870 60 60 828– [email protected]– 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
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
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.
Job planning as a new consultant 24 November 2006
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
Job planning as a new consultant 24 November 2006
Any questions or points?