Very Senior Manager (VSM) Interim/Agency Requisition Form

Transcription

1 Very Senior Manager (VSM) Interim/Agency Requisition Form Information for the Person Completing the Requisition Please note that this form must be completed for all non-clinical agency/interim usage requests for any very senior manager roles (Band 8 and above) including extension to existing contract. Approval must be granted by the Workforce & OD Director before any agency fill is arranged. If the rate for the post is likely to be 100 per hour or above, 50% or more above NHSI price cap (see appendix 1) or over a daily rate of 750 per day, approval MUST be sought from the Chief Executive. The finance department operates a policy of No Powergate Order Number = No Payment so failure to seek approval prior to work being undertaken will result in a significant delay in payment. Approval is based on the following process: REQUISITION Line manager completes this form and submits to bfwh.workforce.panel@nhs.net for consideration at the following weekly workforce panel/executive Directors meetings and raises the powergate requisition at the same time. The powergate requisition will progress through the system up to workforce panel authorisation and then goes on hold pending the decision by Executive Directors. APPROVAL PAYMENT Workforce panel review the requisition and will seek further clarification if needed or forward for consideration at the next weekly Executive Director meeting for a decision. If the daily rate is likely to be 750 or more and/or the hourly rate is likely to be 100 or more, Chief Executive authorisation is required. The line manager will be notified of the outcome of the authorisation requisition by by the workforce panel administrator. When approved, the powergate order requisition is released to progress through the system and the powergate order number assigned which should be supplied to the agency for them to quote on the invoice submitted to Accounts Payable. Accounts Payable will pay invoices with powergate order numbers in line with Trust payment terms. Any invoices without a powergate order number will be rejected back to the agency concerned who will then contact the line manager who commissioned the agency worker/usage. The line manager will be expected to follow this process at that stage to obtain the powergate order number. Any extension to contracts previously approved via this process must be submitted as a new requisition. Guidance Notes for Completion of Impact Assessment: Please take note of the consequence levels when completing the Impact Assessment on this form and ensure these are reflective of the role being commissioned. Any assessments considered to be inflated for the role concerned will be queried by the workforce panel and as a result, will cause a delay in the decision making process. The Trust s risk assessment 1

2 scoring system is used for this part. If you require further guidance on how to complete, please contact To be completed by the line manager/budget holder: Name of Person completing this form: Role: Signature: Date: Details of Post Required Directorate Department Job title Comparable Pay Scale of Post Cost Centre Code Subjective Code of where cost will be charged Weekly Number of Hrs Required Is this an existing or new post? Date Required From: Specify Daily Rate or Rate per Hour End Date: (if unknown, indicate a review date) Specify TRAC number if this post relates to current recruitment activity Please provide the information for the following questions: Detail the circumstances which have prompted the need for agency/interim usage Why is an interim/agency appointment being made as opposed to a substantive or fixed term appointment? Detail what alternative measures/steps have been taken to fill this role prior to requesting agency/interim fill. Specifically, efforts made to recruit to this post on secondment from within the organisation or organisation LDP/ICP footprint must be described. If no action can be demonstrated here 2

3 the application is likely to be automatically rejected. Is this role inside IR35? Will you be using an agency on NHSI framework? Yes / No/ Don t know (If no or don t know is selected, the Trust needs to assess the role using the HMRC online employment tool) Yes / No What business critical tasks will the post holder undertake? Specify the longer term recruitment plan for this role and expected timescales if applicable Details how you have reached the decision that this is the best way to meet your business requirements. Include evidence of sourcing the best value and evidence of negotiation over rates. Detail how you have calculated their remuneration package, by reference (as relevant) to benchmarked costs, justification for the period of engagement required and evidence of the market engagement you have done to calculate the financial case. Detail any extra costs and estimated expenses Detail the basis of payment and why this will achieve best value, e.g. Does the contract propose a fixed fee, contingent fee, etc., and how will any risks within the payment structure be managed? Specify how this will be funded, i.e. be explicit as to whether from existing available funding or if any element of the spend will be a cost pressure 3

4 Complete the Impact Assessment Quality Patient Safety Patient Experience Clinical Effectiveness Impact on Activity/Income Impact on CIP programme Consequence (A) Likelihood (B) Total Risk Score (AxB) Rationale for Score Please complete the impact assessment using the scoring matrix below. BUDGET HOLDER DECLARATION I confirm that I am/am not* satisfied that all alternative options to cover the shift(s) have been considered and confirm that the cost of this booking will be within existing budget/will create a cost pressure to my budget*. I am/am not* delivering the required savings on CIP linked to my budget/there is no CIP saving linked to this budget*. (*Please delete as appropriate) Name Role Signature Date PLEASE SEND ALL COMPLETED FORMS TO bfwh.workforce.panel@nhs.net 4

5 YOUR REQUISITION WILL BE REVIEWED AT THE NEXT WEEKLY WORKFORCE PANEL AND CONSIDERED FOR APPROVAL AT THE FOLLOWING EXECUTIVE DIRECTOR WEEKLY MEETING. YOU WILL BE INFORMED OF THE DECISION FOLLOWING THIS. PLEASE DO NOT MAKE ANY ARRANGEMENTS FOR AGENCY FILL UNLESS YOU HAVE RECEIVED AUTHORISATION TO DO SO BY EXECUTIVE DIRECTORS. FAILURE TO DO SO WILL RESULT IN A DELAY TO THE PAYMENT OF THE INVOICE FOR THE WORK UNDERTAKEN AND THE AGENCY CONCERNED WILL BE REFERRED BACK TO YOU AS THE COMMISSIONING MANAGER. Executive Director Panel Decision: List Executive Panel members present: Approved* / Rejected* / More Information Requested CEO Signature (if day rate => 750 or hourly rate => 100 p.h.) Date of Meeting: Approved proceed to agency fill only via a framework agency* Rejected unable to fill with agency* (*delete as applicable) Workforce Panel Ref Number: Workforce Panel number should be included in the purchase order. Invoices without a workforce panel reference will not be paid. 5

6 Appendix 1 NHSI Price Caps 2018 Band 8a 8b 8c AfC annual salary 42,414 44,121 45,827 47,798 49,969 49,242 51,737 54,625 57,515 59,964 59,090 61,105 Shift type Price cap 50% or more above price cap sign-off and reporting threshold Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday

7 8d 63,966 68,256 71,243 70,206 73,132 76,707 80,606 85,333 84,507 88,563 92,814 97, ,506 Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday Day Night / Saturday Sunday / Bank Holiday