How to communicate and implement a total reward strategy

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1 How to communicate and implement a total reward strategy

2 Govt s pay strategy continued restraint (1% max rises over course of Parliament) Affordable workforce Affordable sustainable pay systems Maximum 1% pay increase per annum ( ) Targeted to support recruitment and retention Reform, modernised terms and conditions Total Reward to secure, retain and motivate the NHS workforce.

3 igears The 6 DH Policy Tests

4 Number of staff/categories of staff across the NHS England May 10 May 16 Full time equivalent and percentages Latest Change Latest Monthly Change May 10 - Monthly Change May 10 - May 16 Change (%) May 16 (%) Total 1,011,083 1,027,271 1, % 16, % Professionally qualified clinical staff 532, ,547-1, % 24, % HCHS doctors 94, , % 8, % Consultant (including Directors of Public Hea 35,880 43, % 7, % Associate Specialist 3,269 2, % % Specialty Doctor 3,883 6, % 2, % Staff Grade 1, % -1, % Specialty Registrar 28,039 28, % % Core Medical Training 5,945 7, % 1, % Core Dental Training 1, % % Foundation Doctor Year 2 6,167 6, % % Foundation Doctor Year 1 6,152 6, % % Hospital Practitioner / Clinical Assistant 1, % % Other and Unknown HCHS Doctor Grades 1, % % Nurses & health visitors 280, , % 3, % Midwives 19,478 21, % 1, % Ambulance staff 17,482 18, % 1, % Scientific, therapeutic & technical staff 119, , % 8, % Support to clinical staff 287, , % 18, % Support to doctors, nurses & midwives 224, , % 13, % Support to ambulance staff 13,184 14, % 1, % Support to ST&T staff 50,206 54, % 3, % NHS infrastructure support 187, ,896 1, % -26, % Central functions 92,827 78, % -14, % Hotel, property & estates 57,281 52,049 1, % -5, % Senior managers 11,719 9, % -2, % Managers 25,522 20, % -4, % Other staff or those with unknown classification 3,551 4, % % Copyright 2016 Health and Social Care Information Centre. All rights reserved

5 Providers and commissioners of NHS s There are currently in England: 209 clinical commissioning groups (including 199 now authorised without conditions) 137 acute non-specialist trusts (including 85 foundation trusts) 17 acute specialist trusts (including 16 foundation trusts) 56 mental health trusts (including 43 foundation trusts) 37 community providers (12 NHS trusts, 6 foundation trusts and 19 social enterprises) 10 ambulance trusts (including 5 foundation trusts) 7,875 GP practices 853 for-profit and not-for-profit independent sector organisations, providing care to NHS patients from 7,331 locations

6 Components of NHS Reward scheme

7 Total Reward Packages for Employed Doctors, Dentists and NHSPRB staff Doctors and Dentists NHSPRB staff Annual incremental progression 7% of basic salary Between 1% and 6.7% of basic salary Defined benefit pension scheme 14,3% employer contribution + early retirement options from 55 years old 14.3% employer contribution + early retirement options from 55 years old Annual leave days (inclusive of bank holidays) Maximum 41 days (inclusive of bank holidays) Sick pay Up to six months full pay and six months half pay Up to six months full pay and six months half Redundancy Up to two year s salary Up to two year s salary pay Maternity pay 8 weeks full pay, 18 weeks half pay, 13 weeks statutory pay, optional 13 weeks unpaid leave 8 weeks full pay, 18 weeks half pay, 13 weeks statutory pay, optional 13 weeks unpaid leave Paternity leave 2 weeks starting 20 weeks after the child is born + 26 weeks if the mother has returned to work 2 weeks starting 20 weeks after the child is born + 26 weeks if the mother has returned to work

8 Comparison of Total Reward Package 70,000 60,000 50,000 Total Package Value 40,000 30,000 20,000 Value of excess holiday entitlement Difference NHS/SSP assuming 11.7 sick days per annum/ equivalent to observed avg sickness rate of 4.5% Employers Pension Costs 10,000 HCAS Overtime/other allowances 0 Outside London Inner London Outside London Inner London Outside London Inner London Band 5 Nurse one years Band 5 Nurse one years Band 6 Nurse Band 6 Nurse Band 2 HCA Band 2 HCA

9 Value of Benefits as a Proportion of Total Reward Package %age of total reward package 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Value of excess holiday entitlement Difference NHS/SSP assuming 11.7 sick days per annum/ equivalent to observed avg sickness rate of 4.5% Employers Pension Costs HCAS Overtime/other allowances Unsocial Hours 0% Outside London Inner London Outside London Inner London Outside London Inner London Band 5 Nurse one years Band 5 Nurse one years Band 6 Nurse Band 6 Nurse Band 2 HCA Band 2 HCA

10 Value of Doctors Reward Package 200, , , , , ,000 80,000 Value of other Benefits Employers Pension Conts Other Pay Basic Pay 60,000 40,000 20,000 0 Consultant (14 years seniority) SPR (5 Years in) F2 doctor

11 Doctors Reward Package as a Percentage 100% 90% 80% 70% 60% 50% 40% Value of other Benefits Employers Pension Conts Other Pay Basic Pay 30% 20% 10% 0% Consultant (14 years seniority) SPR (5 Years in) F2 doctor

12 Average Earnings Growth by Sector and HCHS: Time Series and Forecasts

13 Estimated public-private hourly pay differential

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