How to communicate and implement a total reward strategy

How to communicate and implement a total reward strategy

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 (2016-17 2019-20) Targeted to support recruitment and retention Reform, modernised terms and conditions Total Reward to secure, retain and motivate the NHS workforce.

igears The 6 DH Policy Tests

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 1,304 0.1% 16,188 1.6% Professionally qualified clinical staff 532,508 556,547-1,009-0.2% 24,039 4.5% HCHS doctors 94,742 103,537-333 -0.3% 8,794 9.3% Consultant (including Directors of Public Hea 35,880 43,668 65 0.1% 7,788 21.7% Associate Specialist 3,269 2,282-7 -0.3% -987-30.2% Specialty Doctor 3,883 6,207-5 -0.1% 2,323 59.8% Staff Grade 1,527 387-1 -0.1% -1,140-74.6% Specialty Registrar 28,039 28,259-242 -0.9% 220 0.8% Core Medical Training 5,945 7,674-41 -0.5% 1,730 29.1% Core Dental Training 1,556 778-11 -1.4% -778-50.0% Foundation Doctor Year 2 6,167 6,579-34 -0.5% 412 6.7% Foundation Doctor Year 1 6,152 6,330-24 -0.4% 178 2.9% Hospital Practitioner / Clinical Assistant 1,060 479-30 -5.9% -581-54.8% Other and Unknown HCHS Doctor Grades 1,263 892-3 -0.4% -371-29.4% Nurses & health visitors 280,950 284,652-428 -0.2% 3,702 1.3% Midwives 19,478 21,359-17 -0.1% 1,881 9.7% Ambulance staff 17,482 18,583 95 0.5% 1,101 6.3% Scientific, therapeutic & technical staff 119,855 128,415-327 -0.3% 8,560 7.1% Support to clinical staff 287,675 305,825 637 0.2% 18,149 6.3% Support to doctors, nurses & midwives 224,285 237,438 598 0.3% 13,153 5.9% Support to ambulance staff 13,184 14,371-78 -0.5% 1,187 9.0% Support to ST&T staff 50,206 54,016 117 0.2% 3,809 7.6% NHS infrastructure support 187,349 160,896 1,698 1.1% -26,453-14.1% Central functions 92,827 78,781 30 0.0% -14,046-15.1% Hotel, property & estates 57,281 52,049 1,562 3.1% -5,232-9.1% Senior managers 11,719 9,489 13 0.1% -2,230-19.0% Managers 25,522 20,578 93 0.5% -4,944-19.4% Other staff or those with unknown classification 3,551 4,003-22 -0.5% 452 12.7% Copyright 2016 Health and Social Care Information Centre. All rights reserved

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

Components of NHS Reward scheme

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 40-42 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

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

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

Value of Doctors Reward Package 200,000 180,000 160,000 140,000 120,000 100,000 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

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

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

Estimated public-private hourly pay differential