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National Clinical Staffing Framework
National Clinical Staffing Framework
Introductions
The Agenda
About NHS Collaborative Procurement Partnership Purpose of the day Price Caps for agency staffing Current position New National Clinical Staffing Framework Outline and scope of the new framework Timeline Tender specification
Specialism Pricing
Contract Advert Q&A Contact Information
About NHS Collaborative Procurement
Partnership (NHS CPP)
The NHS Collaborative Procurement Partnership (NHS CPP) is formed of four regional procurement hubs namely:
East of England NHS Collaborative Procurement
NHS London Procurement Partnership
NHS Commercial Solutions and
North of England Commercial Procurement Collaborative
For this procurement, NHS LPP is the lead contracting authority
About NHS CPP- Joined Up Procurement
An NHS Procurement by the NHS for the NHS:
NHS CPP puts in place a range of competitive contracts and frameworks to support the NHS in ensuring maximum value is gained from its investments in patient care.Benefits include:
• Maximising the delivery of financial benefit • Broadens the framework/contract offering each hub has available• Enables the NHS CPP procurement hubs to positively influence a greater amount of NHS total expenditure• Contributes to the efficient use of resources by avoiding duplication of effort, and the letting of ‘competing’ frameworks•Consolidates a greater level of NHS expenditure through individual agreements which ultimately leads to more compelling and cost effective agreements
Purpose Of The Day
Inform the market about the upcoming procurement
Receive feedback on our current proposals
Gain insight on better ways of working
Understand market best practice and innovation
Update on current agency controls / price caps
National Context
Monitor and TDA have announced controls to help trusts manage their external agency spend:
• Overall target caps per NHS Trust• Mandation of approved frameworks• Proposed rate caps (in consultation)
Price Caps For Agency Staffing
•Caps affect all staff groups employed by NHS trusts and Foundation trusts: nursing, medical, all other clinical and other non-clinical staff
• Caps affect all agency staff and bank staff
•On- cost include pension contribution, employer national insurance, holiday pay to the worker and a modest administration fee/agency charge
•No off framework agencies from 19th October 2015 – Precedent
•Where staff are eligible for AfC high cost area supplements, these should be added as 5% for Fringe, 15% for Outer London, 20% for Inner London
No additional payments to agency staff or agencies would be permitted. The 55% uplift accounts for employment on-costs including employer pension contribution, employer national insurance, holiday pay to the worker and a modest administration fee/agency charge.
Price Caps- Expressed as % uplift to current
AfC/basic pay maximum rates
Proposed date
of introduction
Group 1:
Junior doctors
Group 2:
Other clinical staff
Group 3:
Non-clinical staff
Foundation year 1
and 2 doctors,
registrars
Consultants, other doctors,
nurses (all bands), AHPs,
healthcare scientists, other
clinical staff
Administration and
clerical, infra-
structure, other non-
clinical staff
23 November
2015
+ 150% + 100% + 55%
1 February 2016 + 100% + 75% + 55%
1 April 2016 + 55% + 55% + 55%
Monitor/TDA Ceiling trajectories for
trusts
2014/15
nursing
agency
spend rate
Banding Q3 & Q4
2015/16
ceiling
2016/17
ceiling
2017/18
ceiling
2018/19
ceiling
Under 3% A 3% 3% 3% 3%
3% to 4% B 3% 3% 3% 3%
4% to 5% C 4% 3% 3% 3%
5% to 6% D 5% 4% 3% 3%
6% to 8% E 6% 5% 4% 3%
8% to 10% F 8% 6% 4% 3%
10% to 12% G 10% 8% 6% 4%
Over 12% H 12% 10% 8% 6%
Monitor and TDA are setting ceilings on the amount individual trusts can
spend on nursing agency staff. On 1 September 2015 trusts were sent
their annual ceilings that are their maximum rates for October 2015 to
March 2016, and for 2016/17, 2017/18 and 2018/19.
Current position
•The NHS CPP National Collaborative Nursing Framework has been approved by Monitor/ TDA
•Currently no approval process for Doctors and AHPS
•Analysis Tool for Trusts
•Currently reviewing how the current NHS CPP nursing framework will accommodate the proposed rate caps
Consultation still open
All interested parties and stakeholders are invited to respond to the consultation by
5 pm on 13 November 2015.
Linkhttps://www.research.net/r/C792H72
New National Clinical Staffing
Framework
Why a new procurement?
The decision to procure a framework agreement covering all clinical staffing groups has been
arrived at for the following reasons:
• The timing of the Monitor proposals enables us to design and tailor the framework around
the proposed controls, thereby providing trusts with a structured, compliant framework to
procure temporary workers under.
• The procurement enables the entire market (including current off framework agencies) to
bid and gain entry on to a framework agreement.
• The current CPP nursing framework expires May 2016.
• LPP’s current Medical Locum framework expires April 2016.
• It enables the CPP to directly support trusts in the implementation of the Monitor controls,
by providing a flexible compliant route to market,
Outline and Scope Of The New
Framework
Lot no. Lot description
1
Employment Business service delivery model
The Services are for the supply of fully vetted Temporary Agency Workers from Suppliers
(acting as Employment Businesses) for hire by Participating Authorities on Assignments.
2
Employment Agency service delivery model
The Services are for the introduction of fully vetted Work-Seekers from Suppliers (acting as
Employment Agencies) for direct employment by the Participating Authority on fixed term, or
permanent, Engagements.
Outline and Scope Of The New Framework
The framework is to be divided into 2 lots with 4 sub lots each as follows:
Lot 1 Employment Business: Lot 1a Nursing and MidwiferyLot 1b Medical staff including dentalLot 1c Other clinical staff including AHP/HSSLot 1d All the above services in Lot 1a-c
Lot 2 Employment Agency : Lot 2a Nursing and MidwiferyLot 2b Medical staff including dentalLot 2c Other clinical staff including AHP/HSSLot 2d All the above services in Lot 2a-c
Outline and Scope of the New Framework
National Framework
2 Lots
Pay rates aligned to Monitor outcome (23rd
November)
Standardised terms and conditions
Direct Engagement
Audit
Single point for management information
No International Recruitment (separate procurement )
No Rate Escalation
Geographical coverage
National coverage for each Lot –aligned to the Monitor proposals / outcome
Suppliers will be asked to indicate which geographical regions they can supply to enable ease of call-off for trusts
Timeline- Open OJEU
Milestone Date
Market Warm-up 6 November 2015
Issue Contract Notice and Open Tender November / December 2015
Evaluations (including audit) From January 2016
Intention to Award May 2016
Contracts signed / SLA Issued May 2016
Tender Specification
Open OJEU
Compliance Audit at your premises
No limit to number of suppliers
Bids accepted on all lots /sub lots
Subcontracting permitted between framework agencies only
No subcontracting to off framework agencies
SEQOHS Accreditation
Skills for Health training by qualified trainers
Mandatory and statutory checks
Aligned with NHS Employers
SMEs are encouraged to participate
Specialism
Agenda for Change national job profiles:
Allied health professionals: http://www.nhsemployers.org/your-workforce/pay-and-
reward/pay/job-evaluation/national-job-profiles/allied-health-professionals; and
Emergency services: http://www.nhsemployers.org/your-workforce/pay-and-reward/pay/job-
evaluation/national-job-profiles/emergency-services; and
Health science services: http://www.nhsemployers.org/your-workforce/pay-and-
reward/pay/job-evaluation/national-job-profiles/health-science-sevices;
Nursing and midwifery: http://www.nhsemployers.org/your-workforce/pay-and-
reward/pay/job-evaluation/national-job-profiles/nursing-and-midwifery; and
Personal social services: http://www.nhsemployers.org/your-workforce/pay-and-
reward/pay/job-evaluation/national-job-profiles/personal-social-services; and
Medical staff.
Specialism- Nursing and Midwifery
Clinical StaffNursing and Midwifery clinical staff Grades
Agenda for change Band
1 – 9
· Combined nursing profiles
· Community Services
High cost area
supplements:
· Dental Nursing Area Level (1 April 2015)
· Health Visitors Inner London
20% of basic salary, subject to a minimum
payment of £4,117 and a maximum
payment of £6,342
· Midwifery Outer London
· NHS Direct
15% of basic salary, subject to a minimum
payment of £3,483 and a maximum
payment of £4,439
· Nursing and Midwifery Generic Fringe
5% of basic salary, subject to a minimum
payment of £951 and a maximum payment
of £1,649
· Nursing Services
· Nursing and Midwifery updates
· Theatre Nurses
Specialism- Medical Staff including
Dental Medical Staff including Dental Grade
Anaesthetics and Theatres •Consultant
Dentistry •Specialty Doctor (incorporates former
Emergency medicine •Staff Grade roles)
General and Internal Medicine •Associate Specialist
Obstetrics & Gynaecology •StR3 + (formerly SpR grade)
Paediatrics •StR1 -2
Pathology •FH02 (formerly SHO grade)
Psychiatry, Mental health and learning
disabilities •FH01 (formerly HO or PrHO grades)
Radiology
Surgery
General Practice Sessional or ‘locum’ General Practitioner (‘GP’)
Specialism- Other clinical staff including
AHP/HSS Other clinical staff including AHP/HSS Grades
· Art Therapy Staff
· Chaplaincy Agenda for change Band 1 – 9
· Clinical Psychology Roles· Diagnostic Radiography Roles High cost area supplements:
· Dietetics Staff Area Level (1 April 2015)
· Generic Therapy Inner London20% of basic salary, subject to a minimum payment of
£4,117 and a maximum payment of £6,342
· Occupational Therapy
Outer London· Orthoptists15% of basic salary, subject to a minimum payment of
£3,483 and a maximum payment of £4,439
· Physiotherapy Fringe5% of basic salary, subject to a minimum payment of
£951 and a maximum payment of £1,649
· Play Specialists· Podiatry
· Public Health - Health Improvement· Sexual Health· Speech and Language Therapists
Pricing
The following are being considered:
Capped prices
VBL discounts
Activity Based Income to remain as .75%
Fixed Term, Permanent Direct Engagement
Contract Term 4 years: 2+1+1
Contract Advert
Contracts Finder
Tenders Electronic Daily (OJEU)
Hub web pages
Register on LPP’s e-tendering portal: http://www.lpp.nhs.uk/for-suppliers/
Q&A
?
Contact Information
London : [email protected] / [email protected]
East of England/Midlands: [email protected]
North of England :[email protected]
South of England: [email protected] /[email protected]
Close
Thank You
