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WQ.273/2019
WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY G.P. SOUTHERN OF ST. HELIER
ANSWER TO BE TABLED ON TUESDAY 18th JUNE 2019
Question
Will the Minister explain whether contracts for hospital consultants in Jersey are based upon similar contracts used by the National Health Service (NHS) in the U.K.; and, if so, will he further explain what differences, if any, there are in the provisions made in Jersey and in the U.K., particularly in respect of the division of publicly and privately paid time and any flexibility to use the former for the latter?
Answer
The Jersey (Health and Community Services) Consultant contract broadly mirrors the NHS Consultant Contract (2003).
However, there are some key differences:
- The pay scales for a Consultant in Jersey are different to the UK.
Year Current UK Jersey (2019)
1 77,913 87,624
2 80,352 91,659
3 82,792 95,695
4 85,232 99,730
5 87,665 103,757
6 104,790
7 105,824
8 106,856
9 107,889
10 93,459 115,438
11 116,816
12 118,192
13 119,569
14 120,947
15 99,254 128,842
16 130,219
17 132,285 Jersey Consultant Max 18 139,171
Jersey Discretionary 19 146,059
Award
20 105,042 159,455
Plus CEA Local award up to
£36,142
Jersey previously retained an historical link to the UK Doctors and Dentists Remuneration Board (DDRB) and consequent link to the pay deals imposed by the Department of Health. However, a decision was taken to delink from the UK and a 3-year pay deal (2017-2019) was negotiated and agreed through SEB, and approved by Treasury. It is anticipated that future pay awards will be dealt with in a similar way.
In the UK there is a Clinical Excellence Award Scheme (CEA) in place to reward Consultants who perform "over and above" the standard expected of their role. Awards can be made for both local and national contributions to the NHS. In Jersey we operate a discretionary points process. Those Consultants paid at point 17 or higher are eligible to apply.
- Consultants in Jersey who participate in on-call rotas outside of normal working hours are recompensed through lieu time "time off" based on the frequency of their on call. eg a 1 in 4 rota is allocated 2 PAs*. For UK Consultants there is a paid supplement and PA allocation for on-call work.
*Consultants work their contracted time on a Programmed Activity basis (PA). Each PA is worth 4 hours. So most Consultants are on a 10 PA contract ie work 40 hours per week.
- Consultants working in Jersey undertake additional programmed activities on an exceptional basis (to cover a specific role i.e. governance lead, Associate Medical Director etc.)
- Consultants have a 10 PA contract for public work which may be worked flexibly to allow private practice on- and off-site during the normal working week. However, Health and Community Services (HCS) commitments take precedence over private work and Consultants ensure that, except in emergencies, private commitments do not conflict with HCS activities included in their HCS job plan.
- HCS has a specific "Code of Conduct for Private Practice" with recommended standards for all Consultants.
- The Jersey context is different to the UK as Jersey General Hospital is the sole hospital in Jersey. All Consultants in Jersey have admitting rights to the Private wing to treat private patients. Within reasonably acceptable limits, HCS may allow private practice to be undertaken alongside a Consultant's scheduled HCS duties, provided there is no disruption to HCS services. All Consultant operating sessions have the potential for private patient case mix. Private outpatients are seen in private rooms off-site.