Redefining Consultant Rewards for NHS Improvement Initiative

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Explore a groundbreaking initiative in England aiming to design a new, fairer consultant reward system to enhance patient care and incentivize excellence in healthcare. Employers, consultants, and NHS leaders are invited to collaborate in shaping a strategic approach. Gain insights on aligning personal and organizational objectives, optimizing resources, and driving performance enhancements. Join this crucial conversation to revolutionize consultation incentives.


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  1. A NEW REWARD SYSTEM FOR CONSULTANTS SEEKING THE VIEWS OF EMPLOYERS TO HELP DESIGN A NEW APPROACH

  2. CONTEXT Great opportunity for employers and consultants to work together to design a reward system for incentivising circa 50,000 consultants in England to lead improvements in medicine and care using the 160million or so available every year. The current LCEA system is not working as it should: Applications have been dropping for some time. Administration is cumbersome It is unfair for: o women (exacerbating the gender pay gap) o BME doctors o Consultants who work part time o some specialties (where it is more difficult to demonstrate excellence) Ambitious plans to negotiate and publish new system by April 2021, to be implemented from April 2022

  3. THE OPPORTUNITY Consultants are the clinical leaders of the NHS. How can we think differently to support them to: contribute to team, division, trust, and NHS system goals through their own individual objectives? retain and develop agile and collaborative ways of working developed during the COVID-19 pandemic ? Close to 160 million is being made available every year in England to incentivise the right behaviours and to drive improvements in patient care at a local level. This equates to as much as 316,000 per 100 consultants. This level ofannual investment is the expected minimum baseline under any revised arrangements Q1: What is strategically important to your trust? Q2: How much money is available to spend on consultant reward for your trust? Q3: How can you use this to link personal and organisational objectives; incentivising senior doctors and improving patient care?

  4. Principles for a new system Possible reward process Your trust's priorities Could the process look like this? Employers and doctors want a system which is: Insert your trust's strategic objectives Organisational priorities ACCESSIBLE FAIR LOCALLY DRIVEN and which ENCOURAGES ENHANCED PERFORMANCE Translated into individual objectives and supporting behaviours (set via job plan) Assessment of performance Identification of outstanding performance Allocation of award

  5. OUR ASK OF YOU Views of NHS leaders are sought to help us design a new attractive and effective system of reward for consultants. Please: Take this conversation to your board. Complete our survey before 24 August 2020, with a strategic, representative view. Offer up any ideas and intelligence on consultant reward in your area which would give us a steer on how to negotiate on employers behalf. Have your say Please visit www.nhsemployers.org/consultants for more information or contact hanna.murphy@nhsemployers.org to have a discussion.

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