National Clinical Staffing Framework Overview
The National Clinical Staffing Framework, introduced by the NHS Collaborative Procurement Partnership, aims to streamline agency staffing, implement price caps, and enhance efficiency in healthcare procurement. The framework involves regional hubs, such as NHS LPP, and focuses on maximizing financial benefits, avoiding duplication, and achieving cost-effective agreements. The purpose includes updating agency controls, informing the market about upcoming procurements, receiving feedback, exploring better practices, and understanding market innovation. Additionally, the framework addresses national context considerations like overall target caps per NHS trust and proposed rate caps.
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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 Update on current agency controls / price caps 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
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 1 February 2016 + 150% + 100% + 55% + 100% + 75% + 55% 1 April 2016 + 55% + 55% + 55%
Monitor/TDA Ceiling trajectories for trusts 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. 2014/15 nursing agency spend rate Under 3% 3% to 4% 4% to 5% 5% to 6% 6% to 8% 8% to 10% 10% to 12% G Over 12% Banding Q3 & Q4 2015/16 ceiling 2016/17 ceiling 2017/18 ceiling 2018/19 ceiling A B C D E F 3% 3% 4% 5% 6% 8% 10% 12% 3% 3% 3% 4% 5% 6% 8% 10% 3% 3% 3% 3% 4% 4% 6% 8% 3% 3% 3% 3% 3% 3% 4% 6% H
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. Link https://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 Employment Business service delivery model 1 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. 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. 2
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 Midwifery Lot 1b Medical staff including dental Lot 1c Other clinical staff including AHP/HSS Lot 1d All the above services in Lot 1a-c Lot 2 Employment Agency : Lot 2a Nursing and Midwifery Lot 2b Medical staff including dental Lot 2c Other clinical staff including AHP/HSS Lot 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) Intention to Award From January 2016 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 Staff Nursing and Midwifery clinical staff Grades Agenda for change Band 1 9 Combined nursing profiles High cost area supplements: Community Services Level (1 April 2015) 20% of basic salary, subject to a minimum payment of 4,117 and a maximum payment of 6,342 Area Dental Nursing Inner London Outer London Health Visitors Midwifery 15% of basic salary, subject to a minimum payment of 3,483 and a maximum payment of 4,439 5% of basic salary, subject to a minimum payment of 951 and a maximum payment of 1,649 NHS Direct Fringe Nursing and Midwifery Generic Nursing Services Nursing and Midwifery updates Theatre Nurses
Specialism- Medical Staff including Dental Medical Staff including Dental Grade Consultant Anaesthetics and Theatres Specialty Doctor (incorporates former Dentistry Staff Grade roles) Emergency medicine Associate Specialist General and Internal Medicine StR3 + (formerly SpR grade) Obstetrics & Gynaecology StR1 -2 Paediatrics FH02 (formerly SHO grade) Pathology Psychiatry, Mental health and learning disabilities FH01 (formerly HO or PrHO grades) Radiology Surgery Sessional or locum General Practitioner ( GP ) General Practice
Specialism- Other clinical staff including AHP/HSS Other clinical staff including AHP/HSS Grades Art Therapy Staff Chaplaincy Clinical Psychology Roles Diagnostic Radiography Roles Dietetics Staff Agenda for change Band 1 9 High cost area supplements: Area Level (1 April 2015) 20% of basic salary, subject to a minimum payment of 4,117 and a maximum payment of 6,342 Inner London Generic Therapy Occupational Therapy 15% of basic salary, subject to a minimum payment of 3,483 and a maximum payment of 4,439 Outer London Orthoptists 5% of basic salary, subject to a minimum payment of 951 and a maximum payment of 1,649 Fringe Physiotherapy 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 : Preeya.Bailie@lpp.nhs.uk / Omobola.sotomi@lpp.nhs.uk East of England/Midlands: rachel.naylon@eoecph.nhs.uk North of England :Lesley.Bennett@noecpc.nhs.uk South of England: neil.baigent@nhs.net /andy.rouse@nhs.net
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