“The Financial Planner” Northampton General Hospital James Glackin “The Financial Planner” Northampton General Hospital

3 Perspectives from Financial Management The Multiplier Effect Key Dates for Implementation Pay Protection

The Multiplier Effect Surgery with 10 House Officer’s on Band 2A (80%) 10 HO * 1.8 Basic Pay + Banding = 18.00 wte salaries Compliant Rota 12 HO * 1.5 Basic Pay + Banding = 18.00 wte salaries

Key Dates for Implementation Date of Appointment by Deanery Date of Rota Change Date of Approval for Shadow Rota

Pay Protection Expectation of Earnings Protected at Date of Rota Change Incremental Credit on Payscale on Year of Change No Right to Annual Uplift in Salary Pay Protected on a Mark-Time Basis

EWTD 2009 WTE MULTIPLIER £ '000   GRADE NC Compliant Cost Base 2009/2010 for Non-Compliant Posts Savings from 1.00 Wte Post Number of Wte in Trust Interim % of Posts Non-compliant Savings from Change of Supplement Compliant Cost WTE Equivalent Posts 100% 0% SHO 6,950 - 12 100.00 8,108 1,158 58 20.00 SPR 8,214 14 9,583 1,369 68 HO 4,684 8 5,465 781 39 19,848 300.00 23,156 3,308 60.00 Notes Based upon 2009/2010 rates. Only cells F13, F16, F19 & H13, H16, H19 can be used.

EWTD 2009 WTE MULTIPLIER £ '000   GRADE NC Compliant Cost Base 2009/2010 for Non-Compliant Posts Savings from 1.00 Wte Post Number of Wte in Trust Interim % of Posts Non-compliant Savings from Change of Supplement Compliant Cost WTE Equivalent Posts 0% 100% SHO - 5,792 12 100.00 58 0.00 SPR 6,845 14 68 HO 3,904 8 39 16,540 300.00 Notes Based upon 2009/2010 rates. Only cells F13, F16, F19 & H13, H16, H19 can be used.

Key Benefits and Risks Affordable Additional Resources NC can be Hugely Expensive Cost Neutral Basis Compliance (Legal Requirement) Better for Patient