Job planning as a new consultant24 November 2006 Job planning as a new consultant Dr Mark Porter FRCA Consultant anaesthetist, University Hospital Deputy chairman, BMA consultants committee

Job planning as a new consultant24 November 2006 Job planning as a new consultant Sources of advice The consultant contract Reading advertisements Reading job descriptions Reading contracts and job plans When you start in a post Reviewing your job plan Question time

Job planning as a new consultant24 November 2006 A forty-minute seminar… Cant cover everything Much advice in the public domain Most of it is good advice Youd prepare for the final FRCA, wouldnt you?

Job planning as a new consultant24 November 2006 Sources of advice - AAGBI The Association of Anaesthetists published advice in June 2005 Available for download at Follow Publications Guidelines Contract…

Job planning as a new consultant24 November 2006 Sources of advice - BMA The British Medical Association published advice in September 2004 Available for download at Follow Consultants 2003 consultant contract Job planning Sample job plans are available Also read the Consultant Handbook May 2005

Job planning as a new consultant24 November 2006 Sources of advice - CCIT The NHS published advice in January 2005 Available for download at Follow Workforce themes Retaining and developing staff Pay and Reward Implementing the consultant contract Concise guide for consultants

Job planning as a new consultant24 November 2006 Documentation links Consultant job planning diary Department of Health tinyurl.com/kyomltinyurl.com/kyoml NHS Employers tinyurl.com/g7u8rtinyurl.com/g7u8r NHS Modernisation Agency, Effective job planning tinyurl.com/cazft tinyurl.com/cazft BMA guide to consultant job planning tinyurl.com/potuetinyurl.com/potue Advisory Committee on Clinical Excellence Awards tinyurl.com/kz5a3 tinyurl.com/kz5a3 Scottish Executive Health Department tinyurl.com/mutohtinyurl.com/mutoh Welsh Assembly tinyurl.com/lmsmttinyurl.com/lmsmt DHSSPS Northern Ireland tinyurl.com/ny3yutinyurl.com/ny3yu

Job planning as a new consultant24 November 2006 What is a contract? A contract of employment governs the relationship between the employee and the employer Agreed and binding rules for work and pay

Job planning as a new consultant24 November 2006 Your contract of employment A consultant contract comprises: –The governing laws –A written contract – the statement of particulars –Supporting Terms and Conditions of Service as amended from time to time JNC(S): CCSC and NHS Employers NHS Staff Council –A job plan and schedule of (weekly) commitments –And a reality check: what you do and what you are given in return

Job planning as a new consultant24 November 2006 New consultant contracts Introduced over a period from October 2003 Separate territorial contracts New consultants offered new contracts Most other consultants in most hospitals also now on new contracts –Usually with APAs This makes comparison much easier than during the transition period

Job planning as a new consultant24 November 2006 Reading advertisements Total one week: 13 posts, 9 adverts –3 in BMJ, 2 in Hospital Doctor, 4 in both Number of PAs3 Number of SPAs1 Number of lists or commitments0 On call frequency4 On call banding0 Local variants e.g. APA, SPA location0 National salary and TCS3 n=9

Job planning as a new consultant24 November 2006 Reading job descriptions An actual proposed job plan (not the same thing) Number of programmed activities Number of lists and commitments On call recognition Local variations e.g. APA, SPA location Essential skills Desirable skills

Job planning as a new consultant24 November 2006 Reading contracts and job plans Try to obtain these when visiting or enquiring It is a leap of faith to sign up without them Key points –Time allocated to list preoperative + postoperative, all-day lists, 1.25 PAs per list? –Balance of DCC to SPA (7.5:2.5) –Objectives –Location of SPA –Treatment of private practice and pay progression

Job planning as a new consultant24 November 2006 Job plan – job content Job content – where and when –Direct clinical care Including predictable and unpredictable emergency work Including patient-related administration –Supporting professional activities –Additional NHS responsibilities –External duties –Travel time Accountability for contracted time

Job planning as a new consultant24 November 2006 Programmed Activities Direct clinical care Work relating to prevention, Dx or Rx Emergency work (including on-call) Operating, ward rounds, clinics, treatment sessions, MDM, public health, etc Admin. related to the above Supporting PAs Work underpinning Clinical Care. Training, education, teaching CPD, Audit & Research Job planning / Appraisal Service Management Local clinical governance Typically 7.5 : 2.5 balance (you should not accept less without careful consideration) also Additional NHS Responsibilities Lead clinician College tutor etc External Duties Royal College / Spec. Soc HMG / Trades Union etc

Job planning as a new consultant24 November 2006 Rebalancing programmed activities Most consultants should typically average: 7.5 : 2.5 Direct Clinical Care : Supporting activities If your balance is different, you may need to reassess your current activities –If direct clinical care significantly exceeds 7.5 PAs this should be redressed or recognised during job planning –If supporting activities exceed 2.5PA, for example due to heavy admin or teaching duties, then this should be accounted for in the job plan NOTE: for part-time consultants the ratio should normally be 2:1

Job planning as a new consultant24 November 2006 Job plan: objectives and resources Availability supplement –rota and category Objectives and how they will be met –Personal objectives (appraisal) –Service objectives Supporting resources –Everything you need Additional NHS responsibilities External duties

Job planning as a new consultant24 November 2006 Job plan – other agreements Other comments and agreements –Category 2 –Flexibility of location Additional programmed activities and private practice A dotted line

Job planning as a new consultant24 November 2006 Essential advice before starting Make sure you get good advice Contact your trade union representative –askBMA –BMA regional offices employ advisors to check contracts Check with the Local Negotiating Committee But you must do some of the work yourself in order to get the best results Good luck and welcome to the world of work

Job planning as a new consultant24 November 2006 Reviewing your job plan Prepare in first year (interim if necessary) Diaries – start one, but beware the newbie effect Read the advice again –AAGBI & BMA All work agreed to be done must be recognised in the job plan Collect data to make your case –Appraisal and personal development plan –SPA outputs – teaching & training, clinical governance –Account for clinical workload

Job planning as a new consultant24 November 2006 Putting your SPAs to good use Theres more time available than you think consultant contract – 5, 6 and 7 lists. Perhaps 2 or 2.5 days free of significant clinical commitment per week. Need for professional satisfaction. Finding a unique role. Need to earn more money.

Job planning as a new consultant24 November 2006 Clinical excellence awards A waiting list initiative is for Christmas, but a clinical excellence award is for life. One CEA from age 40 to age 80 is worth £92,625. Preparation starts on day 1. Just like a tax return, only more lucrative. ACCEA –

Job planning as a new consultant24 November 2006 Any questions or points?