1. Consultants Clinical Excellence Awards how to maximise your chances of success Martin Harvey Senior Industrial Relations Officer Sept 2014 Sept 2014

2. Question What is the best way to make sure you don’t get a Clinical Excellence Award?

3. ANSWER Don’t bother to apply, of course! Don’t bother to apply, of course!

4. Question What’s the best approach to take if you decide to apply but ensure your application fails with the result that you do not receive a CEA? What’s the best approach to take if you decide to apply but ensure your application fails with the result that you do not receive a CEA?

5. ANSWER Why not try one or more of the following: Why not try one or more of the following: Don’t bother reading through the ACCEA Guidance and Trust Policy Fill in the form at the last minute Assume that someone on the panel will put in a good word for you Leave some sections and domains blank

6. CEA Values Level 1 £2957 Level 2 £5914 Level 3 £8871 Level 4 £11828 Level 5 £14785 Level 6 £17742 Level 7 £23656 Level 8 £29570 Level 9 £35484

7. National Award Values Bronze £35,484 Silver £46,644 Gold £58,305 Platinum £75,796

8. Another Question In 2014, Dr Y, a 44 year-old consultant who already has 2 CEAs decides to submit a CEA application and is delighted subsequently to be awarded a CEA. How much will Dr Y be rewarded

9. ANSWER Around £60,000 in consolidated salary over her working life - And then of course there are annual DDRB increases and the enhanced pension to add in! Definitely worth applying and submitting a well prepared application

10. The clinical excellence award scheme Process takes place annually Follows ACCEA guidance, but Trust also has locally negotiated CEA policy number of awards established using formula eg 0.2 x number of eligible consultants number of awards established using formula eg 0.2 x number of eligible consultants Applications must be considered by properly constituted panel (Employer Based Awards Committee - EBAC) Awards date from the start of the financial year even if EBAC doesn’t meet until later in the year. There is an agreed appeals process

11. Eligibility criteria All consultants employed by the Trust who have been in the grade for at least one year Locum consultants are not eligible to apply Satisfactory appraisal process signed off Job plan and contractual obligations fulfilled Observance of “Private Practice Code of Conduct” No adverse outcome following employer disciplinary action or GMC investigation

12. The Employer Based Awards Committee Minimum of 12 members Management representatives, usually including Chief Executive, Medical Director and Director of HR Lay members (knowledgeable and experienced in NHS Consultant members ( at least 50% of EBAC membership) A university representative where appropriate

13. To reward individuals who achieve over and above the standard expected of a consultant. show the greatest sustained levels of performance and commitment to the NHS Objectives of the CEA Scheme Objectives of the CEA Scheme

14. Transparent, fair, based on clear evidence and perceived to be so Open and offer every applicant an equal opportunity Applications considered on merit Awards should be monitored to ensure fairness Awards should be made in a way that is Awards should be made in a way that is

15. Quantity of work  PAs Quality of work  Clinical Excellence Awards CEAs are designed to reward outputs not inputs Quality not Quantity Quality not Quantity

16. Scoring domains These are 5 Domains Delivering a high quality service Developing a high quality service Leadership and managing a high quality service Research and innovation Teaching and training

17. Scoring System Should be published in local policy Agreed with LNC

18. Scoring system – national model Insufficient information provided/does not meet contractual requirement= 0 Performance as expected = 2 Performance exceeds expectation = 6 Outstanding performance = 10

19. Achievements recognised by CEAs Commitment to patient care or well being Sustaining high standards of both technical and clinical aspects of service whilst providing patient focussed care Sustained commitment to values and goals of NHS Continuous improvement in service organisation and delivery

20. Achievements recognised by CEAs Evidence based practice Policy making and planning Professional leadership Contribute to knowledge base through research Teaching and training Do not have to demonstrate all of the above

21. Delivering a high quality service You will need to demonstrate achievements in delivering a service which is “safe, quality assured and where opportunities for quality improvements are consistently sought and implemented” For example: Validated performance/ outcome data (ideally presented in comparative terms) showing service delivery and outcomes Leadership role in service delivery Reference to external/peer review reports Examples of evidence based practice Validated patient/carer surveys showing exemplary standards of patient care Responding to needs and preferences of patiens,relatives and staff Evidence of contributions to clinical governance Remember to include dates!

22. Developing a high quality service Aim to show how you have made high quality service developments, improvements or innovations that have resulted in a more effective service delivery For example: Introduction of new treatments, procedures or services, preferably backed up by relevant, completed audit cycles or research Introduction or development of clinical governance approaches which have resulted in advances Examples to show promotion of evidence-based practice Evidence of improved outcomes Evidence of greater cost-effectiveness Evidence to show that the service has become more patient-centred and accessible Advances in prevention, diagnosis, treatment or models of care. Remember to include dates!

23. Leadership and managing a high quality service Aim to present evidence of achievements in clinical or medical academic management, administrative or advisory responsibilities. or professional leadership for example: Shaping trust policy and modernising health services at local level Chairing of Trust or university committees, with examples to show effectiveness Involvement in major reviews, enquiries or investigations Involvement in the shaping of national policies aimed at modernising health services or professional practice Planning and delivery of area or nationwide services Remember to include dates!

24. Research and innovation Aim to present evidence of a contribution to research or innovation above your contractual obligations. For example: An outline of any research activity, together with explanation of the aims of that research and what has been achieved so far Significant contribution to the research of others Supervision of doctorate/post-doctorate fellows Peer reviewed publications, chapters written, books edited or written, editorial activity. Lectures given National or international presentations on research Development of tools or equipment which contribute towards (or towards the understanding of) care delivery Remember to include dates!

25. Teaching and training Teaching and training is regarded as part of the consultant role. In this section you need therefore to demonstrate how you have made a contribution “over and above” what would normally be expected. For example: Student feedback and other forms of assessment of teacher quality New course development, innovative assessment methods, authorship of teaching materials Presentations, invitations to lecture Teaching of other healthcare professionals Involvement in postgraduate educational programmes in roles such as programme director, regional adviser, clinical tutor etc, with examples to demonstrate quality of performance Remember to include dates!

26. Make each sentence count How to score 2 marks “I do 3 clinics per week.” I am lead for colon cancer.” How to score 6-10 marks “I have achieved waiting time targets by introducing generic working and overseeing lists in my 3 weekly clinics.” “I am lead for colon cancer. Services were praised at peer review Oct 09 for strong team work, service quality and good practice”.

27. Presenting yourself in the best light Always remember that the EBAC will judge you by the evidence provided on your application form. Do not assume that the EBAC members know you or your work or that they will put in a good word for you – they cannot! Give examples wherever you can Set out your points in a concise and easy to read way. Include dates, where relevant Fill in every single section of the form Use every opportunity to emphasise your stronger points.

28. Golden Rules DO Read available guidance Concentrate on OUTPUTs not inputs Set time aside to fill in your application Keep relevant notes throughout the year Aim to put something relevant down under each of the scoring domains Focus on the quality of patient care Refer to Trust and NHS targets Include examples and dates Remain within box word limits Look at and learn from successful applications DON’T Fill in the form at the last minute – it will probably end up looking that way! Change the font or its size Waffle – try to make every single sentence count Put in unsubstantiated statements Put in an application full of spelling mistakes and poor grammar Canvass locally Falsify information, can lead to disciplinary action

29. If you are not successful... As soon as possible ask for feedback about your application from a member of the the EBAC. This may reveal information or advice that will help you with your next application or that may be of use if you are considering an appeal You can lodge an appeal. An appeal must be on grounds of process and must be lodged within the locally agreed deadline date from the date you received the result of your application. When you appeal, the Trust is obliged to provide information to you relating to the way the process has been carried out. If you are considering lodging an appeal, make use of BMA advice and representation and be mindful of the one month deadline for lodging an appeal. And…………………

30. TRY AGAIN NEXT YEAR