1. National Clinical Staffing Framework

2. Introductions
NHSLPP are the lead contracting authority on behalf of the Collaboration

3. 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

4. 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
NHSLPP are the lead contracting authority on behalf of the Collaboration

5. 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

6. 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

7. 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)

8. 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.

9. 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
+ 150%
+ 100%
+ 55%
1 February 2016
+ 75%
1 April 2016

10. 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
Banding
Q3 & Q4 2015/16 ceiling
2016/17 ceiling
2017/18 ceiling
2018/19 ceiling
Under 3% A 3%
3% to 4% B
4% to 5% C 4%
5% to 6% D 5%
6% to 8% E 6%
8% to 10% F 8%
10% to 12% G
10%
Over 12% H
12%

11. 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

12. Consultation still open All interested parties and stakeholders are invited to respond to the consultation by 5 pm on 13 November Link

13. New National Clinical Staffing Framework

14. 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,

15. Outline and Scope Of The New Framework
Lot no.
Lot description 1
Employment Business service delivery model
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. 2
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.

16. 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

17. 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
NHSLPP are the lead contracting authority on behalf of the Collaboration

18. 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

19. Timeline- Open OJEU Milestone Date Market Warm-up 6 November 2015
Issue Contract Notice and Open Tender
November / December 2015
Evaluations (including audit)
From January 2016
Intention to Award
May 2016
Contracts signed / SLA Issued
May  2016

20. 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

21. Specialism Agenda for Change national job profiles:
Allied health professionals: and
Emergency services: and
Health science services:
Nursing and midwifery: and
Personal social services: and
Medical staff.

22. Specialism- Nursing and Midwifery Clinical Staff
Grades
Agenda for change Band 1 – 9
·         Combined nursing profiles
·         Community Services
High cost area supplements:
·         Dental Nursing
Area
Level (1 April 2015)
·         Health Visitors
Inner London
20% of basic salary, subject to a minimum payment of £4,117 and a maximum payment of £6,342
·         Midwifery
Outer London
·         NHS Direct
15% of basic salary, subject to a minimum payment of £3,483 and a maximum payment of £4,439
·         Nursing and Midwifery Generic
Fringe
5% of basic salary, subject to a minimum payment of £951 and a maximum payment of £1,649
·         Nursing Services
·         Nursing and Midwifery updates
·         Theatre Nurses

23. Specialism- Medical Staff including Dental
Grade
Anaesthetics and Theatres
Consultant
Dentistry
Specialty Doctor (incorporates former
Emergency medicine
Staff Grade roles)
General and Internal Medicine
Associate Specialist
Obstetrics & Gynaecology
StR3 + (formerly SpR grade)
Paediatrics
StR1 -2
Pathology
FH02 (formerly SHO grade)
Psychiatry, Mental health and learning disabilities
FH01 (formerly HO or PrHO grades)
Radiology
Surgery
General Practice
Sessional or ‘locum’ General Practitioner (‘GP’)

24. Specialism- Other clinical staff including AHP/HSS
Grades
·         Art Therapy Staff
·         Chaplaincy
Agenda for change Band 1 – 9
·         Clinical Psychology Roles
·         Diagnostic Radiography Roles
High cost area supplements:
·         Dietetics Staff
Area
Level (1 April 2015)
·         Generic Therapy
Inner London
20% of basic salary, subject to a minimum payment of £4,117 and a maximum payment of £6,342
·         Occupational Therapy
Outer London
·         Orthoptists
15% of basic salary, subject to a minimum payment of £3,483 and a maximum payment of £4,439
·         Physiotherapy
Fringe
5% of basic salary, subject to a minimum payment of £951 and a maximum payment of £1,649
·         Play Specialists
·         Podiatry
·         Public Health - Health Improvement
·         Sexual Health
·         Speech and Language Therapists

25. 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

26. Contract Advert Contracts Finder Tenders Electronic Daily (OJEU)
Hub web pages
Register on LPP’s e-tendering portal:

27. Q&A ?
NHSLPP are the lead contracting authority on behalf of the Collaboration

28. Contact Information
London : /
East of England/Midlands:
North of England
South of England:

29. Close
Thank You