National Clinical Staffing Framework
Introductions
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 Consultants, other doctors,
and 2 doctors,
nurses (all bands), AHPs,
registrars
healthcare scientists, other
clinical staff
Administration and
clerical, infrastructure, other nonclinical staff
23 November
2015
+ 150%
+ 100%
+ 55%
1 February 2016
+ 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%
Over 12%
Banding
Q3 & Q4
2015/16
ceiling
2016/17
ceiling
2017/18
ceiling
2018/19
ceiling
A
B
C
D
E
F
G
H
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%
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
2
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.
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 (23
rd
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-andreward/pay/job-evaluation/national-job-profiles/allied-health-professionals; and
Emergency services: http://www.nhsemployers.org/your-workforce/pay-and-reward/pay/jobevaluation/national-job-profiles/emergency-services; and
Health science services: http://www.nhsemployers.org/your-workforce/pay-andreward/pay/job-evaluation/national-job-profiles/health-science-sevices;
Nursing and midwifery: http://www.nhsemployers.org/your-workforce/pay-andreward/pay/job-evaluation/national-job-profiles/nursing-and-midwifery; and
Personal social services: http://www.nhsemployers.org/your-workforce/pay-andreward/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
·
Community Services
·
Dental Nursing
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
·
Health Visitors
Inner London
·
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
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
·
Fringe
Specialism- Medical Staff including
Dental
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’)
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
·
·
Generic Therapy
Occupational Therapy
Inner London
20% of basic salary, subject to a minimum payment of
£4,117 and a maximum payment of £6,342
·
Orthoptists
Outer London
15% of basic salary, subject to a minimum payment of
£3,483 and a maximum payment of £4,439
·
·
·
Physiotherapy
Play Specialists
Podiatry
Fringe
5% of basic salary, subject to a minimum payment of
£951 and a maximum payment of £1,649
·
·
·
Public Health - Health Improvement
Sexual Health
Speech and Language Therapists
Agenda for change Band 1 – 9
High cost area supplements:
Level (1 April 2015)
Area
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
Close
Thank You