EMPLOYER BASED CLINICAL EXCELLENCE AWARDS POLICY JUNE 2019

EMPLOYER BASEDCLINICAL EXCELLENCE AWARDS POLICYJUNE 2019

Policy titleEmployer Based Clinical Excellence Awards PolicyPolicyreferencePolicy categoryHR49Relevant toAll eligible ConsultantsDate publishedJuly 2019ImplementationdateDate lastreviewedNext reviewdatePolicy leadJuly 2019Contact irectorApproved by(Group):Approved by(Committee):DocumenthistoryDr Vincent Kirchner Medical DirectorMembership ofthe policydevelopment/review teamConsultationHuman ResourcesJune 2019November 2022D Williams Head of Medical Workforce and EducationTelephone:020 3317 7172ConsultantsLNCLNCDateJuly2015Nov 2018contract andJune 2019VersionSummary of amendments1New Policy document2Incorporate schedule 30 consultantjoint BMA NHS Employers GuidanceAwards will not be pro-rated for part time staffHR and LNCConsultants, LNC, HRD, BMA Regional OfficerDO NOT AMEND THIS DOCUMENTFurther copies of this document can be found on the Foundation Trust intranet.Employer Based Clinical Excellence Awards Policy –June 2019

Contents1Introduction32Principles on the allocation and spread of awards33Eligible Consultants (including clinical academics)64Eligible Consultants Under Investigation65Consultants employed through alternative Trusts76Criteria77Application Procedure78Employer Based Awards Committee99The Process1010 Appeal Arrangements1111 Review of Employer Based Awards1212 Annual Report1314 Review1415 Timetable14Appendix AiiPage

1. Introduction1.1Clinical Excellence Awards recognise and reward NHS consultants whoperform ‘over and above’ the standard expected of their role. Awards aregiven for quality and excellence, acknowledging exceptional personalcontributions.1.2The Terms and Conditions – Consultant (England) 2003 as amended byschedule 30 July 2018 sets out the agreement for the payment of ClinicalExcellence Awards to Consultant Medical and Dental Staff, as a seamlessscheme comprising both local and national elements.1.3This document sets out the agreement for the local operation of the schemein Camden and Islington NHS Foundation Trust.2. Principles on the allocation and spread of awards2.1Local awards will be payable to those consultants and clinical academicsmaking an outstanding contribution at a local level against nationally setcriteria (see section 3 & 6, below).2.2Awards will be decided on a competitive basis, on the relative merits ofindividual cases, as presented on the CV Questionnaire.2.3Clinical excellence awards are intended to reward those individuals whoachieve over and above the standard expected of a consultant and wholocally, nationally or internationally, provide many of the followingcharacteristics (applicants are not expected to possess them all) 3Demonstrate sustained commitment to patient care and wellbeing, orimproving public healthSustain high standards of both technical and clinical aspects of servicewhilst providing patient focused careMake an outstanding contribution to professional leadershipIn their day to day practice, demonstrate a sustained commitment tothe values and goals of the NHS, by participating actively in annual jobplanning, observing the Private Practice Code of Conduct and showinga commitment to achieving agreed service objectivesThrough active participation in clinical governance contribute tocontinuous improvement in service organisation and deliveryEmbrace the principles of evidence based practiceContribute to knowledge base through research and participateactively in research governanceAre recognised as excellent teachers and/or trainers and/or managersContribute to policy writing and planning in health and health care

2.4The new schedule 30 of the 2003 Consultant Contract Clinical ExcellenceAwards has replaced all previous awards.2.5The scheme is intended to: 4be transparent, fair and based on clear evidence and perceived to beso, both by the public and the profession;be open and accessible to all eligible consultants;place a strong emphasis on quality of care;make eligibility dependent on: a satisfactory level of performance; satisfactory participation in the annual appraisal process; 100% compliance in statutory and mandatory training; meeting standards of best practice in relation to job planning; meeting the standards of best practice set out in the ‘Code ofConduct for Private Practice’ (for NHS consultants who participatein private practice).ensure fair distribution of awards through appropriate application ofthe criteria;ensure that Consultants with any of the nine protected characteristics(Equalities Act 2010) are not discriminated against;allow early intervention to review an award where concerns orallegations about a doctor’s conduct or performance are upheldthrough disciplinary or professional fitness to practice proceedings;publish information on the distribution of each level of award and thenames of award holders.2.6The local application of the clinical excellence awards scheme will take intoaccount the latest guidance from the Advisory Committee on ClinicalExcellence Awards (ACCEA) ‘NHS Consultants’ Clinical Excellence AwardsScheme’. The local CEA Scheme will also reflect the joint agreement betweenthe Trust and the Local Negotiating Committee.2.7This agreement covers only the application of the local element of the ClinicalExcellence Awards Scheme. It is intended as a means to ensure that thelocal elements of the ACCEA’s scheme operate effectively and by agreementbetween the Trust and the consultant staff. Local awards can be made inmultiple amounts at values aligned to those set out annually by the Doctorsand Dentists Review Body. Only in exceptional circumstances wouldmultiples of more than 1 sum be made per award per individual consultant peryear.2.8Eligible consultants can apply for national CEAs awarded by the ACCEA andits subcommittees at levels 9 (bronze), 10 (silver), 11 (gold) and 12 (platinum).If awarded, these will replace the local awards. Consultants are advised mittee-on-clinicalexcellence-awards for further details and the joint NHS Employers BMAGuidance 2018.

2.9Each year the Trust will determine the budget for new CEAs to be awarded bythe Employer Based Awards Committee (EBAC) with effect from the following1 April. This is calculated as 0.3 points per eligible consultant annually,multiplied by the value of an award as set out annually by the DDRB.2.10 All consultants eligible to apply for local CEAs generate the calculation for thenumber of local CEAs to be awarded by the Trust. For the sake of clarity, thisexcludes those holding the maximum number of local CEA awards, distinctionaward holders and national CEA holders.2.11 The value of awards granted to part-time consultants will not be on a pro-ratabasis.2.12 Consultants can be awarded any cash sum of CEA in multiples equivalent tothe rate set out annually by the DDRB as deemed appropriate by theEmployer Based Award Committee (EBAC).2.13 All local CEAs made prior to 1 April 2018 (including retrospective rounds) willbe retained by award holders, though they will be subject to a nationallyagreed review process from 2021 onwards. These awards will remainpensionable and consolidated.2.14 The funding for awards cannot be deferred and must be awarded in full eachand every year, unless there is agreement with the JLNC that anyuncommitted funds will be carried forward and spent on awards in thefollowing year. For the avoidance of doubt at a minimum: Funding for New LCEAs awarded between 1 April 2018 and 31March 2019 will be recurrent for two further years until 31 March2021Funding for New LCEAs awarded between 1 April 2019 and 31March 2020 will be recurrent for one further year until 31 March2021 Funding for New LCEAs awarded between 1 April 2020 and 31March 2021 will be for one year until 31 March 20212.15The Trust will normally open awards rounds in April every year which willcover work undertaken prior to 31 March of that year.2.16New LCEA points made from 1 April 2018 will be non-consolidated andnon-pensionable, payable for a period of up to three years, paid annually bylump sum and will not include uplift for those undertaking AdditionalProgrammed Activities.2.17Funding for the CEA Awards will be as follows: Between 2018 and 2021,the Trust will invest the minimum value of an additional 0.3 points per eligible5

consultant (as defined in Para 5, Schedule 30) each year. To clarify thismeans that: For the 2018 round the value of points to be awarded will be equivalentto 0.3 per eligible consultant. For the 2019 round the value of points to be awarded will be equivalentto 0.6 per eligible consultant. For the 2020 round the value of points to be awarded will be equivalentto 0.9 per eligible consultant3. Eligible Consultants including clinical academics3.1Consultants must have been permanently employed as a Consultant by theTrust for at least 12 full months3.2The Trust will provide a list of all eligible consultants for discussion andagreement with the LNC.3.3Consultants granted an award locally in one year would not normally beconsidered again locally the following year for a further award. Although thismay be varied if there were circumstances warranting this in an individualcase, this should be seen as exceptional and not normally applied.3.4Part-time consultants are eligible for Clinical Excellence Awards and will notbe awarded on a pro-rata basis. Consideration must be given to their reducedhours and decisions made by the committee must be proportionate to this.Therefore the EBAC should score part-time consultants reflecting the activitythat can be proportionately achieved within a part-time consultant’s contract.3.5Clinical Academics employed by academic institutions are not covered byschedule 30 of the consultant contract and cannot be included in the localallocation or funding of awards. However locally the Trust has agreed to run aparallel round of awards at the same time that it runs its round for Trustconsultants. The allocation of awards will be made by the same EBACCommittee at the same time to ensure consistency in approach. Theseawards will be separately funded from outside the 0.3 allocation per eligibleTrust consultant using the same criteria as set out in 2.9.4. Eligible Consultants under Investigation4.16If a consultant who is the subject of a formal investigation, including aprofessional advisory panel, chooses to submit an application for CEAs,his/her application will be considered in the usual way by the EBAC. Shouldthat consultant following the EBAC meeting remain under investigation, thenany CEA awards that were awarded during that EBAC meeting, will bewithheld until such time as the formal investigation / process is completed.Neither the fact nor the details of the process will be disclosed to the EBAC.