NHS pay review body: twenty-sixth report 2012 - Official Documents

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4.17 For this report, Unite initially presented evidence supporting a national RRP but revised its views in supplementary evidence in the light of the latest survey evidence. We review below the information provided from the Pharmacy Establishment and Vacancy Survey, the Migration Advisory Committee’s ‘Skilled, Shortage, Sensible’ report13 , and the parties’ evidence. Pharmacy Establishment and Vacancy Survey 4.18 The Department of Health commissioned the 2011 National NHS Pharmacy Establishment and Vacancy Survey (PEVS), which was conducted in May 2011. This survey allows for analysis of vacancies by AfC band, which is not possible using the Health Departments’ vacancy surveys. A 100% response rate was achieved from NHS organisations in England, Wales and Northern Ireland. Scotland did not take part in the 2011 PEVS, instead conducting its own surveys in September 2010 and September 2011 using a similar methodology to PEVS. The results of both surveys are combined in our analysis. 4.19 Summary tables showing national-level results from the PEVS since 2006 are in Tables 4.1 and 4.2. The main findings of the 2011 survey are as follows: • • • The total vacancy rate in the UK in Band 6 was 10.9% in May 2011, a decrease of 5.3 percentage points (pp) since May 2010, and the lowest rate since data started to be gathered by Agenda for Change bands in 2006. The three-month vacancy rate in Band 6 was 6.7%, a decrease of 4.9pp on a year earlier; The total vacancy rate in Band 7 was 11.4% in May 2011, a decrease of 6.2pp since May 2010, and the lowest rate since at least 200714 . The three-month vacancy rate was 6.3%, a decrease of 5.2pp on a year earlier; and The total vacancy rate in the UK decreased between 2010 and 2011 in all Bands except 8d and 9. The three-month vacancy rate decreased in all Bands except 8d. Table 4.1: Total vacancy rates for qualified pharmacists by Agenda for Change bands, May 2006-2011 Year Participating UK countries Band 6 Band 7 Band 8a Total vacancy rate (%) Band 8b Band 8c Band 8d Band 9 Overall 200615 England, Scotland, Wales 16.8 11.0 3.6 11.7 2007 England, Wales 17.2 18.0 8.1 6.3 5.4 2.5 4.1 12.0 2008 England, Wales, Northern Ireland 22.2 16.9 10.2 8.8 6.0 2.8 1.9 13.2 2009 All UK countries 24.7 19.0 10.0 7.3 5.6 2.2 4.6 13.7 2010 All UK countries 16.2 17.6 8.6 5.2 8.1 2.4 2.0 11.2 2011 All UK countries* 10.9 11.4 5.3 3.6 4.3 2.7 2.5 7.3 * Data for Scotland relate to September instead of May. Source: Pharmacy Establishment and Vacancy Surveys. 15 13 Available at: http://www.ukba.homeoffice.gov.uk/sitecontent/documents/aboutus/workingwithus/mac/skilled-shortage-sensible/. 14 It is not possible to determine whether the rate in 2011 was also lower than that in 2006, as in that year data were grouped for AfC Bands 7-8b. 15 In 2006, data were presented for ‘junior’ (AfC Band 6 and Whitley grades A-C), ‘middle’ (AfC Bands 7-8b and Whitley grades D-E) and ‘senior’ pharmacists (AfC Bands 8c-9 and Whitley grades F-H) because implementation of the Agenda for Change pay system was not complete. 47
Table 4.2: Three-month vacancy rates for qualified pharmacists by Agenda for Change bands, May 2008-2011 Year 2008 48 Participating UK countries England, Wales, Northern Ireland Band 6 Band 7 Three-month vacancy rate (%) Band 8a Band 8b Band 8c Band 8d Band 9 Overall 14.8 10.1 6.4 4.1 2.7 2.5 1.0 8.0 2009 All UK countries 20.9 14.1 7.2 5.1 4.3 1.4 0.9 10.5 2010 All UK countries 11.6 11.5 6.3 4.0 6.4 1.1 3.5 7.9 2011 All UK countries* 6.7 6.3 3.6 2.9 3.1 1.8 0.9 4.5 * Data for Scotland relate to September instead of May. Source: Pharmacy Establishment and Vacancy Surveys. 4.20 The reduction in vacancy rates for junior pharmacists between 2010 and 2011 reflect increases in the number of permanently employed staff in these grades, as shown in Table 4.3. A small decrease in the funded establishment (0.3% in Band 6 and 0.1% in Band 7) also contributed to the decrease in vacancy rates. Table 4.3 Change in full time equivalent qualified pharmacists in post, by AfC Band and UK country, May 2010 - May 2011 Percentage change in FTE pharmacists in post between May 2010 and May 2011 Band 6 Band 7 Band 8a Band 8b Band 8c Band 8d Band 9 Total England 5.9 11.2 4.1 0.3 -1.0 -6.3 -4.7 4.4 Wales -6.0 1.5 -0.7 -1.0 1.0 13.6 12.5 -0.3 Scotland* 16.5 0.8 14.1 5.6 9.9 -19.7 -1.8 8.3 Northern Ireland 3.1 -14.9 37.9 28.8 28.7 0.0 n/a 4.9 UK 6.0 7.4 5.9 1.2 0.6 -6.2 -2.4 4.5 * Data for Scotland show change between May 2010 and September 2011. Source: Pharmacy Establishment and Vacancy Surveys. 4.21 16 Table 4.4 shows the latest changes in vacancy rates by ‘UK region’ . In general, the national-level decreases in vacancy rates have been mirrored across regions: • • • • The total vacancy rate in Band 6 decreased in 11 out of 13 UK regions between 2010 and 2011, and in 2011 ranged from a low of 3.5% in Northern Ireland to a high of 30.8% in the North East Strategic Health Authority (SHA) area (the North East had the lowest total vacancy rate in this band in 2010); The three-month vacancy rate in Band 6 decreased in 8 out of 13 UK regions between 2010 and 2011, and in 2011 was lowest in Scotland (1.8%) and highest in North East SHA area (29.0%); The total vacancy rate in Band 7 increased only in Wales between 2010 and 2011, and in 2011 ranged from 6.2% in Scotland to 19.5% in the South East Coast SHA area; The three-month vacancy rate in Band 7 decreased in 11 out of 13 UK regions between 2010 and 2011 – increasing only in Wales and Northern Ireland – and in 2011 was lowest in Scotland (3.3%) and highest in the West Midlands SHA area (10.6%). 16 For brevity, ‘UK region’ denotes Scotland, Wales, Northern Ireland and each Strategic Health Authority (SHA) area in England.
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NHS Pay Review Body Twenty-Sixth Re
Page 3 and 4:
ii © Crown copyright 2012 You may
Page 6 and 7: Contents Summary of Recommendations
Page 8 and 9: level since August 1994. We have co
Page 10 and 11: Chapter 1 - Introduction and Backgr
Page 12 and 13: in his 20 June 2011 letter that the
Page 14 and 15: 1.21 At the time of submission of t
Page 16 and 17: Chapter 2 - Recruitment, Retention
Page 18 and 19: Table 2.1: Change in NHS workforce
Page 20 and 21: Table 2.3: Leaving and joining rate
Page 22 and 23: Distribution of Staff on Agenda for
Page 24 and 25: Table 2.5: Median gross weekly pay
Page 26 and 27: Figure 2.8: Growth in median gross
Page 28 and 29: Figure 2.9: Estimated pension membe
Page 30 and 31: 3.4 3.5 Figure 3.1: Distribution of
Page 32 and 33: Figure 3.4: Composition of FTE staf
Page 34 and 35: Inflation 3.10 In the context of th
Page 36 and 37: 3.15 The OBR forecast in November 2
Page 38 and 39: 3.22 The Government noted that infl
Page 40 and 41: of components of CPI and RPI over t
Page 42 and 43: Table 3.1: NHS revenue since 2000/0
Page 44 and 45: 3.46 The Department added that rece
Page 46 and 47: surplus on its Departmental Expendi
Page 48 and 49: Evidence from the Parties The Healt
Page 50 and 51: 3.83 We make our assessment of the
Page 52 and 53: staff median earnings across the ec
Page 54 and 55: equired to seek evidence or advice
Page 58 and 59: Table 4.4: Staffing establishments
Page 60 and 61: pre-registration trainee pharmacist
Page 62 and 63: Proposal for a National Recruitment
Page 64 and 65: 4.47 UCATT has drawn to our attenti
Page 66 and 67: Chapter 5 - General Workforce Issue
Page 68 and 69: • • • • • • Specialist
Page 70 and 71: 5.19 The 2011 NHS Staff Survey in E
Page 72 and 73: Our Comment 5.34 From the evidence
Page 74 and 75: planning process could become fragm
Page 76 and 77: Staff Bodies 5.60 The Staff Side sa
Page 78 and 79: Chapter 6 - A Forward Look 6.1 In t
Page 80: Data and Evidence Requirements 6.13
Page 83 and 84: 74 PROTECT UNTIL PUBLICATION PROTEC
Page 85 and 86: 76 PROTECT UNTIL PUBLICATION 114
Page 89 and 90: 80 PROTECT UNTIL PUBLICATION PROTEC
Page 91 and 92: 82 Deputy First Minister & CabinetS
Page 93 and 94: Appendix B Recommended Agenda For C
Page 95 and 96: C2 C3 86 Figure C3: Composition of
Page 97 and 98: Table C4: Ambulance 88 England FTE
Page 99 and 100: Note that, in years when the number
Page 101 and 102: Table D3: HCHS Paybill per FTE (£)
Page 103 and 104: Table D7: HCHS Workforce (FTE) 1,8
Page 105 and 106: APPENDIX F Previous Reports Of The
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APPENDIX G Glossary AfC Agenda for
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UK United Kingdom VAT Value Added T
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