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

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Appendix D The Department Of Health’s Pay Metrics The Department of Health is currently revising the methodology that underpins the pay metrics. There are known issues with the current methodology which will impact on the metrics and historical comparisons for recent years. These include: • • • • The staff group split of the pay bill is becoming increasingly unreliable due to a lack of staff group level spend data for Foundation Trusts (FTs); An annual snapshot of workforce numbers is used from the Census publication, rather than the average workforce over the year, which can skew per FTE pay bill and earnings calculations, and therefore per FTE growth (and drift) calculations; Earnings per FTE is calculated based on the pay bill per FTE and estimates of oncosts which are of uncertain reliability; and There are some inconsistencies introduced by the need to merge different data sources for FTs and non-FTs. The benefits of the new approach are that it: • • • • • • • Is based on more detailed and regularly available data sources; Uses more reliable estimates of spend across staff groups; Uses more detailed staff groups that are meaningful from a workforce planning perspective; Considers average workforce levels, as opposed to September snapshots, to give more reliable pay bill per FTE estimates; Provides a more detailed breakdown of pay bill across earnings and on-cost streams; Supports a more nuanced bottom-up approach to forecasting pay bill pressures; and Is available with less of a time lag and can be monitored in-year. The Department plans to implement the new approach for the next set of metrics. In the meantime, the 2010/11 metrics have been supplied on the basis of the existing methodology. Historical figures The historical pay metrics (up to and including 2010/11) have been estimated using pay bill data from NHS Financial Returns, NHS Accounts and Foundation Trust Annual Reports. Workforce statistics up to and including 2010/11 are from the annual NHS Workforce Census. The pay bill figures include all employees of Trusts, Primary Care Trusts, Strategic Health Authorities and Foundation Trusts in England. They do not include agency staff, contractors’ employees, GPs, other GP practice staff or family dentists and their staff. The pay bill data from the Foundation Trust Annual Reports does not include a breakdown of costs by staff group; this breakdown has been estimated using historic NHS Financial Returns. Earnings per FTE figures have been derived from the pay bill per FTE figures using the NHS Pension Scheme and National Insurance rates and thresholds that apply to NHS employers. 89
Note that, in years when the number of staff in higher paid staff groups has grown by more than the number in lower-paid groups, the average earnings figure for all staff has increased as a result. Notes to the tables 1. Figures are for NHS staff in England only, and exclude Agency staff. 2. Includes estimates for the breakdown of the pay bill by staff group for Foundation Trusts (all years from 2004/05 onwards). 3a. Pay bill figures from 2010/11 NHS Financial Returns and Foundation Trusts Consolidated Accounts. The pay bill figures include all employees of Trusts, Primary Care Trusts, Strategic Health Authorities and Foundation Trusts in England. They do not include agency staff, contractors’ employees, GPs, other GP practice staff or family dentists and their staff. 3b. The 2010/11 methodology has been slightly adjusted to allow for the impact of an Ambulance Trust becoming an FT in estimating the distribution of pay bill across staff groups. 4. In 2004/05, responsibility for NHS Pensions Indexation shifted from HMT to NHS employers. 5. Unqualified Nursing, HCA and Support includes Ancillary staff (e.g. cleaners and porters). 6. Scientific, Therapeutic and Technical staff (ST&T) includes Allied Health Professionals and Healthcare Scientists. 7. This total includes a small number of ‘Other’ staff which do not fall into any of the above staff groups (0.03% of NHSPRB workforce in 2010/11). 8. The workforce numbers are taken from published Census data which represents a snapshot as at 30th September for each given year. It must be noted that the profile of workforce growth during each year may affect the average earnings and pay bill per FTE. 90
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NHS Pay Review Body Twenty-Sixth Re
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ii © Crown copyright 2012 You may
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Contents Summary of Recommendations
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level since August 1994. We have co
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Chapter 1 - Introduction and Backgr
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in his 20 June 2011 letter that the
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1.21 At the time of submission of t
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Chapter 2 - Recruitment, Retention
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Table 2.1: Change in NHS workforce
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Table 2.3: Leaving and joining rate
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Distribution of Staff on Agenda for
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Table 2.5: Median gross weekly pay
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Figure 2.8: Growth in median gross
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Figure 2.9: Estimated pension membe
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3.4 3.5 Figure 3.1: Distribution of
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Figure 3.4: Composition of FTE staf
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Inflation 3.10 In the context of th
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3.15 The OBR forecast in November 2
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3.22 The Government noted that infl
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of components of CPI and RPI over t
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Table 3.1: NHS revenue since 2000/0
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3.46 The Department added that rece
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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 56 and 57: 4.17 For this report, Unite initial
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
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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
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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
Page 107 and 108: APPENDIX G Glossary AfC Agenda for
Page 109 and 110: UK United Kingdom VAT Value Added T
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