1. CURRENT ISSUES
1.8. Waiting list surgery
1.8.1 Could the Department please supply
figures on the costs of elective surgery carried out in NHS hospitals
outside of routine hours (ie waiting list initiative sessions
held at weekends). These should include a global figure and trust
by trust figures.
1. The National Schedule of Reference Costs
provides unit cost information for a variety of treatments and
procedures carried out by NHS providers in England. Cost information
is available by type of patient admission, therefore detailed
data for elective surgery, identified separately for each of day
case and elective admissions, is available. However, we cannot
separately identify the cost of carrying out elective surgery
outside of routine hours.
2. The National Schedule of Reference Costs
website provides further details: www.doh.gov.uk/nhsexec/refcosts.htm
1.8.2 Could the department please state
the rates of pay for surgeons, anaesthetists, nurses, ODAs and
ancillary workers who work extra sessions to carry out elective
surgery carried in NHS hospitals outside of routine hours
1. Rates of pay for Consultant surgeons
and anaesthetists for extra sessions are decided locally and trusts
have the freedom to pay premium rates. No figures are available
on the rates paid locally for these sessions. Currently all non-medical
staff directly employed in the NHS receive pay enhancements where
their working patterns fall outside of normal or routine hours
in line with Whitley Council agreements. The current rates for
nurses, Operating Department Assistants and ancillary workers
are shown in Table 1.8.2.
Table 1.8.2
RATES OF PAY OUTSIDE NORMAL OR ROUTINE HOURS
|
| Unqualified Nurses
| Qualfied Nurses | ODAs
| Ancillary workers |
|
| Shift Working Monday-Saturday |
Plain time plus one third | Plain time plus 30%
| N/A | *Plain time plus one third
|
| Shift Working Sunday and Bank Holidays
| Plain time plus two thirds
| Plain time plus 60% | N/A
| **Plain time plus one fifth
|
| Overtime—Monday to Saturday
| Plain time plus one half |
Plain time plus one half | Plain time plus one half
| Plain time plus one half |
| Overtime Sunday and Bank Holidays
| Double plain time | Double plain time
| Double plain time | Double plain time
|
| On call weekends | £14.28***
| £14.28*** | £8.90*
| Not much worked |
| On-call overnight | £9.57***
| £9.57*** | £8.90
| Not much worked |
| On Call statutory public holidays
| £19.19*** | £19.19***
| £8.90 |
|
| Stand-By weekends | £26.08***
| £26.08*** | £12.42****
| N/A |
| Stand-By overnight | £19.19***
| £19.19*** | £12.42
| N/A |
| Stand-By statutory public holidays
| £33.30*** | £33.30***
| £12.42 |
|
|
| Notes: | |
| Ancillary Staff |
| | |
| * | night duty allowance paid for hours worked between 10 pm and 6am at plain time plus one-third
|
| ** | unsocial hours payments paid between hours of 8pm-6am at one-fifth plain time and if outside working week at overtime rate plus one fifth for the hours worked
|
| | |
| Nursing Staff |
| | |
| *** | allowance for being on-call
|
| | |
| ODAs |
| | |
| **** | Work done as a result of an emergency for on call or stand- by is paid at plain time plus one half for Weekdays or Saturdays and at double plain time for Sundays or Bank holidays for first 2 hours—thereafter at one-eight for each quarter of a hour worked
|
| 
