Select Committee on Health Memoranda


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




 
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