1. CURRENT ISSUES (continued)
1.1.5 What are the department's projections
for numbers of new doctors, nurses, midwives and radiographers
completing training in the next five years?
ANSWER
1. The projected numbers of doctors, nurses,
midwives and radiographers completing undergraduate or pre-registration
training programmes in England over the next five years is shown
in Table 1.1.5.
Table 1.1.5
TOTAL PROJECTED NEW GRADUATES EACH YEAR
|
| 2005-06
| 2006-07 | 2007-08
| 2008-09 | 2009-10
|
|
| Nurses1 | 17,824
| 18,708 | 19,737
| 19,394 | 19,394
|
| Midwives2 | 1,185
| 1,205 | 1,296
| 1,205 | 1,205
|
| Diagnostic Radiographers3 | 670
| 670 | 670
| 670 | 670
|
| Therapeutic Radiographers3 | 178
| 178 | 187
| 187 | 187
|
| Doctors4 | 4,050
| 4,350 | 5,050
| 5,650 | 5,750
|
|
Notes
1. Numbers entering training each year will remain at current levels and attrition rate during training is 18%
2. Numbers entering training each year will remain at current levels and attrition rate during training is 18%
3. Numbers entering training each year will remain at current levels and attrition rate during training is 15%
4. Based on actual intakes up to 2004-05 and planned 2005-06 intake, attrition rate during training is 8%
|
1.1.6 What is department's estimates of the numbers
reaching retirement age in the next five years in each of the
following professions: doctors/ nurses/ midwives/ radiographers?
ANSWER
1. The anticipated number of retirees from the Nursing,
Midwifery, Radiographer, General Practice and HCHS doctor workforces
over the next five years is shown in Table 1.1.6.
Table 1.1.6
NURSING, MIDWIFERY, RADIOGRAPHER AND GP RETIREMENT PROJECTIONS
|
| 2005-06
| 2006-07 | 2007-08
| 2008-09 | 2009-10
|
|
| Nurses(1) | 4,181
| 4,651 | 5,103
| 5,683 | 6,224
|
| Midwives (1) | 457
| 462 | 485
| 512 | 538
|
| Radiographers(1) | 200
| 200 | 200
| 340 | 340
|
| GPs(3) | 832
| 833 | 837
| 840 | 846
|
| HCHS doctors(4) | 1,602
| 1,524 | 1,468
| 1,435 | 1,401
|
|
Notes
1. Nursing and midwifery retirement projections are based on the probability by age group nurses are most likely to retire
2. Radiography projections assume a retirement age of 60
3. GP Projections are based on the numbers forecast to leave the workforce aged 55 and over. They assume that the proportion of leavers in each age group will remain the same as the average number of leavers over the period 1999 to 2004.
4. The figures show estimates of the current workforce who will leave in each year who in that year will be aged 55 or above. The current workforce is defined as those recorded on the September 2004 census. The figures will not include those doctors who join the workforce subsequently to September 2004 who then leave aged 55 or above. That the figures reduce over time may be indicative of the HCHS workforce being more transient than other groups, with an additional number of doctors retiring who are not recorded on the 2004 census.
|
1.2 NHS Pay
1.2.1 What is the estimated cost of implementing Agenda
for Change this year, and for the next three years?
ANSWER
1. Table 1.2.1 shows the estimated cost of implementing
Agenda for Change for the financial years 2005-06 to 2008-09.
Table 1.2.1
ESTIMATED COST OF IMPLEMENTING AGENDA FOR CHANGE
|
| Year | Cumulative total £ million(1)
|
|
| 2005-06 | 980
|
| 2006-07 | 1,390
|
| 2007-08 | 1,780
|
| 2008-09 | 2,200
|
|
Notes
1. Totals rounded to nearest £10 million
1.2.2 What is the estimated cost of implementing the
new consultant contract this year, and for the next three years?
For comparison, please could the Department also provide figures
for the total cost of consultant pay under the old contract, for
the two years preceding the implementation of the new consultant
contract.
ANSWER
1. Table 1.2.2(a) shows the estimated cost of
the consultant contract in 2003-04 to 2005-06.
Table 1.2.2(a)
ESTIMATED COST OF THE CONSULTANT CONTRACT
|
| Year | Cumulative total £ million(1)
|
|
| 2003-04 | 133
|
| 2004-05 | 182
|
| 2005-06 | 250
|
|
Notes
1. Figures given are to the nearest £000
2. Figures for consultant pay for the years 2001-02 and 2002-03 are given in Table 1.2.2(b).
|
Table 1.2.2(b)
CONSULTANT EARNINGS
|
| Year | £ million(1)
|
|
| 2001-02 | 2,278
|
| 2002-03 | 2,537
|
|
Notes
1. Figures given are to the nearest £000
|
1.2.3 What is the estimated cost of implementing the
new GMS contract this year, and for the next three years?
ANSWER
1. The estimated cost of implementing the new GMS contract
is given in Table 1.2.3. No estimate is available beyond
2005-06. The existing GMS contract is currently being reviewed
and is the subject of negotiations with GPC. Negotiations are
due to be completed around the end of 2005.
Table 1.2.3
ESTIMATED COST OF IMPLEMENTING NEW GMS CONTRACT
|
| Financial Year | Estimated cost £ billion
|
|
| 2003-04 | 5.8
|
| 2004-05(1) | 6.9
|
| 2005-06(1) | 7.5
|
|
Notes
1. Estimated cost subject to validation/agreement with
GPC.
1.2.4 Please could the Department provide an estimate
of the total cost of GP services, including GPs paid under both
PMS and GMS a) for the two years preceding the implementation
of the new GP contract and b) for the first year of the new contract's
implementation.
ANSWER
1. The information requested is given in Table 1.2.4.
Table 1.2.4
ESTIMATED TOTAL COST OF GP SERVICES
|
| Year | Cost £ million
|
|
| 2002-03 | 4,060
|
| 2003-04(1) | 4,623
|
| 2004-05(1) (2) (3) | 5,921
|
|
Notes
1. This figure is not comparable with the answer given
to question 1.2.3. The cost of implementing the new GMS contract
includes items of spend in addition to the cost of GP services,
eg dispensing costs (which accounts for most of the difference),
investment in premises, quality preparation etc.
2. This is an estimate and subject to audit.
3. The significant increase in cost since 2003-04 reflects
the increase in resources agreed as part of the new GMS contract,
in particular the Quality and Outcomes Framework (QOF) where,
broadly, 15% of practice funding is based on achieving quality
outcomes based on clinical or organisational best practice. The
QOF rewards practices on the basis of how well they care for patients
rather then simply the number of patients they treat.
1.2.5 What is the estimated cost of implementing the
new pharmacy contract this year, and for the next three years?
ANSWER
1. Funding of £1,776 million is available to support
the new community pharmacy contractual framework for 2005-06 in
England. Funding for future years has not yet been determined
but will be uplifted by:
— the marginal cost of the increase in the volume
of prescriptions;
— the increased cost of staff salaries in excess
of the GDP deflator; and,
— an allowance for efficiency consistent with efficiency
targets in the NHS.
1.2.6 Could the Department please supply data from
1997 to the present detailing the top (discretionary and non-discretionary,
and including merit or distinction awards where appropriate) and
bottom of payscales, and average remuneration levels, for each
of the following professional groups/grades:
Nursing and Midwifery Grades D—I
Nursing/ midwifery/ health visitor consultants
Salaried General Practitioners employed by PCTs
ANSWER
1. Table 1.2.6(a) to Table 1.2.6(c) show
salary information for medical and dental staff, and for nursing
and midwifery staff. Information for salaried general practitioners
is shown in Table 1.2.6(c). Information on non-salaried general
practitioners is given in Table 1.2.6(d).
Table 1.2.6(d)
AVERAGE NET INCOME LEVELS RECOMMENDED BY THE DDRB FOR
GPS
|
| Year | £
|
|
| 1996-97 | 44,483
|
| 1997-98 | 46,031
|
| 1998-99 | 48,037
|
| 1999-2000 | 52,606
|
| 2000-01 | 54,219
|
| 2001-02 | 56,510
|
| 2002-03 | 61,618
|
|
Table 1.2.6(a)
NURSING & MIDWIFERY STAFF GRADES D To I AND NURSE,
MIDWIFE & HEALTH VISITOR CONSULTANTS PAY SCALES AND AVERAGE
REMUNERATION SINCE 1997-98
|
| 1997-98(1)
| 1998-99(1) | 1999-2000
| 2000-01 | 2001-02
| 2002-03 | 2003-04
| 2004-05 |
|
| Nurse Grade D | |
| | | |
| | |
| Minimum | £12,385
| £12,855 | £14,400
| £14,890 | £15,445
| £16,005 | £16,525
| £17,060 |
| Maximum | £14,165
| £14,705 | £15,905
| £16,445 | £17,055
| £17,670 | £18,240
| £18,830 |
| Max with Discretionary points |
| | | |
| | | |
| Average Full Time Earnings |
| | £18,100
| £19,000 |
| £20,400 |
| £21,900 |
| | |
| | | |
| | |
| Nurse Grade E | |
| | | |
| | |
| Minimum | £14,165
| £14,705 | £15,395
| £15,920 | £16,510
| £17,105 | £17,660
| £18,230 |
| Maximum | £16,410
| £17,030 | £17,830
| £19,220 | £19,935
| £20,655 | £21,325
| £22,015 |
| Max with Discretionary points |
| | | |
| | | |
| Average Full Time Earnings |
| | £20,400
| £21,900 |
| £23,500 |
| £25,200 |
| | |
| | | |
| | |
| Midwifery Scale(2) | |
| | |
| | | |
| Minimum | | |
| | | £17,105
| £17,660 | £18,230
|
| Maximum | | |
| | | £23,690
| £24,455 | £25,250
|
| Max with Discretionary points |
| | | |
| | | |
| Average Full Time Earnings |
| | | |
| £24,100 |
| £26,700 |
| | |
| | | |
| | |
| Nurse Grade F | |
| | | |
| | |
| Minimum | £15,715
| £16,310 | £17,075
| £17,655 | £18,310
| £18,970 | £19,585
| £20,220 |
| Maximum | £19,250
| £19,985 | £20,925
| £21,635 | £22,865
| £23,690 | £24,455
| £25,250 |
| Max with Discretionary points(3) |
| £21,115 | £22,105
| £22,860 | £23,710
| £24,565 | £25,360
| £26,180 |
| Average Full Time Earnings |
| | £23,000
| £24,000 |
| £26,100 |
| £28,000 |
| | |
| | | |
| | |
| Nurse Grade G | |
| | | |
| | |
| Minimum | £18,535
| £19,240 | £20,145
| £20,830 | £21,605
| £22,385 | £23,110
| £23,860 |
| Maximum | £21,440
| £22,255 | £23,300
| £24,090 | £25,420
| £26,340 | £27,190
| £28,070 |
| Max with Discretionary points(3) |
| £23,410 | £24,515
| £25,350 | £26,290
| £27,245 | £28,125
| £29,035 |
| Average Full Time Earnings |
| | £24,800
| £25,800 |
| £28,000 |
| £29,900 |
| | |
| | | |
| | |
| Nurse Grade H | |
| | | |
| | |
| Minimum | £20,710
| £21,495 | £22,505
| £23,270 | £24,135
| £25,005 | £25,815
| £26,650 |
| Maximum | £23,680
| £24,580 | £25,735
| £26,610 | £28,045
| £29,065 | £30,005
| £30,975 |
| Max with Discretionary points(3) |
| £25,775 | £26,990
| £27,910 | £28,945
| £29,990 | £30,960
| £31,960 |
| Average Full Time Earnings |
| | £26,600
| £27,400 |
| £30,000 |
| £32,100 |
| | |
| | | |
| | |
| Nurse Grade I | |
| | | |
| | |
| Minimum | £22,925
| £23,795 | £24,920
| £25,770 | £26,725
| £27,695 | £28,590
| £29,515 |
| Maximum | £25,975
| £26,965 | £28,240
| £29,205 | £30,720
| £31,830 | £32,860
| £33,920 |
| Max with Discretionary points(3) |
| £28,160 | £29,485
| £30,490 | £31,620
| £32,760 | £33,820
| £34,920 |
| Average Full Time Earnings |
| | £29,300
| £30,100 |
| £33,200 |
| £35,200 |
| | |
| | | |
| | |
| Nurse, Midwife & Health Visitor Consultant
| | | |
| | | |
|
| Minimum | | |
£27,460 | £28,395
| £29,450 | £33,940
| £35,035 | £36,165
|
| Maximum | | |
£42,010 | £43,440
| £45,050 | £46,675
| £48,185 | £49,740
|
| Max with Discretionary points |
| | | |
| | | |
| Average Full Time Earnings |
| | | £35,300
| | £38,400
| | £40,100
|
|
Notes
1 1 December figure used for years where increase was
staged).
2 Separate midwifery scale introduced from 1 April 2002.
3 Discretionary points introduced in September 1998.
Table 1.2.6(b)
AGENDA FOR CHANGE: NATIONAL JOB PROFILES AND PAY BANDS
FOR NURSING & MIDWIFERY STAFF 2004-05 AND 2005-06
|
| | 2004-05
| 2005-06
|
| Job Profile | Pay Band
| Minimum | Maximum
| Minimum | Maximum
|
|
| Nurse (Community) | 5
| £18,114 | £23,442
| £18,698 | £24,198
|
| Nurse (GP Practice) | 5
| £18,114 | £23,442
| £18,698 | £24,198
|
| Nurse (Schools) | 5
| £18,114 | £23,442
| £18,698 | £24,198
|
| Dental Nurse Team Leader | 5
| £18,114 | £23,442
| £18,698 | £24,198
|
| Dental Nurse Specialist | 5
| £18,114 | £23,442
| £18,698 | £24,198
|
| Midwife Entry Level | 5
| £18,114 | £23,442
| £18,698 | £24,198
|
| Nurse | 5 |
£18,114 | £23,442
| £18,698 | £24,198
|
| Nurse (Mental Health) | 5
| £18,114 | £23,442
| £18,698 | £24,198
|
| Theatre Nurse | 5
| £18,114 | £23,442
| £18,698 | £24,198
|
| Nurse Specialist (Community) | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Nurse Specialist (GP Practice) | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Nurse Specialist (Schools) | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Nurse Specialist (Special Schools) | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Nurse Specialist Mental Health (Community) |
6 | £21,630
| £29,302 | £22,328
| £30,247 |
| Dental Nurse team Manager | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Dental Nurse Tutor | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Health Visitor | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Midwife (Community) | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Midwife (Hospital) | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Midwife (Integrated) | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Nurse Specialist (NHS Direct) | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Nurse Specialist | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Nurse Team Leader | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Theatre Nurse Specialist | 6
| £21,630 | £29,302
| £22,328 | £30,247
|
| Nurse Team Manager (Community) | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Nurse Team Manager (Mental Health, Community)
| 7 | £26,106
| £34,417 | £26,948
| £35,527 |
| Nurse Team Manager (Schools) | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Health Visitor Specialist | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Health Visitor Team Manager | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Nursing/Health Visitor Specialist (Community Practice Teacher)
| 7 | £26,106
| £34,417 | £26,948
| £35,527 |
| Midwife Higher Level | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Midwife Higher Level (Research Projects) |
7 | £26,106
| £34,417 | £26,948
| £35,527 |
| Midwife Team Manager | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Nurse Team Manager (NHS Direct) | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Nurse Advanced | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Nurse Team Manager | 7
| £26,106 | £34,417
| £26,948 | £35,527
|
| Modern Matron | 8A
| £33,298 | £39,958
| £34,372 | £41,246
|
| Midwife Consultant | 8A-8C
| £33,298 | £57,539
| £34,372 | £59,395
|
| Nurse Consultant | 8A-8C
| £33,298 | £57,539
| £34,372 | £59,395
|
|
|
