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NHS Circular: PCS(DD)2007/12 The Scottish Government Health Workforce Directorate Employment and Retention Division abcdefghijklmnopqrstu Dear Colleague PAY AND CONDITIONS FOR HOSPITAL MEDICAL AND DENTAL STAFF AND DOCTORS AND DENTISTS IN PUBLIC HEALTH MEDICINE AND THE COMMUNITY HEALTH SERVICE REVISED RATES OF PAY FOR SPECIALTY REGISTRAR (StR) GRADE INCLUDING FIXED TERM SPECIALTY TRAINING APPOINTMENTS (StR (FT)) Summary 1. This circular authorises changes with effect from 1 August 2007 in the national pay rates for the Specialty Registrar Grade (StR) including Fixed Term Specialty Training Appointments (StR (FT)) in the Specialty Registrar Grade. Agreement 2. NHS Circulars PCS(DD)2007/7 and PCS(DD)2007/9 introduced new rates of pay for the new Specialty Registrar (StR), the Fixed Term Specialty Training Appointments in the Specialty Registrar grade (StR (FT)) and Locum Appointments in these grades. 3. Following the Joint Negotiating Committee s decision to uprate the scales for these grades in line with the Doctors and Dentists Review Body recommendations for 2007-08 revised rates are set out in the attached Annexes to this Circular. 6 November 2007 Addresses For action Chairs, NHS Boards and Special Health Boards and NHS National Services Scotland Chief Executives, NHS Boards and Special Health Boards and NHS National Services Scotland Directors of Finance, NHS Boards and Special Health Boards and NHS National Services Scotland Directors of Human Resources, NHS Boards and Special Health Boards and NHS National Services Scotland For information Members, Scottish Partnership Forum Members, Scottish Terms and Conditions Committee Members, Scottish Workforce and Governance Group Enquiries to: Mr Kevin Matheson Scottish Government Health Directorates Health Workforce Ground Floor Rear St Andrew s House EDINBURGH EH1 3DG Tel: 0131-244 3778 Fax: 0131-244 2837 E-mail: Kevin.matheson@scotland.gsi.gov.uk SE Approved

Action 4. New pay scales for the StR and StR (FT) grades came into effect from 1 August 2007 and should be used for all current and new appointments to these grades. The revised rates set out in the Annexes to this Circular replace those notified in NHS Pay Circulars PCS(DD)2007/7 and PCS(DD)2007/9 and apply retrospectively to contracts of employment entered into after 1 April 2007 where the StR or StR(FT) appointment commenced on or after 1 August 2007. 5. NHS Boards, Special Health Boards and NHS National Services Scotland are required to make the necessary arrangements to pay the revised salaries notified in the Annexes to this Circular from 1 August 2007 as appropriate. 6. A High Court judgement in 2006 highlighted the need for NHS employers to take all reasonable steps to ensure that the effects of nationally negotiated collective agreements are incorporated into individual contracts of employment. 7. It is good practice that employers should: write to individual medical and dental practitioners in order to notify them of the revisions to their TCS; and place a copy of the notification on each individual s HR record. GP Registrars 8. For the sake of completeness, details of pay scales for GP Registrars have also been included in this Circular at Annex D. Enquiries 9. Employees should direct their personal enquiries to their employing Board, Special Health Board or NHS National Services Scotland. 10. NHS Employers are asked to make their own arrangements for obtaining any additional copies of this circular which is available on the SHOW website at http://www.show.scot.nhs.uk/pcs.asp. Yours sincerely ALEX KILLICK Deputy Director for Health Workforce Employment and Retention

The Scottish Government Health Workforce Directorate Employment and Retention Division abcdefghijklmnopqrstu DIRECTION The Cabinet Secretary for Health and Wellbeing, in exercise of the powers conferred on her by Section 105(7) of, and paragraph 5 of Schedule 1 and paragraph 7 of Schedule 5 to, the National Health Service (Scotland) Act 1978, hereby gives to NHS Boards and Special Health Boards and NHS National Services Scotland the following Direction. Hospital medical and dental staff and doctors and dentists in public health medicine and the community health service shall be paid the appropriate rates relating thereto which were approved by the Cabinet Secretary for Health and Wellbeing on 6 November 2007 in NHS Circular PCS(DD)2007/12 with effect from 1 August 2007. ELINOR MITCHELL Deputy Director Scottish Government Health Workforce Directorates St Andrew s House EDINBURGH EH1 3DG 6 November 2007

The Scottish Government Health Workforce Directorate Employment and Retention Division abcdefghijklmnopqrstu NATIONAL HEALTH SERVICE APPROVAL OF REMUNERATION AND CONDITIONS OF SERVICE The Cabinet Secretary for Health and Wellbeing, in exercise of the powers conferred on her by Regulations 2 and 3 of the National Health Service (Remuneration and Conditions of Service) (Scotland) Regulations 1991 hereby approves the agreement of the Joint Negotiating Committee to the amendments to the Handbook of the Terms and Conditions of Service for Hospital Medical and Dental Staff and Doctors and Dentists in Public Health Medicine and the Community Health Service, set out in the Annexes to NHS Circular PCS(DD)2007/12 dated 6 November 2007. This approval has effect from 1 August 2007. ELINOR MITCHELL Deputy Director Health Workforce Directorate Scottish Government St Andrew s House EDINBURGH EH1 3DG 6 November 2007

StR and StR (FT) Full Time Trainee Pay Rates TABLE 1: Specialty Registrar (StR) and Fixed Term Specialty Registrar (StR (FT)) Pay Scales ANNEX A Grade Min 1 2 3 4 5 6 7 8 9 StR (FT) 28,352 30,087 32,510 33,975 35,742 37,510 StR 28,352 30,087 32,510 33,975 35,742 37,510 39,278 41,045 42,813 44,581 TABLE 2: Total Salaries for Specialty Registrar (StR) and Fixed Term Specialty Registrar (StRFT) Banding supplement 1C 1B 1A & 2B 2A 3 Grade Point Basic salary 20% 40% 50% 80% 100% StR (FT) Min 28,352 34,023 39,693 42,528 51,034 56,704 1 30.087 36,105 42,122 45,131 54,157 60,174 2 32,510 39,012 45,514 48,765 58,518 65,020 3 33,975 40,770 47,565 50.963 61,155 67,950 4 35,742 42,891 50,039 53,613 64,336 71,484 5 37,510 45,012 52,514 56,265 67,518 75,020 StR Min 28,352 34,023 39,693 42,528 51,034 56,704 1 30,087 36,105 42,122 45,131 54,157 60,174 2 32,510 39,012 45,514 48,765 58,518 65,020 3 33,975 40,770 47,565 50,963 61,155 67,950 4 35,742 42,891 50,039 53,613 64,336 71,484 5 37,510 45,012 52,514 56,265 67,518 75,020 6 39,278 47,134 54,990 58,917 70,701 78,556 7 41,045 49,254 57,463 61,568 73,881 82,090 8 42,813 51,376 59,939 64,220 77,064 85,626 9 44,581 53,498 62,414 66,872 80,246 89,162

TABLE 3: StR and StR (FT) FLEXIBLE TRAINEE PAY RATES ANNEX B StR StR (Fixed Term) Basic Basic Point 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 Point F5 14,176 15,044 16,255 16,988 17,871 18,755 19,639 20,523 21,407 22,291 14,176 15,044 16,255 16,988 17,871 18,755 F5 F6 17,012 18,053 19,506 20,385 21,446 22,506 23,567 24,627 25,688 26,749 17,012 18,053 19,506 20,385 21,446 22,506 F6 F7 19,847 21,061 22,757 23,783 25,020 26,257 27,495 28,732 29,970 31,207 19,847 21,061 22,757 23,783 25,020 26,257 F7 F8 22,682 24,070 26,008 27,180 28,594 30,008 31,423 32,836 34,251 35,665 22,682 24,070 26,008 27,180 28,594 30,008 F8 F9 25,517 27,079 29,259 30,578 32,168 33,759 35,351 36,941 38,532 40,123 25,517 27,079 29,259 30,578 32,168 33,759 F9 FC (20% supplement) FC (20% supplement) 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 F5 17,012 18,053 19,506 20,386 21,446 22,506 23,567 24,628 25,689 26,750 17,012 18,053 19,506 20,386 21,446 22,506 F5 F6 20,415 21,664 23,408 24,462 25,736 27,008 28,281 29,553 30,826 32,099 20,415 21,664 23,408 24,462 25,736 27,008 F6 F7 23,817 25,274 27,309 28,540 30,024 31,509 32,994 34,479 35,964 37,449 23,817 25,274 27,309 28,540 30,024 31,509 F7 F8 27,219 28,884 31,210 32,616 34,313 36,010 37,708 39,404 41,102 42,798 27,219 28,884 31,210 32,616 34,313 36,010 F8 F9 30,621 32,495 35,111 36,694 38,602 40,511 42,422 44,330 46,239 48,148 30,621 32,495 35,111 36,694 38,602 40,511 F9 FB (40% supplement) FB (40% supplement) 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 F5 19,847 21,062 22,757 23,784 25,020 26,257 27,495 28,733 29,970 31,208 19,847 21,062 22,757 23,784 25,020 26,257 F5 F6 23,817 25,275 27,309 28,539 30,025 31,509 32,994 34,478 35,964 37,449 23,817 25,275 27,309 28,539 30,025 31,509 F6 F7 27,786 29,486 31,860 33,297 35,028 36,760 38,493 40,225 41,958 43,690 27,786 29,486 31,860 33,297 35,028 36,760 F7 F8 31,755 33,698 36,412 38,052 40,032 42,012 43,993 45,971 47,952 49,931 31,755 33,698 36,412 38,052 40,032 42,012 F8 F9 35,724 37,911 40,963 42,810 45,036 47,263 49,492 51,718 53,945 56,173 35,724 37,911 40,963 42,810 45,036 47,263 F9 FA (50% supplement) FA (50% supplement) 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 F5 21,264 22,566 24,383 25,482 26,807 28,133 29,459 30,785 32,111 33,437 21,264 22,566 24,383 25,482 26,807 28,133 F5 F6 25,518 27,080 29,259 30,578 32,169 33,759 35,351 36,941 38,532 40,124 25,518 27,080 29,259 30,578 32,169 33,759 F6 F7 29,771 31,592 34,136 35,675 37,530 39,386 41,243 43,098 44,955 46,811 29,771 31,592 34,136 35,675 37,530 39,386 F7 F8 34,023 36,105 39,012 40,770 42,891 45,012 47,135 49,254 51,377 53,498 34,023 36,105 39,012 40,770 42,891 45,012 F8 F9 38,276 40,619 43,889 45,867 48,252 50,639 53,027 55,412 57,798 60,185 38,276 40,619 43,889 45,867 48,252 50,639 F9

ANNEX C Specialty Registrar and Specialty Registrar (FT): Band Working Arrangement LA Outside Monday to Friday 9 am to 5pm working patterns LB Outside Monday to Friday 9 am to 5pm for on-call working patterns LC Monday to Friday 9 am to 5 pm for all working patterns LL Covering a post for one week or more *Midpoint of the grade salary scale Supplement 1.8 x basic hourly rate* 1.5 x basic hourly rate* 1.4 x basic hourly rate* 1.2 x total salary (basic salary + banding supplement)* Hourly Rates ( ) : Bands LA, LB, LC Band Basic Rate LC LB LA StR (lower rate) 15.94 22.32 23.91 28.70 StR (higher rate) 17.57 24.60 26.36 31.63 Weekly Rates ( ) : Band LL Band Basic Rate 1C 1B 1A 2B 2A 3 StR (lower rate) 765.02 918.03 1071.03 1147.53 1147.53 1377.04 1530.04 StR (higher rate) (higher rate) 842.90 1011.48 1180.06 1264.35 1264.35 1517.22 1685.80 (NB: Junior doctors in Locum Appointment for Service (LAS) posts are to be paid under the banding system above. Junior doctors in Locum Appointments for Training (LAT) are excluded from this arrangement).

SPECIALTY REGISTRARS TRAINING IN GENERAL PRACTICE GP REGISTRAR PAY SCALES SUPPLEMENTARY INFORMATION ANNEX D The following information and table is included for the sake of completeness. They show the rate of allowances applicable to the GP Registrar Scheme. Determination of allowances for doctors entering VTS training in the Specialty Registrar grade 1) Doctors appointed from hospital training grades shall have their basic salary as a Specialty Registrar established under the transitional arrangements described in Annex B of NHS Pay Circular PCS(DD)2007/7. 2) The total allowance can then be determined by reference to the table set out for information below. 3) Doctors appointed from career grades before 1 August 2007 will have their allowance determined under the allowances for those appointed on or after that date will be determined under the arrangements as set out in Annex D of NHS Pay Circular PCS(DD)2007/7. Contracts of employment entered into after 1 April 2007 where the GP Registrar placement commenced on or after 1 August 2007 c. Col A : Hospital salary (last NHS appointment held) = current GPR basic allowance Col B : GP Registrar Supplement Col C : Col A + Col B = total allowance payable to GP Registrar A B C Specialty Registrar (StR) minimum 28,352 15,594 43,946 1 2 2 nd Year StR 30,087 16,548 46,635 4 3 rd year StR 32,510 17,881 50,391 5 4 th year StR 33,975 18,687 52,662 5 th year StR (Registrar Maximum) 35,742 19,659 55,401 6 7 6 th year StR 37,510 20,631 58,141 8 7 th year StR 39,278 21,603 60,881 9 8 th year StR 41,045 22,575 63,620 10 9 th year StR 42,813 23,548 66,361 11 10 th year StR 44,581 24,520 69,101