If you are
unsure whether a job's terms and conditions comply with BMA agreements should
consult the association’s secretary.
Be aware that long term and undefined locum appointments may
lack some of the usual benefits of service. Before taking up appointments, applicants
should ensure that they have received a contract, clearly specifying the number
of sessions or notional half days. Applicants for specialist training grades
should confirm prospectively whether the time spent in the appointment counts
towards their training goal.
Part time (flexible) appointments
Training grades: Postgraduate deans control the funding for
these posts, and central restrictions on their number no longer exist.. Flexible
posts are available in all training grades, and all such posts are open to flexible
and full time applicants (even if the advertisement does not state this). Please
look under the appropriate specialty.
Career grades: These may be whole time (with a maximum part
time option for consultants and associate specialists), part time, or job sharing.
Employers should consider all posts as potentially suitable for job sharing
or part time working and, if so, advertise them as such. Part time appointments
appear under a dedicated heading on the opposite page. Further information is
available from postgraduate deans for trainees and from local BMA offices for
BMA members applying for career grade posts,
Advertisers should not insist on English qualifications over
equivalent Scottish or Irish ones (or vice versa).
Employers should issue standard model contracts and full
job descriptions. Doctors occupying accommodation should be issued with tenancy
or licence agreements and an inventory of property. They should seek written
confirmation of such conditions and removal expenses before accepting an appointment.
Doctors should satisfy themselves that the posts offer adequate facilities for
postgraduate education. They should check that the training offered by jobs
will count towards their training goals.
Approval of training grades
Preregistration house officer posts: Individual universities
are responsible for approving the suitability of these for their graduates.
Applicants should check with their medical school that the GMC recognises the
post for purposes of registration.
Other training posts: Postgraduate
deans are responsible for these.
Specialist registrar appointments
Applicants should check that placements and programmes have the required educational
and dean's approval.
These are open to all doctors. Special arrangements exist for doctors without
a right of indefinite residence in the UK. Fixed term training appointments
are open to overseas doctors, and doctors with European Economic Area rights
of residence, other than UK nationals. Appointment procedures are described
in full in the Guide to Specialist Registrar Training‚ February 1998.
Locum Appointment – Service
These are short term appointments of up to three
months, designed to fill a service gap. These do not have a training element
and cannot count towards a SpR training programme. Appointment is the responsibility
of employing trusts.
Locum Appointment – Training
These are appointments generally of no more than
one year. They are intended to fill a gap in the SpR grade but offer experience
which can count towards SpR training where the training has been approved prospectively
by the relevant college or faculty. They do not attract a National Training
Number and appointees have to compete for entry to the substantive SpR grade
in open competition.
Pay banding system
The posts that fulfil the criteria set out in HSC/2000/031
are allocated to a pay band according to duration of work, antisocial hours
of work, and frequency of duty. Advertisements should detail the band to which
the post has been allocated. Contact the employer before applying if it doesn't.
There is a right of appeal over employers’ banding decisions. Contact your
local BMA office if you are considering appealing
Hours of work
No junior doctor should be required to be on duty for
72 hours a week - on call rota
64 hours a week - partial shift
56 hours a week - full shift.
Although the limits refer to contracted hours, doctors should ascertain that
actual duty hours do not exceed these limits. Irrespective of their contracted
hours no junior doctors should be expected to work for more than an average
of 56 hours a week.
Nationally agreed model forms of contract (consultant,
associate specialist, staff grade), job plan and work programme (consultant)
should be used. Previous experience may be taken into account in determining
Less than whole time:
Doctors who can work only part time are eligible to apply
for posts advertised as whole time. Posts may be offered on a part time (with
number of notional half days sessions specified) or whole time basis.If whole
time the option of a maximum part time contract should be included for consultants
and associate specialists. Before accepting a career grade post, candidates
should ascertain whether the appointment is on the trust’s own terms or
whether it is bound by national agreements on terms and conditions of service.
If any local arrangements apply advice should be sought from the local BMA office
before accepting the contract of employment.
Public health medicine and community
Salary scale: as for hospital specialist registrars For further
details, see Guide to Specialist Registrar Training, February 1998. Trainees
not offered their preferred option should contact the BMA or their local BMA
office for advice.
Salary scale: as for hospital consultants
Scales for directors of public health vary according to employing authority.
Details may be obtained from the secretary of the BMA or BMA local offices.
Clinical medical officer
Salary scale: £26 930to £37 465.
Senior clinical medical officer
Salary scale: £38 425to £55 155.
Posts of limited tenure are not provided for within the terms and conditions
of service, except under the special circumstances detailed in para.192.
Principals providing general medical services in the NHS are
independent contractors and their remuneration in England and Wales is governed
by the Statement of Fees and Allowances Payable to General Medical Practitioners
in England and Wales. (Known as the red book, it is issued by the Department
of Health). Scotland and Northern Ireland have similar but separate arrangements.
Applicants for vacancies may consult the BMA’s local offices or their local
medical committee for advice.
University and research appointments
Senior staff – lecturers, senior lecturers, readers
holding honorary consultant contracts: scales as for NHS consultants.
Junior staff – lecturers holding honorary contracts at
other than consultant levels: scales as for NHS registrars and senior registrars.
Senior lecturers and readers holding honorary
contracts at other than consultant level: £41 410, £44
810 , £48 185, £51 619, £55 956, £58 955.
Salary scales are obtainable from BMA local offices.
BMA members wanting advice on the terms and conditions of
service of l doctors in the armed forces l occupational health posts outside
the NHS should contact their local BMA office.
For information on medical employment outside the UK public
sector members should consult the BMA’s secretary
Career grade doctors: basic salaries
|Per notional half day
||Per 10 sessions**
** Appointments can be for any number of sessions up to13.
Training grades: basic salaries
||Senior House Officer
*Subject to conditions
Band supplements (as a proportion of basic salary):
Band 1A– 50%, Band 1B– 40%, Band 1C– 20%,
Band 2A– 80%, Band 2B– 50%, Band 3– 100%, Band FA– 25%,
Band FB– 5%, Band FC– Pro-rata.