Employee No
Post ID
Received in HR:
CONSULTANT CLINICAL ACADEMIC
Confirmation of Annual Job Plan Review
Part A: Employee details
Title/First name: Family Name:
Department:
Part B: Confirmation of Pay Progression
Please confirm that the Clinical Academic has met the Criteria for Pay Thresholds as
specified in Annex D of the UCEA Update (05/55). Where confirmed, salaries will be
increased if the Clinical Academic is eligible for pay progression.
Date pay progression is due:.....................................................................................
Criteria met
I attach a copy of the signed job plan
Criteria not met. If not met please provide written details on a separate sheet.
If there are any changes to the funding of the post or new duties agreed for this job plan please
detail funding codes below. Please complete a form 1/2A for a change in FTE.
Salary Funding codes:
Basic Salary: Academic APA(s): Clinical APA(S): On-call / Out of Hours:
Part C: Departmental authorisation
Signature: ....................................................... Extn: ..........................................................
Print name: ..................................................... Date: ..........................................................
Part D: Human Resources
RL updated including bring forward of date of next threshold
Payroll Action Form Completed
File passed by HR to PAPS
Signature: ....................................................... Extn: ..........................................................
Print name: ..................................................... Date: ..........................................................
The new Consultant Clinical Academic Contract Revised Jan 2006
Confirmation of job plan review