Pay progression in accordance with new consultant contracts (form) by 8XM4Z4x5

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									A Guide to Job Planning for                            West Suffolk Hospital NHS Trust
Consultant Medical Staff
_____________________________________________________________________________________________________

                                                                                      Appendix A

                             Pay Progression in accordance with
                                 New Consultant Contracts


Name of Consultant:             ………………………………………………………………..

Speciality/Directorate:         ………………………………………………………………..

Year Ending:                    ………………………………………………………………..

The following statements should be answered by the Clinical Director (please delete as
appropriate) and countersigned by the Medical Director. This should be read in conjunction
with Schedule 15 of the Terms and Conditions of Service.


1       He/She has made every reasonable effort to meet the time and              *Yes/No
        service commitments in the job plans.



2       He/She has participated satisfactorily in the appraisal process.          *Yes/No



3       He/She has participated satisfactorily in reviewing the job plan &        *Yes/No
        setting personal objectives.



4       He/She has met the personal objectives in the job plan, or where          *Yes/No
        this was not achieved for reasons beyond their control, made
        every reasonable effort to do so?



5       He/She has worked towards any changes identified in my last job           *Yes/No
        plan review as being necessary to support achievement of the
        Trust’s organisations objectives.



6       He/She has taken up any offer to undertake additional                     *Yes/No
        Programmed Activities that the Trust has made to them in
        accordance with Schedule 6 of the Terms and Conditions of
        Service



7       He/She has met the standards of conduct governing the                     *Yes/No
        relationship between private practice and NHS Commitments set
        out in Schedule 9 of the Terms and Conditions of Service



_____________________________________________________________________________________________________
Guide v1 – issued: June 2008                  1
A Guide to Job Planning for                            West Suffolk Hospital NHS Trust
Consultant Medical Staff
_____________________________________________________________________________________________________

Where you have answered ‘No’ to any of the statements above please make comments in
the box below.


Comments:




Signed:         ………………………………………………………                                   Date:……………...
(Clinical Director)


Countersigned: …………………………………………………….                                    Date:……………...
(Medical Director)




(To be completed by the Chief Executive)


I agree/disagree that the above named has met the criteria to allow pay progression in
accordance with Schedule 15 of Terms and Conditions of Service.


Signed:        ………………………………………………………                                    Date:……………..
(Chief Executive)


Please forward to Human Resources and Communications Directorate.


P3 - To be completed by Executive Director of Workforce                [Completed Yes/No]

*Please delete as appropriate




Guide v1 – issued: June 2008                  2

								
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