AfC – Reviews and Appeals

1. AfC – Reviews and Appeals HPA Reps Training 23rd Sept 2005 Mark Rawson – HPA Vice President Hospital Physicists Association 2005 ADC

2. Amicus Guidance • See Amicus Guidance on Undergoing A review of Your Matching Outcome • This presentation and handout is a profession specific supplement • This is HPA guidance based on experience and knowledge of AfC • The HPA is extremely concerned by some early results and misapplication of KTE and profiles Hospital Physicists Association 2005 ADC

3. Appeal Vs Review • Appeal - Breach of Process • 6 Month Time Limit • Grievance related • Likely to restart after rectifying breach • Can be before or after review • Review – The JE is “wrong” • 3 Month time limit • A second evaluation panel reconsiders outcome • Only one review • Outcome can go up, down or remain unchanged Hospital Physicists Association 2005 ADC

4. Trainees • Basic Trainees • Should not have matched • Should be paid a % of Band 7 • See T&C Handbook Annex U Para 3 • Higher Trainees • Ought to match Registered Physicist profile If argued against on word “register” appeal for breach of process Hospital Physicists Association 2005 ADC

5. Should I Request A Review/Appeal • If you are happy with outcome • NO ! • If Not • Possibly • more likely to be review than Appeal • Seek Advice • Act NOW • Do not bow to inappropriate pressure Hospital Physicists Association 2005 ADC

6. Appeal • Examples of Breach of Process: • Trainee put through matching process • Inappropriate refusal of review or appeal • JD used was not signed • JD used was signed under duress/misinformation • Evaluation process was misapplied • Local implementation not agreed in partnership • Wrong number or bias of panel • Panel not used • Political interference in outcome • No consistency checks • Pay point incorrectly calculated Hospital Physicists Association 2005 ADC

7. Review • Appropriate use of profile: • Is the profile appropriate ? • Does job statement fit ? • Is Knowledge Skills KTE correct ? • Expect 7 as a minimum, 8 for all who have achieved MIPEM or equivalent • Is Freedom To Act Correct ? • Are other factors correct and if not will changes affect banding. • How were advisors used ? Hospital Physicists Association 2005 ADC

8. Appropriate Profiles • “Registered Physicist” Profile (band 7) • Should only cover Higher Trainees and just qualified • Principal Physicist Profile (8a) • Should not be matches to this due to KTE • Consultant Physicist Profile (8c/d) • Upper B (B17-most Cs) • JAQ • Probably bulk of profession • Generic Health Care Science • Inappropriate in most cases (KTE & Job statement) • Professional Managers • Inappropriate in most cases Hospital Physicists Association 2005 ADC

9. Key Issues • KTE • Most Physicists who are registered should be factor 8. • Read factor definitions and compare with reasons for matching • What questions were asked of advisors ? • The band may be right but justification wrong – this may cause problems in future for you (KSF/promotion) or your successors (recruitment) • This isn’t just about you but the future of the profession Hospital Physicists Association 2005 ADC

10. KTE • Basic Trainee (i.e. grade A) • Not Applicable should not be matched • Higher Trainee • Minimum 7, • All Others • 8 (accept no arguments) • The fact we have further distinctions is irrelevant we must work with the system we have Hospital Physicists Association 2005 ADC

11. KTE 8 Reasons • Our job entry requirements (i.e. end of grade A) are level 7 (possibly 8) • Masters degree is level 7 master plus diploma level 8 (Dip IPEM ?) • See JE hand book V2 KTE definitions • Our corporate membership/ registration/ working unsupervised threshold • Requires 2 more years structured specialist higher training • Para 7.1 page 48 JE handbook V 2 Hospital Physicists Association 2005 ADC

12. Future of Profession ? • Poor early results will be used to consistency match later and the profession and will suffer via quality and number of applicants. • Low results blur distinction with technical roles • Poor results give large gaps in career structure that will form future barriers for professional progression Hospital Physicists Association 2005 ADC

13. Other Issues • Working Hours: • Advised to either take TOIL or O/T if you work over contracted hours. • This is part of the equal pay package • TOIL DOES apply to bands 8/9. • “Hours as required” IS DEAD • Ignoring this will ultimately discourage recruitment to the detriment of the profession and ultimately the patients. Hospital Physicists Association 2005 ADC

14. Review & Appeal Process • Get Result • Unhappy • Read advice & seek clarification • Lodge formal request Urgently • Detail may follow (AfC team may not like this) • Detail MUST be worked on well • Are professional skills are report writing, interpretation of rules provision of evidence, explaining complicated issues to those who struggle to understand them - use all of these and give examples. (See website for further support materials) • Informal meeting (likely & may be helpful) • Review panel or appeal hearing • WILL DECIDE BASED ON YOUR EVIDENCE Hospital Physicists Association 2005 ADC

15. Expectations • Assuming NO grade manipulation • I.e. enhanced for recruitment or halted for finance • Grade As % of Band 7 (Annex U) • B8-9 Band 7 Registered profile • B10-16 JAQ (8a to 8b) • B17-19 JAQ or match 8C • B20+ JAQ or match 8c poss. 8d • Most Cs JAQ or match 8d poss. 8c • A few Cs JAQ or match 9 Hospital Physicists Association 2005 ADC

16. Summary • Unless you are content with outcome • Seek immediate advice • Act Quickly • Don’t assume result is correct as you pay is “about the same” • Be persistent Hospital Physicists Association 2005 ADC