A Midlands foundation trust has proposed that its staff go “several years” without incremental pay rises.
A discussion paper seen by Nursing Times reveals the changes that Burton Hospitals Foundation Trust would consider if it left the national Agenda for Change pay agreement and set pay locally.
The paper was produced in October, just over a month before chancellor George Osborne announced a review of how local pay might be adopted in the NHS.
Burton’s proposals include allocating a single “rate for the job” for each pay band, with no more than one pay point below this rate. This would mean nurses staying on the same increment pay level for several years rather than progressing annually up a pay point.
The paper said: “For jobs where it might take several years to become fully effective, progression to the rate for the job should take place over that period of time.”
Additionally staff might lose pay rises and slip back to the “rate for the job” if their performance dropped. Top performing staff could be rewarded through bonuses “based on individual performance”, it suggested.
The paper said a “large number of trusts” are considering whether to move away from AfC and Burton is “seeing organisations working together to further this agenda”.