On-call Mental Health services (FOI)

Request

In respect of Adult Mental Health services:

A

What is the model of medical on call for Mental Health services?

B

How is the on call rota staffed?

C

Is there a second on call arrangement in place?

D

What is the cost of delivering clinical mental health on-call per month and per annum?

E

What is the cost of delivering managerial on call for mental health per month and per annum?

F

What is the payment model for on-call? For example, do those participating in the on-call rota receive an on-call allowance? Is this a fixed amount or percentage and does this vary by staff group? 

G

If the payment is a fixed amount or percentage, how much is this per hour/what is the percentage by staff group?

H

Do staff get paid for actual overtime worked as part of on call? Do they also receive time off in lieu?

I

How many doctors are involved in the provision of on call services?

J

What are the grades of the doctors involved in the provision of on call services?

K

Do the doctors involved in the provision of on call receive additional Programmed Activities (P.A's)?

L

If they receive additional PA's, is there a requirement to provide prospective cover? If so what are the arrangements?

M

If Mental Health on call is not provided on the Island, where is it provided?

N

If Mental Health on call is provided by another organisation, which organisation provides it?

O

If Mental Health on call is provided by another organisation, is there a contract in place for this?

P

If there is a contract for Mental Health on call with another organisation, what is the annual cost of this?

Response

A

There are two tiers of medical on-call in Mental Health: the on-call middle grade doctor (Staff Grade), and the Consultant on-call.

B

On-call is staffed by the Staff Grades and Consultants employed by the Mental Health service (including Locums).

C

As above: calls initially go to the Staff Grade and then to the Consultant.

D

The clinical cost of the service is £241,679 per annum (an average of £20,140 per month).

E

The managerial cost is £30,528 per annum (£2,544 per month).  

F

For medical staff: Staff Grades receive additional PA’s, whereas Consultants generally receive lieu time for on-call, though some opt to be paid for additional on-call duties undertaken. 

On-call managers are paid a standard on-call allowance.

G

Payment is determined by the individual doctor’s contract.

H

Staff are paid for being on-call, not for the actual time worked. If staff work after 1:00 a.m. a compensatory rest arrangement is in place, depending on the time worked.

I

There are six Staff Grades on the on-call rota and 12 Consultants.

J

Staff Grades and Consultants.

K

Please see response to question F.

L

Yes, prospective cover is required for Staff Grades and Consultants. For Consultants, a small payment is made to provide the prospective cover. Prospective cover for Staff Grades is managed from the rota.

M to P

Not applicable.