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This section provides employers with contractual and guidance documents relating to the employment of clinical academics in the NHS.
Consultant clinical academics and senior academic GPs hold honorary NHS contracts, for clinical or research governance reasons and to protect their interests by making clear the nature of their relationship with the NHS organisation(s) with which the honorary contract is held.
Contractual documents for clinical academics
Honorary Contract (March 2008) - This model honorary contract is intended for clinical academics who are employed by Higher Education Institutions or other organisations in a research and/or teaching capacity and who also provide services for NHS patients, at consultant level, in NHS facilities.
Record of Amendments - Honorary Contract (March 2008) - This document records changes to the honorary contract since June 2005. The changes are highlighted in the main document with superscript numbers.
Suggested Clauses (Academic Contract) (March 2008)
The following are suggested clauses to be incorporated into contracts of employment for clinical academics who perform services in the NHS in England, in the consultant grade, on an honorary basis, where the clinical academic has moved onto contractual arrangements that are comparable with the ‘Terms and Conditions - Consultants (England) 2003’.
Record of Amendments - Suggested Clauses (Academic Contract) (March 2008) - This document records changes to the suggested clauses document since January 2004. The changes are highlighted in the main document with superscript numbers.
Guidance documents on the employment of clinical academics
Clinical Academic Guidance Notes (March 2008) - This guidance applies to clinical academics in posts that are equivalent to consultant grade posts in the NHS. It is intended to inform both the substantive employer and the honorary employer(s) in the management of the clinical academic consultant contract where a clinical academic is employed on comparable terms to the ‘Terms and Conditions - Consultants (England) 2003’.
Record of Amendments - Clinical Academic Guidance Notes (March 2008) - This document records the changes to the clinical academic guidance notes since June 2005. The changes are highlighted in the main document with superscript numbers.
Job Planning for Consultant Clinical Academics. This updated guidance outlines the steps that may be taken in order to arrive at an agreed job plan for consultant clinical academics.
VAT and joint staff of universities and NHS organisations – Her Majesty's Revenue and Customs (HMRC), NHS Employers, Department of Health (DH), the Universities and Colleges Employers Association (UCEA) and other stakeholders have agreed a Memorandum of Understanding (MoU) - joint staff of universities and NHS organisations. NHS organisations are advised to:
- check that their practices correspond with those outlined in the MoU; including providing the substantive employer with a copy of the honorary contract
- ensure that those involved in the employment and management of clinical academic staff, finance directors and others involved in the re-charging process for clinical academic salaries are made aware of these developments.
Contractual documents for senior academic General Practitioners
The Universities and Colleges Employers Association (UCEA) has recommended that Higher Education institutions in England consider employing their senior academic GPs in line with arrangements detailed in the documents below. UCEA has noted that higher education institutions may choose to amend the documentation to suit local circumstances.
Honorary Contract for Senior Academic General Practitioners
This model honorary contract is based on the Honorary Consultant Contract (England), December 2003 and is intended to be used for:
- clinical academics specialising in Primary Care who have a substantive contract of employment with a Higher Education Institution at senior lecturer1 level and above (subsequently referred to as senior academic GPs);
- who are considered to be undertaking duties and responsibilities commensurate with consultant clinical academic staff;
- are registered general practitioners; and,
- are practising clinicians normally based in an undergraduate medical school.
- Senior Academic General Practitioner Substantive Contract - suggested clauses - The following document contains suggested clauses to be incorporated into contracts of employment for senior academic GPs who perform services in the NHS in England on an honorary basis, where an institution has offered and the senior academic GP has accepted contractual arrangements that are comparable with the Terms and Conditions - Consultants (England) 2003.
- Senior Academic General Practitioners - guidance notes This guidance is intended to inform both the substantive employer and the honorary employer(s) in the management of the senior academic GP contract where a senior academic GP is employed on comparable terms to the Terms and Conditions - Consultants (England) 2003.
Job planning and Appraisal
The Universities and Colleges Employers Association (UCEA) has published revised appraisal guidance for clinical academics. This revised guidance can be downloaded from UCEA’s website and comprises the following:
- Clinical Academic Appraisal Form
- Clinical Academic Appraisal Guidance 2012
- Responsible Officer - Prescribed connections.
Alongside the above guidance, we would also advise that:
- NHS appraisal should be carried out by the organisation with which the doctor has a prescribed connection
- the appointment of the NHS appraiser should be in line with the trust appraisal policy
- the outcome of appraisal will be shared with the Responsible Officer to enable the RO to make a revalidation recommendation.
The General Medical Council has published a prescribed connection tool to help clinical academics identify their designated body, this tool can be found on the GMC website.