SLTs AND AGENDA FOR CHANGE: UPDATE 8

October 23, 2003

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Amicus Factsheet
Job Profiles - Speech & Language Therapy


Currently there are three draft profiles at bands 5,6 and 7 for Speech and Language Therapist, Specialist Speech and Language Therapist and Highly Specialist Speech and Language Therapist. See attached. Four profiles have been agreed for generic Clinical and Professional Managers at bands 8A to 8D.

Colin Adkins advice is that if correctly managed, profiles at band 5,6,7 could be signed off with the appropriate joint guidance from Amicus / RCSLT. Guidance will be produced to manage the application of these profiles, which would only be applied to postholders practising at current Band two level and below. If applied in keeping with Amicus guidance postholders matched to these profiles should not lose out on pay. Work is in progress to ensure that SLTs with management responsibility can be successfully matched with the Professional manager profiles Band 8A to 8D.

Commitments have been given that a Consultant level SLT profile is being progressed.

The one gap exists at principal SLT level and a meeting has been arranged with Amicus, RCSLT and DoH to develop a profile which will go to the JEWP by 30th Sept.

The National Advisory Committee has determined that consultation will take place throughout the regions. Regional Occupational Advisory Committees are therefore required to consult on the profiles and to report back to the next NAC on 16th October in London.

OACs are reminded that the purpose of signing off profiles at this stage would be to have them adequately tested in the EI sites and to continue dialogue with the DoH on further profiles. Amicus members will then have the opportunity to vote to support Agenda for Change or not following a thorough assessment of how profiles were matched on EI sites. Until and unless this work is done it will be impossible to see the real effects of AfC.

Amicus is committed to negotiating nationally agreed profiles to ensure that local evaluations are kept to a minimum. Local evaluation could lead to local variations as occurred in the previous regradings.

Colenzo Jarret Thorpe is working with SLT Assistants to progress Job Profiles for that particular group.

The National Advisory Committee supports the joint working with the RCSLT and Amicus to create a robust range of profiles which provides a satisfactory pay and career structure for SLTs.

This information and up to the minute reports on Agenda for Change are available on the Amicus Health website www.amicushealth.org

Kath Frazer
Chairperson, Speech and Language Therapy NAC
Fiona Farmer
Amicus Lead Officer Speech and Language Therapists
September 2003

SLT NAC Sept 03 - Unofficial Report



Summary - see full text here:
SLT NAC Unofficial Report

I attended the SLT-NAC as Health Sector NAC delegate from Thursday, for the Agenda for Change discussion. However, delegates were told on Wednesday that that was ‘the NAC meeting’ and the other days were study days. The NAC decided that profiles could not be signed off until there was a full set of profiles for the career structure

On Thursday, Colin Adkins (the union’s lead negotiator on job profiles) and Gail Cartmail (the union’s Head of Health) arrived and tried to restart the NAC meeting, arguing that the existing job profiles should be signed off. Colin argued that many SLTs might get pay increases under Agenda for Change, although the union admits that there will be pay cuts.

SLTs will get pay increases only if they are slotted into pay bands equivalent to their current salaries, so that they are assimilated to a spine point higher than their existing salaries. This hypothetical pay increase becomes a pay cut for many SLTs when we look at real jobs.

The union is effectively saying that SLTs salaries will be much higher than other AHPs, eg. that an OT Team Leader will get £28,387 max while an SLT Team Leader will get £38,709 max. Will Trusts really agree to this?

The union argues that RCSLT and Amicus will issue guidance on slotting in so we can control the matching process. Unfortunately, the evidence from Early Implementer sites is that this process is extremely difficult to control.

The union approach also assumes two new Band 8 profiles – for a Consultant SLT and a Principal SLT. We might get the Consultant profile, but Sue Hastings – now working for the DOH – has said it will apply to just a handful of people. The Principal profile is purely hypothetical.

The joint RCSLT-union meeting in July agreed AFC would probably mean pay cuts for many SLTs, and we were promised a union campaign for recruitment and retention premia. At the SLT-NAC we were told that any suggestion of pay cuts was speculative scaremongering, that campaigning was premature and we would look silly if it proved unnecessary.

We were told that the way forward was to sign off profiles and then test them out in Early Implementer sites. If we didn’t like the outcome, then we could campaign. Unfortunately, this will almost certainly be too late. There will almost certainly be no opportunity for fundamental revision of job profiles at that stage.

There was considerable pressure on the NAC to agree to sign off the profiles at their next meeting. (There will be consultation in regions followed by an NAC meeting in October.) The NAC also agreed standing orders that visitors could attend NAC meetings. However, on 11th September we were told that visitors would not be allowed at the next NAC meeting.

Friday was less fraught, with discussion of a welcome pack for SLT reps.

We are in a difficult situation. Some assertions at the SLT-NAC were misleading and inaccurate. The union has always admitted that AFC is under-funded by 15 - 20%. The way forward is to work with the other groups in our union facing pay cuts, to seek alliances with other unions and professional bodies, and to go back to the Government for more money. If AFC is not in the interests of our members, the union should oppose it.

Gill George
Secretary, London SLT Advisory Committee
September 16th 2003

NEXT SLT NAC

The next SLT NAC has now been postponed until 10th November. Every Region should be organising consultation with members on the final job descriptions before this meeting.

Organising for Agenda for Change

An email list can help you to organise.

SLT Union Rep's and Managers in the North East and Cumbria have set up a Yahoo! email discussion list at
SLT-RAMP.

We use this to share information and organise meetings.

Discuss Agenda for Change

* With SLTs on the RCSLT Noticeboard

* With Amicus-MSF members from across the NHS at MSFHealthSectorMembers

* Arrange to meet for an online discussion at the
RCSLT Public Chat Room
or the
SLT-North Group Chat Room.

You need to join the SLT-North group to use the Group Chat Room - see the "Join this Group" link at the top right hand corner of the SLT-North Chat Room page. There are Chat Room Tips on the SLTnorth website.

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