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Nhs Staff

Volume 229: debated on Tuesday 27 July 1993

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To ask the Secretary of State for Health (1) how many senior managers in the national health service there were on each spinal point 1 to 30; what was the flat salary on each point; and what was the annual cost of employment per whole-time equivalent on each point in each year since the introduction of these grades;(2) what was the number of unit general managers in groups 1, 2, 3, and 4, the salary range in each group and the annual cost of employment per whole-time equivalent in each group in each year since the introduction of these grades;(3) what was the number of district general managers in groups 1, 2 and 3, the salary range in each group and the annual cost of employment per whole-time equivalent in each group, in each year since the introduction of these grades.

[holding answer 22 July 1993]: The information available is shown in the tables. Details of the annual cost of employment per whole-time equivalent in each senior manager, unit or district general manager group are not available centrally.

(a) increases in the management numbers reflect the planned and progressive introduction of general and senior management posts into the health service. This increase was not at the expense of direct patient services, as new money was secured for strengthening management which would not otherwise have been available to the national health service.

(b) Many staff who would previously have been classified in their professional capacity are now appearing under management headings. This includes a number of senior nurses along with other professional, executive and administrative staff.

Table 1

Number of National Health Service managers (whole-time equivalents) 1988–90

Spine point

1988

1989

1990

1102020
2101010
3405060
4606080
56080100
680110130
780100130
860110160
94070130
102070160
1120130260
1230150280
1320160400
1410170430
1510200450
160240490
17220500
18220650
19260610
20260650
21230590
22260580
23140350
24150350
25100300
2690180
2780180
2840110
2950110
3040100
Other8010410

Source: Non-medical workforce census for the years 1986–1990.

Notes:

(i) All figures quoted are for England, in whole-time equivalents (WTEs) and are as of 30 September.

(ii) Figures are rounded to the nearest 10 WTEs.

(iii) Where a zero is recorded, there were less than 5 WTEs.

(iv) 'Other' are staff on senior manager arrangements whose pay spine point is not recorded.

(v) Data for 1991–92 is not available centrally.

Table 2

Number of unit and district general managers (whole-time equivalents) 1986–90

1986

1987

1988

1989

1990

DGM11035304045
DGM22075858585
DGM31035353530
UGM11030303540
UGM240130140175180
UGM325100100105100
UGM43514513512095
UGM5010550

Source: Non-Medical Workforce Census for the years 1986–90.

Notes:

1. All figures quoted are for England, in whole-time equivalents (WTEs) and are as of 30 September.

2. Figures are rounded to the nearest 5 WTEs.

3. Where a zero is recorded, there were less than 2·5 WTEs.

4. Data for 1991–92 is not available centrally.

Table 3

Basic salaries of NHS senior managers 1987–92

Spine point

1987 (Dec.)

1988

1989 (Jan.)

1989 (Sept.)

1990

1991

1992

134,85036,77036,77039,17042,29044,85046,600
233,51035,35035,35037,66040,66043,12044,800
332,22034,00034,00036,22039,10041,46043,080
430,98032,68032,68034,82037,60039,87041,420
529,79031,43031,43033,48036,15038,33039,820
628,64030,22030,22032,20034,76036,86038,300
727,54029,05029,05030,96033,42035,44036,820
826,48027,94027,94029,77032,14034,08035,410
925,46026,86026,86028,62030,90032,77034,050
1024,48025,83025,83027,52029,71031,51032,740
1123,54024,83024,83026,46028,57030,30031,480
1222,64023,89023,89025,44027,47029,13030,270
1321,76022,96022,96024,47026,41028,01029,100
1420,93022,08022,08023,52025,40026,93027,980
1520,12021,23021,23022,62024,42025,90026,910
1619,35020,41020,41021,75023,48024,90025,870
1719,63020,91022,58023,94024,870
1818,87020,11021,71023,02023,920
1918,15019,34020,87022,14023,000
2017,45018,59020,07021,29022,120
2116,78017,88019,30020,47021,270
2216,13017,19018,56019,68020,450
2315,51016,53017,84018,92019,660
2414,92015,89017,16018,20018,910
2514,34015,28016,50017,50018,180
2613,79014,69015,86016,82017,480
2713,26014,13015,25016,18016,810
2812,75013,58014,67015,55016,160
2912,26013,06014,10014,96015,540
3011,79012,56013,56014,38014,940

Notes:

1. In 1987 pay arrangements for senior managers included 16 spine points. In 1989 the spine was lengthened to 30 points when senior manager arrangements were extended to lower tiers of management.

2. Except where otherwise stated, all salary rates effective from 1 September.

3. Senior managers' salaries may be enhanced by performance-related pay nationally and geographical allowances in the south-east of England.

Table 4

Salary Range for Unit and District General Managers 1986–92

1986 (May)

1986 (September)

1987

1988

1989

1990

1991

1992

DGM143,940-46,580-48,400-
31,60033,50035,17537,11039,52063,47067,28069,900
DGM241,500-43,990-45,710-
30,20032,00033,60035,45037,75059,95063,55066,030
DGM337,980-40,260-41,830-
28,80030,50032,02533,79035,99055,06058,37060,650
UGM137,980-40,260-41,830
26,40028,00029,40031,02033,04055,06058,37060,650
UGM233,360-35,370-36,750-
24,10025,50026,77528,25030,09048,28051,18053,180
UGM330,110-31,920-33,160-
21,70023,00025,15025,48027,14043,67046,30048,110
UGM426,040-27,610-28,690-
18,90020,00021,00022,16023,60037,70039,97041,530
UGM5
15,60016,50017,32518,28019,470

Notes:

(i) Except where otherwise stated, all salary rates effective from 1 September.

(ii) Salary ranges were introduced in 1990 following a restructure of general manager pay arrangements.

(iii)Until 1990 the basic salaries for general managers could be enhanced by supplements (up to 15 per cent. and 10 per cent. for UGM and DGM posts respectively) and by performance-related pay (up to 20 per cent.). London Weighting was payable to general managers working in the London zones. From 1990 a maximum salary for each general manager post was set within the appropriate pay range. Managers are usually appointed below these maxima and move towards them according to performance. Non-superannuable, non-recurring annual bonuses of up to 8 per cent. depending on performance may be paid to managers on the maxima for their posts. Geographical allowances may be paid in the south-east of England.

(iv) The UGM5 grade was assimilated into UGM4 with the restructuring in 1990.