Public sector pay: Chief Executive framework review

NHS Executives

58. The NHS Executives and Senior Managers (ESM) are adjacent to CEs in the Pay Policy, unlike NHS staff who have a number of other pay setting arrangements and are not covered by the Public Sector Pay Policy. This appears to have been the case for many years, and the historical reasoning for their inclusion in the Pay Policy is not apparent.

59. Decisions on whether the NHS ESM should be included in further CE Frameworks and associated policies on pay will require significant evidence gathering, analysis and close working with health officials and possibly Health Trade Unions. This could also impact the other pay arrangements in place for other NHS staff. As this is a standalone issue it is recommended that Health portfolio decide if and when this project should be commissioned and given the time and consideration it will require, separately from this review.

Recommendation 8: NHS Executives – Health portfolio to decide on timing of a review of NHS ESM pay arrangements