Recruitment Agencies

by Admin 1. April 2003 15:35
 

 

Are you getting value for money? Your letters.

After publishing an article in last months OnTarget by Tina O’Brien of Intavent Orthofix Ltd. regarding ‘Recruitment Agencies’, a number of you replied to her article so we felt it only fair to publish your letters.
Comments on any article we publish are encouraged and gratefully recieved. All comments can be sent by e-mail to comments@ontargetmag.com.

 

 

 

 

 


Dear Sirs

Recruitment Agencies

I read with interest the recent article on Recruitment Agencies in On Target magazine, and although some of the criticisms aimed at agencies may be accurate, not all agencies operate in the same manner. It was precisely to address such criticisms that we established the FLE Group in 1996. As a Sales & Marketing Manager in the healthcare sector, with extensive experience of agencies as suppliers, my team and I created a recruitment service which has, as its fundamental principles, quality and integrity.

I would suggest that if an employer is dissatisfied with the level of service offered by their incumbent recruitment partners, and they want high-quality, effective recruitment, then they shop around. Ask candidates which agencies they think offer the best service, request that a prospective agency supply verbal or written references from a client, and demand that agencies are quality registered to ISO9002.

Yours sincerely,

John R BrooksManaging Director

FLE Group

***

Dear On Target,

With regards to Tina O Brien s article on Ethical Recruitment in last month s edition, well done, it s about time somebody spoke out about the less ethical and unscrupulous agencies.

I have been in the medical recruitment sector for two years now and have been recruiting for nearly five. Having been both a member and associate of the REC and passed an REC qualification, I have been trained to recruit in an ethical manner. Therefore, I agree with the majority of points in Tina s article. However, we cannot all be tarred with the same brush and some of us strive to be different than the norm in an effort to win new business and build ongoing relationships with our clients.

With regards to preferred suppliers lists, mailshotting CVs and standards of service, the answer is simple. Should an agency cause the client problems by mailshotting CVs and not delivering the expected standard of service, the client should no longer use the agency. PSL s should also be reviewed on a bi-annual basis and clients should shop around for new agencies, based on standards of service, care and value added extras, not just on cost. At TTB, we offer a very cost effective recruitment service and total sales solutions with an excellent level of service.

With regards to previously placed candidates, it s good recruitment practice not to approach them in order to build long term relationships with clients.

I would like to add that allowing Recruitment Consultants access to the Managers, in some cases, provides us with a better opportunity to get more details on what type of candidate / personality would fit in with the Manager, team and territory helping to make the recruitment process more efficient and effective.

The ideal solution to the problems highlighted in Tina s article would be to regulate the medical recruitment industry. However, I have conducted a little research, and any efforts in the past to regulate our industry were met with a distinct lack of interest from both clients and agencies. So it appears we are in a catch 22 situation with no obvious answer other than for clients to be exceptionally careful about which agencies they use and why.

Building long-term relationships should be of key importance to all recruitment agencies, so between the clients and recruitment agencies, we can rid the market of the less scrupulous agencies and make the recruitment process more effective, efficient and simple for both of us.

Yours sincerely,

Ben Coombe AREC
Taylor Tomkins Britton Ltd

***

Delivering value for money!

First of all, congratulations to Tina O Brien for an excellent article about recruitment agencies, I fully support her comments and I am pleased someone has got off the fence and spoke their mind.

I came into recruitment by choice in 1987 after starting in the medical industry in 1970, during those early years carrying the bag , I was disgusted with some of the antics of recruitment agencies, and this still continues today.

We as agencies are dealing with people who are looking to further their career and with client companies who want the best possible personnel supplied by the agencies.

Agencies should treat the candidate as a person and not as a piece of meat!

Here are some of my observations;

* Candidate s CVs been sent out even though they are not on the market.

* Candidate s CVs landing on the desk of their own employer or a division of, which may have led to candidate(s) losing their jobs, or life being made very difficult for them at work.

* Candidate s CVs being sent out to clients without their prior knowledge or permission, just to get in FIRST

The above is commonly known as MAILSHOTTING and with modern technology, namely email, CVs seemed to be rushed out without any regard for the candidates, just to be first because most agencies will claim that if their CV arrives first they will try and claim ownership of that candidate, should they get placed, they will invoice accordingly.

Clients should insist that candidate s CVs will only be accepted from agencies once the agency has gained permission from the candidate(s) to release their CV. The agency should be making sure that the candidates are interested and committed to the position / company. I wonder how many client companies have got excited about a candidate only to find they have gone-off the market or not available for what ever reason.

* Candidate s being approached for another position by the agency that has previously placed them.

* Candidate s not being screened and or interviewed by agencies before the CVs are submitted to clients.

* Candidate s not given adequate information regarding the position / company / products before their CV is submitted so they can make a valued judgement whether the position is right for them.

* Agencies not checking qualifications / past history to ensure they are right for the company / position.

* Agencies approaching employees of client companies at exhibitions with the view to offering them alternative employment.

* Agencies claiming they are representing companies just because they have sent unsolicited CVs to the companies.

* Agencies not adhering to client s policies / procedures regarding recruitment procedure.

It s frustrating for candidates and client companies alike, I have come across the above and more since 1987.

I have even tried to set-up a CODE OF PRACTICE and an association of recruitment agencies back in the mid-nineties, a few agencies ran with the concept and even worked to the rules of the association for a while, but they dropped out after a short period. We at Blueprint Medical Recruitment stick to the Code of Practice and will not be deterred from it.

Tina O Brien is concerned and quite rightly. She has put policies / procedures into place and I hope more companies will follow, but they must take into consideration the unprofessional approach some agencies take just to make a quick buck.

Companies pay for recruiting personnel and a professional, reliable service from the agencies, therefore agencies should be providing the service that candidates and client companies expect, not what the agencies think they can get away with.

I would like to see client companies insisting upon written confirmation (signed by a director) from the agencies that they will work to a professional standard and a code of practice which the client companies must lay down. I am more than happy to produce a Code of Practice if clients would like it.

At Blueprint Medical Recruitment we deliver value for money

Terry Crystal
Director
Blueprint Medical Recruitment Limited

***

Dear On Target

Recruitment is a business that relies upon accurate information in order to work effectively. Vacancy / job specifications need to be clear, truthful and unambiguous as does the information detailed in a candidate s C.V. If this were really the case, a talking dog could win recruiter of the year.

As it happens, the process is far more complex — unravelling candidate C.V s and establishing basics such as positions held: Export Sales Manager can hold very different meanings and in the candidates eyes, a one off trip to Europe can mean that they are indeed an Export Manager. Dates in post can be misleading with Dec 2000 to Jan 2001 being presented as 2000 - 2001, along with many other cryptic and unspecific detail.

Equally, establishing an exact requirement from companies can be a minefield of sales nuances, unclear specifications and lack of direction in enabling us to encourage the candidate to apply. We all want the best candidate for the job, but this does rely upon a third party (in the form of a recruiter), to promote the position and the company to a demanding sales person who is conscious of making a good career move — an impossible feat if there is little to work on.

The frustrations of trying to provide an ethical and professional service can be tenfold, and in many cases justify recruitment fees in their entirety solely for the daily agonies involved in making only the best introductions, a thorough and time-consuming process if done properly, whilst being received as the ethic — free estate agent!

Recruitment can be a satisfying career and works well if, as a provider, we can encourage the following:

The opportunity to establish an ongoing vocabulary, stemming from a Client meeting. Consultancy being received positively from Clients. In many cases, attempting to provide the benefit of experience amongst the marketplace can be easily rejected by Clients who think there is a hidden agenda Lack of post-interview feedback and poor interview technique leads to the same problems re-occurring at future interviews and presents a poor picture of companies amongst the candidate Circuit Feedback on C.V s received — news of a rejection is just as important as news of an interview, in order for candidates to re-focus their energies

Re-negotiating Terms after an appointment has been made is both dis-heartening and ruins relationships already established

Blanket vacancy registration leads to inter-agency fallouts and jeopardises relationships on all sides: Ensuring that candidates give full permission for their applications to be submitted before forwarding C.V s is the correct and ethical process, one that we remain determined to commit to. Unsolicited C.V s being sent by competitor agencies can so easily lead to the can t beat them, join them attitude , as keeping a standard in place can backfire because of Clients apathy towards unethical procedures. A great deal of time can be spent being the unwitting intermediary in finding out for our candidates which agency has silently represented them.

Designated HR Managers / Recruiters can be overlooked by other members of the recruitment process internally who recruit according to their own agenda Making the selection process a race when so many agencies are involved inevitably leads to mistakes and duplication

The business of helping candidates make sometimes life-changing career moves requires careful handling. We spend most of our time at work, and poor career moves can lead to many more far-reaching problems for candidates than companies that face a financial burden and inconvenience. Overall, representing both sides involved in the recruitment process necessitates a multitude of skills ..

As the talking dog would say, The job aint as easy as it looks !

Yours sincerely,

Helen Sellers
Director
Crosspoint Resources Ltd.

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Medtech Features

Peer Appraisal — A more productive method?

by Admin 1. April 2003 15:34
 

 

 

 

Appraisals, regardless of role and of industry can be very stressful processes. In this article, I would like to explore two ways forward. Firstly I will look at the traditional process for appraisal, that being the rep:manager one to one, and then look at a process I believe larger pharma companies with several reps on one territory should be adopting. This is the peer appraisal process where the reps and managers appraise each other with senior managers simply reviewing and ”rubber stamping” appraisal outcomes. Firstly lets look at the standard method of appraisal for both sales representatives and sales managers in today’s pharmaceutical industry. This is still the one to one manager:representative or manager: manager appraisal. If this is done correctly, it can be very productive and motivational, but it depends on a number of factors.

1. The manager doing the appraisal must be capable with good appraisal skills, up to date correct information, and have no favourites within his or her team.

2. The appraisee must also have good influencing skills, and have their appraisal information up to date as well in order to present their case.

3. Theoretically, the end of year appraisal should be a “rubber-stamping” exercise and in effect should be a “4th Quarter Review” with no surprises. As the previous three quarter reviews will have been structured in order to review business and personal development plans and to monitor and guide the progress of each, the 4th quarter review should hold no surprises what so-ever.

This all sounds pretty straightforward, but in my experience there are a number of challenges that both representative and managers face in getting to a situation where the year-end appraisal is as straightforward and “painless” as it should be.

1. Many managers do not hold structured quarterly reviews where time is taken to analyse fully the rep’s or manager’s business and development plans. In the sales reps’ case, ad-hoc reviews are taken on the odd field visit and as such, by the time the year end comes, there is an almighty scramble for data together with time spent on putting together a presentation in order for some last minute “influencing”.

2. Many managers, by the time it comes to the year end appraisal, go into them with their mind made up as to what a particular rep or manager is going to get in terms of a performance or appraisal rating. It is all decided on limited , top-line information and perhaps “gut feel”.

3. On the other hand, in many cases, reps and managers go into the appraisal with a mindset that says, “I’ll just have to accept to accept what my manager gives me”. Bad and ineffective appraisals lead to individual demotivation and ineffective teamwork. So what should managers be doing to make their one to one appraisals more effective and motivational?

a. Make sure they have good, effective appraisal skills.
b. Go into appraisals with an open mind and be prepared to be influenced by facts and figures, not by judgements.
c. Ensure that you hold regular reviews where you are guiding and coaching reps and managers towards their “appraisal aims”. The benefit of this is that the manager will know whether a rep or manager is “on track” at any given point during the year. Quarterly reviews are regular enough without being too frequent. Anything less frequent, I would suggest is unacceptable.

If a manager follows these steps then the year-end appraisal is very much a “rubber stamping” exercise and can be used to start the planning for the following year, rather than just concentrating on the year just passed. But what about the larger companies and their teams? Many companies now, as a result of mergers, have many reps selling the same products within the same territory boundaries. As a result, teamwork is the “buzz” word, and in some cases representatives and managers have a “teamwork” measure within their objectives. Within this set up, usually the size of rep and manager team is larger than in the small company, with the size rising in many cases from six reps on average to perhaps ten or even, in the case of my last company, twelve. This is a large number of reps for a manager to get round in a regular basis and as such the amount of knowledge and information that a manager may have will not be as much as perhaps a manager in a smaller company visiting their reps once a month may have.

In this case, it is well worth attempting “peer appraisal” where the representatives in a particular territory appraise each other. After all, they no doubt meet up as a team once a week to discuss appointments, share meetings and information etc and as such, they start to get a fairly good appreciation of each other and their skills and capabilities. The least that should be happening is that they should be having the opportunity to give and receive feedback to and from each other. Sadly, this does not happen very often and as such many companies still go down the line of the manager performing a one to one appraisal.

The reasons for not moving to peer appraisal (as per manager feedback) are as follows:

a. “Not enough time to train the reps in how to perform peer appraisal.”
b. “No internal expertise to ensure good skills uptake and to facilitate such peer meetings”
c. “It’s quicker and less stressful just to tell them what they are getting”.
d. “The manager is “scared” of giving up control, either in terms of how they might look to their senior managers or in terms of their belief in the ability of their representatives to give themselves “honest” appraisal ratings”.
e. “It’s change – and not the way we do things round here!”

Having said that, many managers I have interviewed can see the benefits:

a. “Done well, I can see a lot of honesty coming out. I know that there is discontent when some reps appear to get a better appraisal rating than perhaps they should get”
b. “It would help the reps grow as a result of the fairness and honesty. It would also help the trust levels between reps and managers”
c.“We would probably get a better picture of reality.”
d. “I believe that the skills of the reps and managers would increase as a result”
e. “Although I am wary of how best we could do this, I see that it could free up a lot my time” There are numerous advantages to going down the route of peer appraisal, but it is very tough and does not happen overnight! There are some essential skills and mindsets needed in order for it to happen productively.

1.Managers need to have the mindset that says “My team is composed of mature, capable adults who given time, support and the right skills, will make this initiative work” If you do not have this mindset as a manager, do not attempt this – in fact, if you do not have this mindset then, in my opinion, you should not be managing full stop!

2. Managers should be leading the way and in their own particular management team, be going through the process first.

3. Managers must have the skills to ensure the process works. The main skills are that of giving and receiving feedback and of facilitation. These are two skills which, in my experience, managers need to work a lot on. They are difficult skills to grasp but well worth the time and effort.

4. Communication must be of the highest order. People must know what is happening, why it is happening and what the various steps are that will enable it to happen. As in any selling situation, the benefits to every individual must be clearly spelt out, and each manager should take time with each individual to make sure they fully understand what is happening and what the benefits are to the individual.

5. Planning skills must be good also. In the early days time must be built in so that training and trial runs take place. In today’s high-pressure industry, with the need for results paramount, spending time on any form of development sometimes becomes an afterthought.

All in all my experience of supporting the implantation of such a peer appraisal scheme (and also of taking part) is that it is fraught with emotion and negativity to begin with, but with perseverance and patience, when implemented well it is definitely the way forward for the larger teams where reps have daily contact with each other. Provided the managers are supportive, capable of leading the way by demonstrating the skills and not afraid to trust their representatives, then peer appraisal can work, and work incredibly well. But make no mistake – it is very, very tough in the short term. As a manager do you have the skills, mindset and determination to give this a try or are you too scared to upset the “apple cart”?

Allan Mackintosh BSc. F.Inst.S.M.M.
Professional Management Coach
allan@performance-am.com
www.performance-am.com

 

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Medtech Features

Compliance? Who Cares.....?

by Admin 1. April 2003 15:33
 

 

 

Are regulations negotiable?
Who are the MHRA?

Currently these are issues for all of us working in the pharma and medical devices industry. From 1st April 2003, the Medicines and Healthcare products Regulatory Agency (MHRA) has replaced both the Medical Devices Agency (MDA) and the Medicines Control Agency (MCA) as the competent authority.

Although we have the competent authority for regulating devices and licensing drugs, does this leave the need for a Professional Code of Conduct within the industries unaddressed? Is this the time for this deficit to be addressed? The lack of a Professional Code of Conduct will forever limit the perception of the role of the medical/pharma representatives to that of a salesperson, instead of being seen as a highly trained Professional whose integrity is tied into a Professional accountability through a Code of Conduct.To promote any product within the clinical setting demands a Professional responsibility and accountability, not only to your employer and customer, but also to the patient. It is because of patient involvement and the patients’ legal rights that compliance with the competent authority is not enough. “Within the framework of Clinical Governance NHS organizations are accountable for continually improving the quality of their services and safeguarding high standards of Care”.

A Professional Code of Conduct would create the opportunity for all Medical/Pharma companies to support their customers and the quality initiatives demanded by Clinical Governance 1998.

REGULATIONS ARE MANDATORY!

All medical companies train their representatives on their products and applications. However, to go into any area where clinical care is delivered, compliance with all current standards relating to informed consent, patient confidentiality, infection control/decontamination and risk management regulations must be met.

What is in your Professional Code?

How many boxes can you tick?

WILL YOU:
  Yes No
Promote high standards of professional conduct?    
Adopt standards that will protect the public and benefit the profession?    
Carry out all roles and responsibilities in such a way as to promote patients rights?    
Maintain patient confidentiality?    
Maintain patient confidentiality relating to delivery of product?    
Show evidence of continuing education and competencies?    
Let no act or omission on your part place the patient at risk?    
Act only within your expected pool of knowledge as legally defined in your contract of employment?    
Report to appropriate body any adverse incidents?    
Comply with all current standards-    
Infection Control/Standard Precautions    
Management Regulations - Risk Management    
Decontamination & Track, Trace and Audit    
Informed Consent    


OnTarget would be happy to hear your views, e-mail us at compliance@ontargetmag.com.
For further information contact Theatre Skills at info@theatreskills.com or phone
0141 951 5646

Written by Diane Irvine of theatre Skills Training Ltd.

 

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Medtech Features

Decoding The NHS

by Admin 1. April 2003 05:00

A Trust comprising of 3 hospitals were under considerable ‘bombardment’ from COX2 companies pushing considerable data and marketing materials. One company managed to involve pharmacy in the review. The rest tried but for a number reasons did not gain access. Furthermore, this company managed to get a lead rheumatologist to apply for the drug to the D&T. Significant letters were also written from a pain consultant, a consultant in general medicine, a pain consultant and a care of the elderly consultant. All requested this same COX2 agent for formulary acceptance! This had never happened before…

At the D&T meeting the rheumatologist put forward the COX2 for application. The feedback from the directorate pharmacists revealed that the consultants who had also supported this drug were in fact using it off-formulary and prescribing the agent in outpatients.

A debacle followed.
The drug was thrown out. The consultant was furious. Pharmacy was displeased with the outpatient prescribing. The rep had reportedly told the consultants that pharmacy was supporting the drug. The pharmacy was told that the consultant was keen on their COX2. The whole thing was a mess!!!

The consultant in question wanted the drug for himself or for none at all. That is the case within the trust in question (unnamed) to this day. COX2 are banned. None on the formulary and there has been a broad sweep to abandon them for some while.

The consultant was quite indignant that other doctors were dabbling within ‘his’ specialised area…There was no drug to be evaluated.

Analysis
Remember all pharmacists maintain contact with each other. We may not always know of some practice directly, but a little probing will often lead us to the right answer

Don’t Don’t Don’t tell pharmacists that a ‘consultant wants to use your drug’. Why? Because of 3 things

  1. So what – just because a consultant wants to use it in itself means nothing. An intention to bring to D&T is another.
  2. What if the consultant is lying to you? They tell reps things for a number of reasons. Sometimes to get rid of them!! Analysis
  3. Has it occurred to you that some consultants tell all their reps ‘yes I like your drug’
  • Care if you have loads and loads of fans at the D&T. Especially if you have one champion. Care for upsetting people
  • Have you seen the directorate pharmacist for your area – they supply true therapeutic intent of consultants. See them as they will tell you how likely you may be received by people like me and people like consultants
  • If your drug is in paediatrics and you haven’t seen the paediatric pharmacist, you may get on formulary but you will have lots of difficulties after that
  • If your drug is in medicine and you haven’t seen the medical pharmacist you probably will have difficulty before you get going
  • Don’t tell all your customers that everyone wants to use your drug. If you want support be very precise and specific…. Who wants to support your drug and in which patients and how often. Don’t just say – Mr X wants our drug – you had better put it on the formulary!!
  • See the drug information pharmacist – they supply much info to the D&T committee
  • If your drug fails – start again. Though wait a while. Presume pharmacy have thrown away all your documents. They tend to stack up before a review, then only keep the successful drugs
  • Remember that pharmacist speak to each other and consultants as well. The medics often tell us ‘the real deal’ and will often spin you a story to get something (a meal, a trip, etc)
  • Do regular pharmacy lunches as this familiarises us with your product
  • If your drug is not on formulary are pharmacy swapping? For example, are they substituting your agent for another that is on formulary (i.e.) PPI, statins, CCBs
  • Find out how many D&Ts your formulary pharmacist sits on… remember whilst you may have difficulty tracking down D&T members, the FORMULARY PHARMACIST & DIRECTOR of PHARMACY are the two people that will definitely be on the D&T

This was a classic case of politics and maybe too aggressive repping having ruined not just one but probably future D&T applications.

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Features

Maternity, Paternity and Adoption Leave

by Admin 1. April 2003 05:00

Last month we kicked off our series of articles related to flexible working by introducing you to the new right for parents to request flexibility at work. As you will recall, as part of the government’s commitment to helping working parents balance the needs of their home life with that of work, a number of changes have been introduced to existing legislation and there has also been the introduction of new measures. In this month’s issue we will continue this theme as we discuss the changes to existing maternity rights and the introduction of two new rights; paternity leave and adoption leave.

Maternity Leave - Extended Rights
The calculation of maternity leave has never been easy for either employers or employees to calculate as those of you who have tried it will testify! However, the new changes will not only simplify the process but also provide pregnant employees with enhanced entitlements. Great news for employees but obviously a further financial and logistical challenge for employers.

Who is eligible to apply?
Under the new arrangements, pregnant employees will now be entitled to 26 weeks of ordinary maternity leave (normally paid), irrespective of how long they have worked for their employer. In addition, under new legislation, women who have completed 26 weeks continuous service at the 15th week prior to their EWC can take a further 26 weeks additional maternity leave (normally unpaid).

How should you notify your employer?
Pregnant employees should notify their employers in writing of their intention to take maternity leave by the 15th week prior to their EWC stating that they are pregnant, setting out the week that their baby is expected to be born and the date they want to commence maternity leave. Naturally, before making the request, you may wish to check with your employer as they may have developed their own procedures. There are no other requirements for the employee regarding notification but if she wants to cut short her maternity leave to return early, she must give her employer 28 days notice of the date she intends to go back.

How should employers respond?
Under these changes there is a new requirement for employers to respond to a woman’s maternity leave notification within 28 days of receiving her request and they need to set out the date on which they expect her to return to work if she takes her full entitlement. Employers are no longer required to write to the employee before the end of the ordinary maternity leave to ask for the date the baby was born and whether or not she will be taking the additional maternity leave.

Has Statutory Maternity Pay (SMP) changed?
In short, yes. Women who are entitled to SMP and whose EWC begins after 6th April 2003, will receive the benefit for 26 weeks. From the 6th April 2003, the standard rate of SMP will increase from £75 to £100 per week (or 90% of her average weekly earnings if less than £100 per week.) In essence, a woman will get SMP from her employer of 90% of her average earnings for the first 6 weeks, followed by 20 weeks at £100.

Paternity Leave
On the 6th April 2003 the government will introduce the new right for Paternity leave and pay as part of its continued commitment to help working parents balance the needs of their home life with that of work. The new provisions will permit the eligible employee to take up to two weeks leave with pay (Statutory Paternity Pay - see below)

Who is eligible to apply?
In order to take advantage of this right, the individual must have been employed by their current company continuously for at least 26 weeks up to the 15th week before the baby is expected and be the biological father of the child or the mother’s husband or partner. In addition, they must have, or expect to have, responsibility for the upbringing of the child.

What will I be eligible for?
Eligible employees will be able to choose one or two consecutive weeks but not odd days. The leave can start either; from the date the child is born; from a chosen number of days or weeks after the child is born; or on a chosen date. Whilst leave can start on any day of the week it must be taken within 56 days of the actual date of the child’s birth.

What happens if we have twins or more?
Only one period of leave is allowed irrespective of how many children are born as a result of the same pregnancy.

How should you make a request?
Employees should make their request in writing before the 15th week before the baby is expected, setting out the week in which the baby is due, whether they would like to take one or two weeks leave and the date on which they would like the paternity leave to start. In addition, employees will be required to provide their employers with a completed self-certificate as evidence of their entitlement to SPP. Statutory Paternity Pay (SPP) Under the new arrangements employers will pay SPP at the same rate as Statutory Maternity Pay (SMP) above and will be paid for the duration of the absence i.e. one or two consecutive weeks.

How does my paternity leave affect my contractual benefits?
During paternity leave all contractual benefits (other than salary) will remain intact during the period of leave and on return from leave employees will, of course, be entitled to return to their same job. A new right is available for employees to take paid leave when a child is newly placed with them for adoption on or after 6th April 2003.

Adoption Leave
A new right is available for employees to take paid leave when a child is newly placed with them for adoption on or after 6th April 2003.Adoption leave and pay will be available to individuals who adopt or one member of a couple who adopt jointly (the couple themselves can choose who takes the adoption leave).

Who is eligible to apply?
In order to take advantage of this right, the individual must have been employed by their current employer continuously for at least 26 weeks leading up to the week in which they are notified of being newly matched with a child for adoption.

What will I be eligible for?
Under the new arrangements eligible employees will now be entitled to 26 ordinary adoption leave (normally paid) and a further 26 weeks additional adoption leave (normally unpaid). Eligible employees can choose to start their leave either from the date the child is placed with them or from a fixed date up to 14 days prior to the placement. Leave can start on any day of the week.

What happens if we adopt several children?
Only one period of leave is allowed irrespective of how many children are adopted as part of the same arrangement.

How should you notify your employer?
Employees should notify their employer in writing of their intention to take the adoption leave within 7days of being notified by their adoption agency that they have been matched with a child. They will also need to inform their employer of the date the child is expected to be placed with them and the date that they would like their adoption leave to commence. In addition, they will be required to provide their employer with a ‘matching certificate’ confirming the adoption.

Again, before making a request you may wish to check with your employer as they may have developed their own procedures. There are no other requirements for the employee regarding notification other than if the employee wants to return to work earlier than expected. In this case, employees must give the employer 28 days notice of the date they intend to return.

Statutory Adoption Pay (SAP)
Under the new arrangements, employers will pay SAP at the same the rate as Statutory Maternity Pay and the benefit will be paid for up to 26 weeks.

How does my Adoption Leave affect my contractual benefits?
During adoption leave all contractual benefits (other than salary) will remain intact. During the period of leave and on return from leave, employees will of course be entitled to return to their same job.

Conclusion
Once again the government has chosen legislation as a means of ‘encouraging’ employers to address the needs of parents at work. These new rights are intended to meet the needs of both employers and parents in trying to find appropriate ways to enable working parents balance the demands of their home and work life. Arriving at a workable solution may not always be easy but it can be made easier if we all bear in mind the spirit of the legislation and not just the letter of the law. But only time will tell if these new rights achieve the desired intention.

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Features

New GP GMS contract - How to help practices increase quality and income

by Admin 1. April 2003 05:00

Paul Midgley of the Healthcare Partnership looks at the new GP GMS contract and examines how a ‘yes’ vote will help medical representativeswork more closely with practices to their mutual benefit.

Introduction
The results of the delayed ballot should be announced shortly on the new UK-wide General Medical Services contract, negotiated between the BMA’s General Practitioners Committee, the NHS Confederation and the Department of Health over the last 18 months. This will affect all GPs currently operating under a GMS contract - about 70% of the GP practice-based population (the other 30% work under PMS contracts). The implications of a ‘yes’ vote will be far-reaching for all parties involved in primary care - practices, GPs, PCOs, StHAs - and you as a representative. Preparations to implement these changes will start immediately and the switch over to the new funding arrangements will commence in April, 2004. Read on to find out what changes are afoot - this is important information if you sell in General Practice.

New contract - more flexible provision of services
For the first time, practices will be able control their workload by choosing what level of service they wish to provide. These fall into 3 categories:

Essential services (all practices) e.g. patient consultation; management of the terminally ill; chronic disease management as determined by the practice in agreement with the PCO
Additional services (optional - most practices will provide some, if not all) e.g. cervical screening, contraceptive services, vaccinations, child health surveillance, maternity services, and minor surgical procedures
Enhanced services (commissioned by PCOs) e.g. essential or additional services delivered to a higher standard such as extended minor surgery; services not covered by the above, such as those addressing specific local health needs; and innovative services being piloted/evaluated.

These may be delivered by GPs, nurse specialists, or other health professionals at the primary/ secondary care interface. PCOs may also commission enhanced services from other NHS bodies, non-NHS bodies - an opportunity for PPP (and pharma companies?), or provide services themselves.

Out-of-hours cover (6.30pm-8am weekdays, plus weekends and bank holidays) will also switch from a practice’s responsibility to the PCO by the end of 2004).

A new way of paying practices uses a formula (the ‘Carr-Hill formula’) to determine a ‘Global Sum’ payment for the PRACTICE (not individual GPs as currently). This recognises workload generated by the numbers of patients resulting from different factors such as age, sex, disease status, patient turnover and % of patients in care homes. This sum will also take account of the range of additional and enhanced services that a practice proposes to offer. Currently, this is causing a huge furore as many practices feel their ‘notional list size’ payment (according to the Carr-Hill formula) will lose them money over the existing system of ‘capitation fees’. As a result, alternatives are being considered to ensure no practice is worse off under the new contract.

Rewarding quality and outcomes
Additional practice income will be achievable by practices attaining agreed quality standards in various aspects of care/management. A total of 1050 quality points is available with each point being valued at £25 for the ‘average’ GP. Below is a summary of how these Quality Indicator points break down (for a full detailed list, contact HCP - see details below):

Clinical - 550 points
Organisational - 184 points
Patient experience - 100 points
Additional services - 36 points

Clinical points
CHD and LVD - 121
• Stroke of TIA - 31
• Hypertension - 105
• Diabetes - 99
• Epilepsy - 16
• COPD - 45
• Asthma - 72
• Hypothyroidism - 8
• Cancer - 12
• Mental health - 41

Other quality points
• Records and patient information - 85
• Patient communication - 8
• Education & trg -29
• Practice mgmt - 20
• Medicines mgmt -42
• Length of consultation - 30
• Patient Surveys 1 - 40
• Patient Surveys 2 (reflections/proposals) - 15
• Patient Surveys 3 (evidence of actions to PCO) - 15
• Cervical screening - 22
• Child health surveillance - 6
• Maternity services - 6
• Contraception - 2

Additional points for:
Holistic care - 100

Quality practice bonus - 30
Access to service bonus - 50

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To see ourselves as representatives see us - the managers role

by Admin 1. April 2003 05:00

Business gurus have written for years about the importance of management and what it entails and to quote Peter Drucker: “From the outside, business management can look like a mindless game of chance at which any donkey could win provided only that they be ruthless. But, of course, that is how any human activity looks to the outsider unless it can be shown to be purposeful, organised, systematic... that is unless it can be presented as a discipline.”

But as a discipline, when compared with other professionals such as doctors, accountants or lawyers, the job of a manager is often misunderstood. Often companies, in their efforts to overcome the wrong perceptions of management, have simply changed the job title. In the 1980’s, General Electric rejected the word ‘manager’ and instead went with ‘leader’ and Drucker himself shifted his choice of title to executive to help him move way from any prejudices. Management, therefore, is a discipline that is not always distinct or clear and in practise it produces various results. We can all recall experiences in our working lives of the far-reaching consequences of a poor manager or, on the flip side, the positive aspects of good management.

In our introductory feature to line management in the pharmaceutical industry, we showed that many senior industry people believe that good First Line Management is critical to business success. The Pf Company Perception, Motivation and Remuneration Survey also highlighted how important regional management is as a motivational factor for a representative and conversely, it was shown that a poor relationship with a line manager is one of the top three reasons why representatives move companies. But in an industry where company turnover often runs at around 20% of representatives per year and the cost of a new rep is reportedly more than £100,000 per annum, getting line management right is vital.

In this article we will look at the perceptions of regional management from a representatives viewpoint to try and understand how reps feel about line management and its affects on their ability to do their job and also their future prospects.

Lloyd Farrow, 36, is an account manager with the GSK consumer team in East Anglia, working with key NHS customers in the smoking cessation arena. Lloyd has been in the industry for about 18 months and before that was a retail manager with both Safeways and Victoria Wine.

The benefits of having a Regional Manager to Lloyd are clear. Being field-based and relatively remote from Head Office, his regular field visits with his RBM allow him to communicate on a personal basis with the company. Richard, who is Lloyd’s RBM, is the ‘face of the company’ and Lloyd said: “Facilitating communication must be one of the most important roles of a Regional Manager. This is two-way communication, feeding straight to Head Office and also communicating and filtering messages back to me and the rest of the team.”

Lloyd’s RBM’s experience is also invaluable in helping him get the best from his territory and he said: “I find it really useful to be able to tap into Richard’s experience when I have a problem. From my perspective, having a manager who has done the job himself and has broader experience than me is vital. In retail, I had the unfortunate experience of working with managers who had spent no time on the shop floor and who, consequently, were often flummoxed when situations occurred that were not dealt with in their rule book.”

Being motivated by his manager is also an important factor for Lloyd. He said: “When you are alone you can get disheartened from time to time. I understand that my RBM’s role is about monitoring and driving performance. However, these objectives are underpinned by encouragement and this motivating element is the overriding feeling I have when we work together. This is important because I know from other company reps that this is not always the case and some managers are thought to exist only to de-motivate people.”

From a career perspective, Lloyd too would like to develop in the line management direction. Why? The ability to earn a better standard of living for his family without any relocation issues, is a big factor. In addition, from a personal development perspective, line management offers career progression and personal growth. However, Lloyd does acknowledge that there will be a price to pay for the benefits of promotion in terms of longer hours, more pressure and more paperwork.

Other views make for interesting reading and four new representatives on the i2medical team, which is a co-funded unit for Lilly and Sankyo, gave their input. Three of the four had no previous field selling experience. Damien, 35, from Belfast had worked for a medical devices company for 10 years, Catherine and Priya were recent graduates and Joanna, 33, was previously a teacher.

In terms of what they wanted from their manager, they felt their main needs were for the person to be supportive and encouraging. All were very aware of their personal development and felt that managers should be able to give constructive criticism and be a resource that could help build their skills and knowledge. Catherine and Priya were very clear that they needed their manager to help them identify their training needs and work with them on specific areas. Moreover, good access to their manager was seen as critical, especially in the early months, with regular field visits and daily telephone and email contact. In addition, Damien felt that monitoring and performance management were a fundamental part of the RBM’s role and also that line managers were very much the communication channel for the company messages and his field feedback.

But what did they not want in a line manager?
In this area, our four new recruits were very clear, No bullying tactics, no condescending behaviour, no favouritism, no arrogance, no marginalisation of their issues and problems and no interruption of their calls with customers (Yes, this bad habit of some regional managers had already filtered through to them). Interestingly, the four reps admitted to not being totally clear on what First Line Managers did with all their time! Field visits were obviously cited, and thought to take up between 9 and 12 days a month and it was suggested that perhaps administration, data analysis and report writing and sales management meetings would take up the rest of their working week.

Of the four new recruits, three were very interested at looking at regional management as an option in the longer term. This was primarily down to the ability to earn more money but also due to the fact they thought their inherent organisational ability, good communication skills and aptitude to get on with people, made them good management potential.

Bernard Warner, a senior representative with Abbott Laboratories, also gave some interesting feedback to the question, ‘What makes a good manager?’ He said: “It is a person who endears the individual to them; who is able to be tactful yet firm when necessary; can give needed discipline but in a way that is acceptable. Moreover, this role requires a sense of empathy, (which is often lacking), and if improvement is needed, a manager should be able to show by example how this can be done. But above all, management entails giving the individual the feeling that he or she genuinely cares (yes, cares!), and really does want that person to succeed.”

Clearly, we have some interesting views and perspectives from representatives, some of which will be relevant to reps currently working in the field. In the next feature of this series on line management we will explore the role of a First Line Manager in terms of what the job actually entails and the skills needed, not only now but perhaps in the future.

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Who Ate All The Pies?

by Admin 1. April 2003 05:00

ASK YOURSELF THIS QUESTION - what weight were you before you entered the Pharmaceutical industry? Whatever the answer is, the chances are you weighed a lot less than you do now. Why is this the case? Is it a coincidence? Are your genes to blame? Have you got a slow metabolism? Or are you just ‘big boned’? Unfortunately, the haphazard lifestyle of a typical representative is probably the reason for any weight increase you have noticed. The simple truth about weight gain is that if your calorie input from food and drink is more than you use up with activity, then you will put on weight. And as we all know, the problem with a reps lifestyle is that there are plenty of opportunities to eat and drink during a normal working day and calorie intake can often be higher than required. And as a great proportion of the day is spent sitting in a car, energy output is often very low and consequently the susceptibility to pile on the pounds increases.

The ob-ob Limited and fatmanslim.com, who developed the Change for Life patient support programme for Abbott have the following advice for those concerned about their weight:

  • Weight gain is not just a cosmetic issue. Being overweight is even more of a risk factor for developing heart disease than smoking or high blood pressure. Being overweight is also associated with a range of cardiovascular risk factors as well as sleep apnoea and even some forms of cancer. It is disturbing that one in five of the adult population in the UK are now classified as being obese and more than 60% are overweight with these numbers increasing all the time. So what has your job got to do with it? Well, think of a typical day for a representative.
  • You wake up having overslept and have no time for breakfast because you have an early card drop at a target doctor that you really need to see. Two hours later you are starving hungry and the lure of the golden arches is just too hard to resist. One ‘Big Breakfast’ later, you are ready to hit the road again. But, as you well know, a ‘Big Breakfast’ is never quite big enough and you still feel a bit peckish. On the way to your next appointment you need petrol so you pull into a service station to fill up. Waiting to pay and still feeling a bit hungry, you see the chocolate on the counter and you grab a king-size bar (as they are much better value). And just in case, you also buy one for later!
  • A few calls later and it’s off to a lunch meeting. You have arranged a fantastic buffet for the practice; sandwiches, sausage rolls, biscuits, cream cakes and the token apple and banana. You graze on the food for an hour or so as doctors come in one by one to speak to you. You don’t really pay too much attention to the amount you actually eat but in reality it could have fed a small army. The food is then washed down with a couple of glasses of full-sugar coca cola. After the meeting is over you realise there is still plenty of food left. You bought more than enough because you needed to use up your budget, right? Anyway, shame to see it go to waste so you take a pack of sandwiches for later and drive off to the hospital.
  • An hour or so later, it’s nearly the end of the day but not before you meet up with your territory partner in a hotel to enjoy a cappuccino and a croissant while you plan your joint activities.
  • You get home and relax for a bit before getting ready for your evening meeting. It’s going to be 8.30pm-ish by the time you have dinner so you have a small snack or a slice or two of buttered toast to tide you over. There’s no time for exercise so you watch a bit of telly until it’s time to climb back in the car for the 40 minute drive to the restaurant where you have promised the doctors a Chinese set meal. And doctors being doctors, you know that means the biggest and most expensive meal on the menu washed down with a glass or two of wine.

Ok, so it’s not always like that but more often than not there are elements like it each day. So what can you do to help yourself?

One thing is certain - dieting is not the answer. Dieting is very difficult at the best of times and virtually all overweight people have tried dieting at some point in their lives. Most diets leave you constantly hungry and resentful that you cannot enjoy your favourite foods. Eventually, in most cases, hunger wins the day and the new eating regime goes out the window, leaving you feeling a failure. At best, people do lose some weight and often very quickly. However, because most diets are very hard to maintain, they are soon discarded and often the lost weight is regained. This is not surprising because humans are creatures of habit and it is virtually impossible to dramatically change eating behaviour overnight. And your body doesn’t react to dieting the way you might think. If you suddenly began to eat less, your body would think that you were entering a famine period and react by slowing the rate at which it burns calories in order to save energy. Therefore, when you began eating ‘properly’ again, you would be at risk of regaining even more weight than you had lost. Not good.

The true answer to losing weight lies in making small, healthy changes to your lifestyle which can have a big effect on weight loss and waist size. Small changes are easier to keep up in the long term, so you will not find yourself in a continual gain-loss weight cycle. For example, if you eat the equivalent of one biscuit every day for a year, over and above what your body needs, it could mean a weight gain of as much as 6kg or 12lb! Food for thought.

The point here is that making small changes to your life style really does work. So try introducing these changes to your current working day:

  • Always start the day with a healthy breakfast such as cereal with semiskimmed milk
  • Carry a bag of fruit in the car in case you fancy a snack
  • Pay for your petrol at the pump if the facility is available so the confectionery doesn’t tempt you
  • Park the car at the furthest point away in the hospital car park so you build in some extra activity into your day
  • Use the stairs in the hospital and not the lift
  • Buy healthy option sandwiches and replace cream cakes with fruit
  • Think before you eat! Ask yourself are you really hungry or eating just because it is available and on expenses?

If ‘normal’ days were not hazard enough for a rep, in terms of potential for excess eating, then also consider the other aspects of the job. Training courses, area meetings or weeklong conferences are part and parcel of the job and are potentially dangerous for those looking to lose weight. The biggest issue with meetings is that control is taken away from you, possibly more than at any other time in your day-to-day life. Where you eat, what you eat and when you eat is all decided for you, making healthy choices very difficult. Food will often be presented to you when you are not expecting it. How do you deal with this? How are you going to say ‘no thanks’ when offered? What will be the healthy choices at the buffet? When will you fit in some exercise? Potential problems abound. The solution is that you must plan for the event before you arrive so that you are in control of the situation as much as possible. Take a look at the following danger areas that you may encounter and the actions you can employ to help keep your eating in check.

Arrival
There are several positive steps you can take at the hotel which can remove unnecessary temptation. But first of all remember to telephone ahead so the hotel has time to action your requests before you get there.

  • Ask the receptionist to have alcohol and snacks removed from the mini bar and replaced with diet drinks or water.
  • Book your alarm call 30 minutes earlier than usual so you have time for a walk, swim or to use the gym. Even if it is only for 10 minutes, every little counts.
  • When you get in your room throw the complimentary biscuits in the bin immediately. And if you think you will try and fetch them out later, put them in a bin in the corridor!

Breakfast
Many of us look forward to a cooked breakfast when we stay at a hotel. However, there are far healthier options than the fry-up and you can still enjoy the experience whilst still keeping on track with your weight-loss goals.

Kippers or smoked haddock are usually available cooked to order. Grilled or poached is the healthiest choice and ask them to be prepared and served without butter.

If you must have a fry-up, limit the damage by asking for bacon to be grilled and cut the rind off yourself. If you can, avoid black pudding and sausages and replace the fried bread with toast. Ask for your egg to be poached. Scrambled is okay but avoid fried.

Treat yourself to breakfast in bed and make your choices after your evening meal so you are not hungry when you write down your order. Go for cereal (with semi-skimmed or skimmed milk), toast, low-fat yoghurt and a piece of fruit.

Watch out for the limitless fruit juice which is high in sugar and just too easy to drink! Enjoy one glass then drink water if you are still thirsty.

Coffee time
Availability of tea and coffee can be endless at meetings. Black coffee or coffee with skimmed milk is fine but use sweeteners instead of sugar or alternatively, drink more water and less coffee. Are ‘diet’ soft drinks available? If not, ask for them. Hotels are there to provide you with what you need. There are also a few other things to consider.

Biscuits and pastries are often on offer. But are you really hungry? If you really do need something to eat, choose the fruit instead and push the biscuits away out of reach.

Once you have got your tea or coffee, move well away from the serving table. Keep the food out of sight and out of mind.

Use the break to get five minutes of fresh air. Take your coffee with you while you have a quick stroll outside.

Perhaps you usually have biscuits when you drink tea or coffee but try and break the association by occasionally choosing water instead.

Lunch
Although buffets can be a nightmare for those watching the calories, the variety of food available can also allows healthy choices. Amongst the deep-fried goujons and vol-avonts there will be plenty of salads, lean meats, pasta and vegetables. Have a think about the following tips:

  • An hour is a long time to spend around food so once you’re finished your meal leave the dining room rather than stay around chatting. If you don’t, you may be tempted by other foods and continue to pick even though you’re not hungry.
  • Fill your plate with healthy choices then go and sit in the lounge or anywhere that gets you away from food that you don’t need.
  • Take a break between your main course and your sweet. Leave the room and if you are still hungry 10 minutes later, go back and make a healthy choice for pudding.
  • Drum up support for a lunchtime stroll. If it’s raining, walk up and down a few flights of stairs to burn up some calories.

Dinner
Lavish dinners are par for the course at company meetings. It’s all too easy to get carried away and take advantage of all the food and booze on offer but think for a minute before you go rushing into second helpings or that extra dollop of cream on the gateau. But if you plan to deal with temptation you will be in a far better position to resist when that extra piece of cheese is offered to you!

Have a glass of water or diet drink before you go down for pre-dinner drinks and alternate alcohol with soft drinks.

Move well away from the tables with the snacks on them. You may be tempted to eat if you’re hungry but save your appetite for the main event!

Peer pressure? Try gin and tonic without the gin - no one will notice. Better still, make sure it is a slimline tonic.

Ask the waiter not to automatically fill your wine glass. Stay in control - you must decide when to have another.

Enjoy your coffee without the mints and ask for semi-skimmed milk to replace the cream.

Get up and dance if a disco is provided - It’s an excellent way to burn off energy.

It’s not all bad!

The good news is that losing just 5-10cm from your waist will significantly improve your health. Although training courses are laden with potential pitfalls, they also present many opportunities to be healthy. So make the most of the chance to get fit and get paid at the same time.

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