nhs employers annual review 2013/14 - nhs confederation/media/employers... · nhs employers annual...
TRANSCRIPT
1www.nhsemployers.org
MARCH 2014
NHS EMployERSANNuAl REviEw2013/14
SUPPORTING THE NHS WORKFORCE: 2013/14 HIGHLIGHTS
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The past year has often been referred to as the year ‘post-Francis’. Since February
2013 the NHS has responded to the Francis report recommendations and it’s clear that there are tangible cultural changes. Safe staffing has risen up the agenda, there is increased awareness of
whistleblowing, recruiting for values and a growing appreciation of the link between
staff experience and patient care. One year on, the February 2014 staff survey results also show
improvements in most indicators, including key areas such as staff engagement.
This hasn’t all happened by chance though. This has happened because of the actions of managers and leaders on the ground. NHS Employers has worked hard to ensure that the NHS workforce has the support it needs to implement these changes and help them deliver safe, effective and compassionate patient care. Here we take a look at some of the highlights of our work in 2013/14, and look ahead to our priorities in 2014/15.
Dean Royles, Chief Executive, NHS Employers
SUPPORTING THE NHS WORKFORCE: 2013/14 HIGHLIGHTS
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wOrkiNg lONgEr rEviEw• Developedapubliccallforevidencetoallowemployersandotherorganisationstocontributetothereview.
• Supported‘bigconversation’eventsintruststounderstandhowstaff,managersandpatientsfeelabouttheraisedretirementage.
• SubmittedrecommendationsfromthereviewtoHealthDepartments.
www.nhsemployers.org/wlr
valuES-baSEd rEcruiTmENT• HeldtwonationaleventswithHealthEducationEnglandfor130delegates,showcasingvalues-basedrecruitmentinactionandplansforthenewnationalworkprogramme.
• Recruited75partnerorganisationstotheprogramme.
• Publishedavaluesmappingtoolandselfassessmentreadinesscheck.
www.nhsemployers.org/values
SuppoRTiNG THE NHS woRKFoRCE
2013/14 HiGHliGHTS
pENSiONS• Continueddiscussionsrepresentingemployerinterestsonthedetailsofthenewpensionschemebeingintroducedin2015.
• SuccessfullydevelopedaconsultancyservicetoprovideemployerswithadditionalsupportandatailoredplanfortheimplementationofautoenrolmentintheNHS.
•Workedinpartnershiptodevelopjointproposalsonthefuturegovernancearrangementsofthepensionscheme.
www.nhsemployers.org/pensions
carE makErS• DeliveredaprogrammeofcommunicationsacrossNHSorganisationstohelpcreateanetworkof1,000CareMakersbyApril2014.
• IncreasedawarenessofCompassioninPracticeacrossNHS-commissionedservices.
• ThroughtheCareMakerprogramme,workedtoembedthevaluesandbehaviourssetoutinthe6Cs,tosupporttransformingNHSculture.
www.nhsemployers.org/caremakers
a leading workforce campaign delivered by
a leading workforce campaign delivered by
SUPPORTING THE NHS WORKFORCE: 2013/14 HIGHLIGHTS
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SOcial mEdia•WorkedwithtrustsandNHSchiefexecutivestodriveapermissiveuseofsocialmediaintheNHS,usingtheconversation#NHSEngage
• EncouragedaculturalshiftintheuseoftechnologyintheNHStopromotetransparency.
• DevelopedarangeoftoolsandresourcestoencouragetheuseofsocialmediaintheNHS.
www.nhsemployers.org/socialmedia
EmplOymENT cHEckS• Publishedrevisedguidanceforemployersonemploymentcheckrequirements.
• Providedsupporttoemployersonlegislationchangesaroundobtainingdisclosureandbarringchecksandtheintroductionoftheupdateservice.
www.nhsemployers.org/employmentchecks
raiSiNg cONcErNS• Providedresourcesandaccesstoexpertiseforemployerstohelpincreasestaffawarenessofhowtoraiseconcernsandensureunderstandingofthenewlegislativerequirements.
• Publishedupdatedguidanceontheuseofsettlementagreementsandconfidentialityclauses.
• Providedemployerviewstonationalbodiesonthepreferreddirectionoffurtherpolicyandtheimportanceofjoined-upworkingacrossthesystem.
www.nhsemployers.org/raisingconcerns
iNTErNaTiONal rEcruiTmENT• DevelopedaregularonlinenewslettertokeepemployersuptodatewiththetopicalnewsandthelatestdevelopmentsinUKimmigrationrules.
• Conductedaworkforcesupplysurvey,theresultshavebeenusedthroughouttheyeartorepresentemployerviewstotheHomeOffice,MigrationAdvisoryCommitteeandDHandtohelptargetouremployerresourcesandinformationeffectively.
www.nhsemployers.org/immigration
THE FraNciS rEpOrT•Workedwith,andcollectedviewsfrom,employerstoprovideanemployerresponsetotheFrancisreport.
• ProvidedtheDHwithaviewonpracticalimplementationastheresponsestotheworkforce-relatedrecommendationsweredeveloped.
• ProvidedemployerresponsestotheCavendish,Berwick,KeoghandHart/Clwydreviewsandensuredtimelyfeedbacktoemployersontheirrecommendations.
www.nhsemployers.org/francis
HEalTH viSiTiNg• Throughour‘shareandlearn’networkmeetingsandourvirtualnetwork,kepthealthvisitorproviderorganisationsuptodateonnationalpolicydevelopmentsandsharedbestpractice,ideasandsolutions.
• Reinforcedexistingresourcesanddevelopednewonestohelpemployersmeetthehealthvisitorimplementationplan.
•Workedinpartnershipwithothernationalorganisationstoofferemployerandemploymentviewsontheworkforceaspectsofthehealthvisitorimplementationplan.
www.nhsemployers.org/Healthvisiting
SUPPORTING THE NHS WORKFORCE: 2013/14 HIGHLIGHTS
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STaFF ENgagEmENT•Providedresourcestosupportimprovingstaffengagement,includingamajorupdateofourstaffengagementonlineresources.
• Analysedkeyissuesfrom2012staffsurveydata,whichshowedimprovementinstaffengagementwithintheNHS.
• Organisedsharingandexchangeofinformationthroughouremailnetworkandwebinarprogramme.
• RaisedemployerconcernsoverplansfortheStaffFriendsandFamilyTest,whichsecuredchangestotheoriginalplans.
www.nhsemployers.org/staffengagement
SOcial parTNErSHip FOrum (SpF)• PutinplacemechanismstoensureallrelevantpartnersarefullyincorporatedintotheSPFnationalforumandsubgroups.
• EnsuredeffectivepartnershipworkingarrangementswerefurtherbuiltonintheSPFregions.
• TookforwardworkarisingfromtheFrancisReportandGovernment’sresponse.
•WorkedwithallSPFpartnerstolaunchanewSPFwebsite.
www.nhsemployers.org/SpF
NurSiNg rEvalidaTiON•WorkedwiththeNursingandMidwiferyCounciltoensuretheyhadaccesstoemployers’viewsintheNHSastheydevelopedtheirplansforrevalidation.
• Providedupdatesandinformationtosupportlocalcommunications.
• DevelopedanemployerresponsetotheconsultationbasedonlisteningtotheviewsofHRandnursingleaders.
www.nhsemployers.org/nursing
pErSONal, Fair aNd divErSE (pFd) campaigN• Developedvideosandpodcastsofambassadortrustssharingtheirjourneys.
• SupportedtheNHS65thanniversarywiththepublicationoftheBMEtrailblazersseries.
• DesignedanddevelopedaPFDapp.• LedonthedeliveryofthesecondNHSEquality,DiversityandHumanRightsWeek.
www.nhsemployers.org/pFd
OrgaNiSaTiONal dEvElOpmENT (Od)• HostedthefirstevernationalNHSconferenceonODinpartnershipwiththeNHSLeadershipAcademy.
• PublishedarticlesandresourcesfromODexperts,sharinggoodpracticeandbuildingODcapabilityacrosstheNHS.
• SupportedsevenkeynationalODprojectsincollaborationwithcolleaguesacrosstheNHS.
www.nhsemployers.org/Od
HEalTH aNd wEllbEiNg•MaintainedtherelevanceandpriorityofstaffhealthandwellbeinginthenewNHSinfrastructure.
• Supportedlinemanagerstoincreasecompetenceinmanagingstaffhealthandwellbeing,reducingsicknessabsenceandimprovingstaffengagement.
• IncreasedboardengagementthroughtheNHSEmployersVirtualBoardandTopLeaders’Forum.
www.nhsemployers.org/healthyworkforce
a leading workforce campaign delivered by
a leading workforce campaign delivered by
SUPPORTING THE NHS WORKFORCE: 2013/14 HIGHLIGHTS
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TOTal rEward• HelpeddevelopHRskillstoenabletruststobuildtheirownlocalrewardstrategy.
• LaunchofTotalRewardStrategyToolkit.• SupportingthepilotofTotalRewardStatements.
www.nhsemployers.org/reward
SkillS•Workedwithkeypartnerstoproducecoherentplansforstrategydevelopmentandcross-governmentworking.
• ContinuedtohelptheNHSdeveloplocalstrategiestoincreasepartnershipworkingwithJobCentrePlus.
• Furthertestedthee-mentoringconceptanddevelopedabusinesscasemodelthatwilldeliverqualityandcosteffectiveness.
www.nhsemployers.org/skills
mOdErNiSiNg SciENTiFic carEErS (mSc)• AspartoftheprojectgroupledbytheHealthandSocialCareInformationCentre,createdanew,comprehensivemethodofclassifyingthehealthcarescienceworkforceontheElectronicStaffRecord.
• Deliveredaseriesof‘shareandlearn’networkmeetings,bringingtogetherhealthcarescienceleadsfromacrosstheNHStodiscusslocaldevelopments,opportunitiesandchallengesassociatedwithMSC.
www.nhsemployers.org/modernisingscientificcareers
mEdical pay aNd wOrkFOrcE• AgreedheadsoftermsfornegotiationsforconsultantsanddoctorsintrainingandbeganformalnegotiationswiththeBMA.
• Revisedguidanceonemployinglocums,payprotection,andmaternity.
•WorkedwithHEEtosupporttheBetterTrainingBetterCareprogramme.
• RepresentedemployerviewsintheShapeofTrainingReview.
• Continuedworkonmedicallocumslinkedtorevalidation.
www.nhsemployers.org/medicalworkforce
STaFF SEaSONal Flu campaigN• Supportedtruststoachieverecord-breakingfluvaccinationuptakeinEngland.
• Supportedlowerachievingorganisationstoraisetheiruptake.
• IdentifiedandsharedinnovativeapproachestoincreasingfluvaccinationuptakeamongNHSstaff.
• ExpandedthecampaigntosupporthealthcareworkerfluvaccinationinWales.
www.nhsemployers.org/flu
Hr ENgagEmENT SErvicE• CreatedopportunitiesfortheHRcommunityandstakeholderstorespondtopolicydevelopmentandimplementation.
• EstablishednationalnetworkstosupportHRdirectorsinKeoghtrustsandHR/workforceleadersinCommissioningSupportUnits.
• PublishedtoolsandmaterialsfromtheLondonStreamliningprojecttosupportwiderrollout.
a leading workforce campaign delivered by
SUPPORTING THE NHS WORKFORCE: 2013/14 HIGHLIGHTS
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SHapE aNd EducaTiON OF THE wOrkFOrcE• PromotedgoodpracticefromNHStrustswhohaveusededucationandtrainingtosupportservicechangeandimprovement.
• Ensuredemployerandemploymentviewswereconsideredinthedevelopmentofnationalpolicy.
• Keptemployersuptodateontheirresponsibilitiesandactionswithregardtoeducationandtrainingissues.
•Producedandpromotedexamplesofemployers’goodpracticeinstudentplacementprovision.
www.nhsemployers.org/education
NON-mEdical pay• ContinuedpartnershipworkthroughtheNHSStaffCouncil,toensurethatthenationalpayandconditionsarefitforpurposeandsustainable.
• ProvidedadviceandsupportforlocalemployersimplementingthenewAgendaforChangeflexibilities.
• Developedastrong,employer-focusedsubmissiontotheNHSPayReviewBodyforthe2014/15payround.
www.nhsemployers.org/agendaforchange
EqualiTy aNd divErSiTy• Providedstrategicsupporttotheageingworkforceworkstream.
• GrewthePFDbrandamonghealthandsocialcareorganisations,aswellasnon-NHSorganisationssuchasfireandrescue,policeandprisonservices.
• SupportedtheEqualityandDiversityCounciltokeepuptodateonthelatestthinkingaroundequalityanddiversity,inthecontextoffuturereformsoftheNHSandsocialcare.
www.nhsemployers.org/equalityanddiversity
primary carE cONTracTiNg• SuccessfullynegotiatedchangestotheGeneralMedicalServices(GMS)contractonbehalfofNHSEnglandfor2014/15andpublishedsupportingguidanceforareateamsandGPpractices.
• Publishedupdatedversionsoftheguidestocommunitypharmacyandgeneralpractice.
www.nhsemployers.org/gms www.nhsemployers.org/pharmacy
SUPPORTING THE NHS WORKFORCE: 2014/15 PRIORITIES
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THE FraNciS rEpOrT• Supportemployerswithpost-Francisactivitybyembeddingitintoourallofourworkprogrammes.
www.nhsemployers.org/francis
carE makErS• IdentifyandembedrobustregionalCareMakersstructures.
• ContinuetoincreaseawarenessofCompassioninPracticeandthe6CsacrossNHS-commissionedservices.
• AgreeandsecureapermanentfundingmodelfortheCareMakerprogramme.
www.nhsemployers.org/caremakers
SuppoRTiNG THE NHS woRKFoRCE
2014/15 pRioRiTiES
pENSiONS• Supporttheimplementationofanew2015NHSPensionSchemeandemerginggovernancearrangements.
• Representemployerviewsondiscussionsrelatingtoanewcontributionstructureforthe2015scheme.
• EnsureNHSorganisationshaveaccesstoinformationandguidance,designedspecificallyforemployers,onallaspectsoftheNHSPensionScheme.
www.nhsemployers.org/pensions
valuES-baSEd rEcruiTmENT• ProduceasingleframeworkwithHEEforemployersanduniversitiestosupporttheimplementationofvalues-basedrecruitmentstrategiesandprocesses.
• Ensureprogressofactivityinwidercontextofembeddingvalues-drivenbehaviouracrossallemploymentpractice.
• Hostpartnerlearningworkshopsthatprovideaccesstoexpertiseandleading-edgethinking.
• Provideaccesstotrainingonvalues-basedinterviewingtechniques.
www.nhsemployers.org/values
raiSiNg cONcErNS• Ensureemployershaveaccesstoideasandcasestudiesarounddevelopinganopenculture.
• Providemanagerswithaccesstoresourcesandsupporttoencourageopennessinteamsandtheimportanceoftimelyfeedbacktostaff.
• Representemployerviewsandactivitytonationalbodiesastheydeveloppolicyinthisarea.
• Ensurethedifferencesbetweenraisingconcernsandwhistleblowingarepresentedandheard,byprovidingaleadingandexpertvoicetothepublicdebate.
www.nhsemployers.org/raisingconcerns
a leading workforce campaign delivered by
SUPPORTING THE NHS WORKFORCE: 2014/15 PRIORITIES
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HEalTH viSiTiNg• Continuetoprovideaforumforhealthvisitingserviceandworkforcemanagerstosharetheirworkforce-relatedexperiences,astheyworktodeliverthehealthvisitingimplementationplan.
• Reinforceexistingresourcesanddevelopawiderangeofworkforce-relatedtoolsforemployers.
• Providetailoredsupportandworkforceexpertiseto30employers,tohelpthoseorganisationsworktowardstheirhealthvisitorrecruitmentandretentiontargets.
www.nhsemployers.org/Healthvisiting
EmplOymENT cHEckS• Continuetoprovideexpertadviceandguidanceonemployerresponsibilitiesaroundsaferrecruitmentprocesses.
•WorkinpartnershipwiththeHomeOfficeandtheDisclosureandBarringServicetoensureemployerviewsarerepresentedastheydeveloptheirsystem.
www.nhsemployers.org/employmentchecks
iNTErNaTiONal rEcruiTmENT• Continuetoprovideexpertadviceandguidanceonemployerresponsibilitiesaroundethicalinternationalrecruitmentandmanagedmigration.
• Usetheintelligencewehavecollectedtotargetsupportaroundsupplyissues,solutionsandeffectiveinternationalrecruitment.
• Continuetoworkinpartnershipwithkeystakeholderstoensureemployerviewsarerepresentedinthedevelopmentofimmigrationpolicyandprocesses.
www.nhsemployers.org/immigration
SkillS• ContinuepartnershipworkingwithJobCentrePlusandNHSorganisationstodeliverlocalrecruitmentefficienciesandemployment.
• Promoteandpublishgoodpracticeonapprenticeshipsandemployingyoungpeople.
www.nhsemployers.org/skills
pErSONal, Fair aNd divErSE (pFd) campaigN• GrowourPFDchampionsnetworkacrosstheNHSandthepublicsector.
•WorkwithambassadorstointegratethePFDmodelfurtherintoorganisations’culture.
• UsesocialmediatopromoteourPFDchampions’stories.
• DeliverthethirdEquality,DiversityandHumanRightsWeek.
www.nhsemployers.org/pFd
NurSiNg rEvalidaTiON• ContinuetoworkwiththeNMCandemployersastheproposalsforrevalidationaredevelopedthroughout2014.
• Engagewithandreceiveupdatesfromtheotherprofessionalregulatorswhoaredevelopingplansforrevalidationoftheirregistrants.
www.nhsemployers.org/nursing
STaFF ENgagEmENT•Supportemployerstosustainstaffengagementandmaximisethebenefitsforpatientcare.
• SupportemployerstoimplementtheStaffFriendsandFamilyTest.
• Delivernewsupportforlinemanagers,linkingtootherprogrammessuchasCompassioninPractice,healthandwellbeingandpartnershipworking.
www.nhsemployers.org/staffengagement
a leading workforce campaign delivered by
SUPPORTING THE NHS WORKFORCE: 2014/15 PRIORITIES
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SOcial parTNErSHip FOrum (SpF)•WorkwiththeDH,NHSEngland,HEEandNHStradeunionstoensureemployerscaninfluencetheworkforceimplicationsofpolicies.
• ContinuetosupporttheregionalSPFsandencourageacollectiveapproachwithnationalSPFtoensureinformationsharing.
• PromotepartnershipworkingatalllevelsintheNHS.
www.nhsemployers.org/SpF
OrgaNiSaTiONal dEvElOpmENT (Od)•WorkwithcolleaguesacrosstheNHStocreatetoolsandresourcestoimprovepatientcarethroughOD.
• UseappliedODtechniquesandculturechangemethodologytosupportorganisationstobuildcompassionateculturesofcare.
• ContinuetosupportODnetworksbyprovidingaforumtoconnect,shareandlearninpersonandvirtually.
www.nhsemployers.org/Od
TOTal rEward• BuildontheTotalRewardToolkitwithmoresharedlearningandresources.
• HelpsupporttheNHSwiththeintroductionofTotalRewardStatements.
• Developanengagementnetworkforstrategicreward.
www.nhsemployers.org/reward
STaFF SEaSONal Flu campaigN•Workwithnationalstakeholderstoestablishaunifiedstatementsupportinghealthcareworkerfluvaccination.
• Continuetoprovideresourcestosupportlocalfluleads.
•Workwithnationalstakeholderstodevelopandimprovethereportingsystemforfluvaccinationuptakedata.
• Supportfluleadstoimprovefluvaccinationuptakeinnursesandmidwives.
www.nhsemployers.org/flu
HEalTH aNd wEllbEiNg• ContinuetopromoteboardengagementthroughtheNHSEmployersVirtualBoard.
• Provideguidanceandtoolsaroundhealthandwellbeingmetricsandevaluation.
• Createanonlinesicknessabsenceresourceformanagers.
• DevelopanNHSmeasureofemotionalwellbeingtosupportstaff.
• Developamentalhealthtrainthetrainerprogrammeformanagers.
www.nhsemployers.org/healthyworkforce
NaTiONal wOrkFOrcE ENgagEmENT SErvicE• StrengthentheeffectivenessofanationalengagementservicethroughsharingHRpracticeanddevelopingtherangeofstakeholdersandcross-sectorlinks.
• SupportHRprofessionaldevelopmentthroughtheHRdirectorChairsnetworkandthejointstrategywithNHSEnglandandHealthcarePeopleManagementAssociation.
• StrengthencapacityandeffectivenessacrossNHSEmployers,addressingkeychallengessuchaspay,seven-dayservicesandservicereconfiguration.
a leading workforce campaign delivered by
a leading workforce campaign delivered by
SUPPORTING THE NHS WORKFORCE: 2014/15 PRIORITIES
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mOdErNiSiNg SciENTiFic carEErS (mSc)• ContinuetosupportlocalimplementationofMSCbyrepresentingemployers’views,providingexpertadviceonworkforceandemploymentissuesandthesharingofgoodpractice.
• Supportdevelopmentofnewtrainingandcareerprogressionprogrammes,thereviewofhealthcarescienceAgendaforChangenationalprofilesandcontinuetosupportpromotionofhealthcaresciencecareers.
www.nhsemployers.org/modernisingscientificcareers
mEdical pay aNd wOrkFOrcE•Negotiatechangestoconsultants’andjuniordoctors’contractualarrangements.
• DevelopevidenceforsubmissiontotheDDRB.
•WorkwithHEEtosupportqualityimprovementsinpostgraduatemedicaleducationandtraining.
• Representemployers’viewsinplanstochangethestructureofmedicaltraining.
• SupportNHSEnglandtoimprovethequalityofmedicallocums.
www.nhsemployers.org/medicalworkforce
NON-mEdical pay• SupportemployerrepresentativesontheNHSStaffCounciltoseekfurtherchangestonationalpayandconditionstoensuretheyremainsustainable.
• ProvideadviceandguidancetohelplocalemployersmakeeffectiveuseoftheAgendaforChangeflexibilities.
• Developastrong,employer-focusedsubmissiontotheNHSPayReviewBody.
• Continuetoprovidehigh-qualitytrainingintheNHSJobEvaluationScheme.
www.nhsemployers.org/agendaforchange
EqualiTy aNd divErSiTy• CelebratethecontributionofadiverseworkforcetotheworkoftheNHSthroughEquality,DiversityandHumanRightsWeekandothermethods.
•WorkwithNHSEnglandtosupporttheobjectivesoftherefreshedEqualityandDiversityCouncil.
• DevelopareputationasE&Dworkforceexperts.
• SupportNHSorganisationstoimplementtheEqualityDeliverySystem(EDS2).
www.nhsemployers.org/equalityanddiversity
primary carE cONTracTiNg•WorkwithNHSEnglandtonegotiatechangestotheGeneralMedicalServicesandGeneralDentalServicescontractsandnewservicesfortheCommunityPharmacyContractualFrameworkfor2015/16.
• Publishguidancetosupportanynegotiatedchanges.
www.nhsemployers.org/gms www.nhsemployers.org/pharmacy
SUPPORTING THE NHS WORKFORCE: 2014/15 PRIORITIES
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SHapE aNd EducaTiON OF THE wOrkFOrcE•WorkcloselywithHEEtoensureemployerviewsandemploymentissuesareconsideredinthedevelopmentofnationalpolicy.
• Keepemployersuptodateontheirresponsibilitiesandactionsemergingfrompolicy.
• ContinuetopromoteandshowcaseNHStrustswhouseeducationandtrainingtosupportservicechangeandimprovement.
www.nhsemployers.org/education
wOrkiNg lONgEr rEviEw• Supporttherecommendationsandoutcomesofthereview,workingcloselyinpartnershipwithemployers,tradeunionsandthehealthdepartments.
www.nhsemployers.org/wlr
a leading workforce campaign delivered by
NHS EMployERSThe NHS Employers organisation is the voice of employers in the NHS, supporting them to put patients first. our vision is to be the authoritative voice of workforce leaders, experts in HR, negotiating fairly to get the best deal for patients.
Wehelpemployersmakesenseofcurrentandemerginghealthcareissuestoensurethattheirvoiceisfrontandcentreofhealthpolicyandpractice.Wekeepthemuptodatewiththelatestworkforcethinkingandexpertopinion,providingpracticaladviceandinformation,andgeneratingopportunitiestonetworkandshareknowledgeandbestpractice.
WeworkwithemployersintheNHStoreflecttheirviewsandactontheirbehalfinfourpriorityareas:
•payandnegotiations•recruitmentandplanningtheworkforce•healthyandproductiveworkplaces•employmentpolicyandpractice.
TheNHSEmployersorganisationispartoftheNHSConfederation.
Acknowledgements ThistoolkitwasdraftedbyAlexTalbott(@a_double_tt)
Contact
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PublishedMarch2014.©NHSEmployers2014.Thisdocumentmaynotbereproducedinwholeorinpartwithoutpermission.TheNHSConfederation(Employers)CompanyLtd.RegisteredinEngland.Companylimitedbyguarantee:number5252407Ref:EINF34801