Validation Date: 4th June th August Ratified Date: 25/08/2015

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Document Type: POLICY Title: Time Owing / Time off in lieu (TOIL) Target Audience: Trust Wide Author / Originator and Job Title: Glenda Hayes, E- Rostering Lead Nurse/Project Manager Eleanor Palmer-Rigby, HRBP Replaces: Version 1 Nurse Time Owing Policy 041 NHSB-HR49 Time in Lieu Protocols in Community (Blackpool Locality) NHSNL-HR45 Time in Lieu in community (Fylde, Wyre and North Locality) NLPCT September 2008 Flexi Time for office based staff policy Local agreements within Blackpool Teaching Hospital Validated (Technical Approval) by: HR Policy Forum Ratified (Management Approval) by: Joint Negotiating Consultative Committee Description of amendments: Revised Guidance document Validation Date: 4th June 2015 6th August 2015 Ratified Date: 25/08/2015 Review dates and version numbers may alter if any significant changes are made Unique Identifier: CORP/POL/548 Version Number: 1 Status: Ratified Divisional and Department: Human Resources Risk Assessment: Not Applicable Which Principles of the NHS Constitution Apply? 3 Issue Date: 25/08/2015 Review Date: 01/08/2018 aims to design and implement services, policies and measures that meet the diverse needs of our service, population and workforce, ensuring that they are not placed at a disadvantage over others. The Equality Impact Assessment Tool is designed to help you consider the needs and assess the impact of your policy in the final Appendix.

1 PURPOSE To ensure staff have a healthy balance between home and work life, time accrued is taken back at the convenience of the service and the individual and as soon as possible after it has been accrued. 2 TARGET AUDIENCE This Policy applies to all staff employed by Blackpool Teaching Hospitals NHS Foundation Trust. The term staff is a collective term that includes full time, part time or temporary staff. 3 POLICY Time owing is time that is worked in excess of contracted hours. This must be 15 minutes or more at the start or end of a staff member s rostered shift or their usual hours of work and where there is an operational requirement. This Policy is to be viewed separately to the Trust s Work Life Balance Policy in regards to flexible working hours, and should be viewed in conjunction with the National Terms and Conditions. All time accrued must be accurately recorded and in a timely manner, via an electronic or manual system and must be authorised by the employees Line Manager. Irrespective of the method of recording it is the staff member s responsibility to ensure that the accrual and subsequent taking of time off in lieu is authorised by line management, Appendix 1 provides a generic Trust wide TOIL form. Any discrepancies must be discussed and resolved by the Line Manager and the member of staff at the earliest opportunity. Any adjustment to accumulated time owing and/or time owed can only be authorised by the Line Manager. Line Managers should not normally allow the deficit/accrual of more than 15 hours time owing. Where the maximum accrual is reached it is the responsibility of the Line Manager and member of staff to take the necessary action to reduce the time owing, to not further exceed the maximum amount or to arrange payment to staff in accordance with Agenda for Change (Section 3.5). Staff have a responsibility to accurately record all time worked. Additionally staff must inform line management in circumstances where excess hours need to be worked in order to meet the needs of the service. Staff are contracted to work a specified number of hours per week, and in line with Trust Policy, staff who work a shift of more than 6 hours are expected to take a break of at least 30 minutes. Any unpaid breaks not taken must be the exception and not the rule, and authorised by the appropriate line manager. Line managers have a responsibility for ensuring staff take their allocated break and such breaks are recorded on timesheets or via e-roster. If a staff member works through their break, the break cannot be added onto the start or end of the working day. Page 2 of 8

Where it is necessary to work more than the contracted hours and it is predictable e.g. evening clinics, it is expected that where possible reduced hours will be worked during the working day or working hours adjusted accordingly for the week. In the event that it is not possible to reduce working hours, lieu time may be accrued, following prior discussion with and authorisation by the appropriate manager. Where it is necessary to work more than the contracted hours and it is unpredictable e.g. an unplanned visit / staff shortages, the appropriate manager should be notified as soon as possible after the hours have been incurred. Study days should, where possible, form part of staff contracted hours, where this is not possible; study leave will accrue time owing only after agreement with the Line Manager. Those staff with accrued time owing may leave or be requested by their Line Manager to leave a shift early, if the service allows in order to reduce time owing. In all cases this must be agreed with the employee and authorised by Line Managers. It must be accurately recorded on approved documentation. Appendix 1 provides a generic Trust wide TOIL form. In wards / areas / localities where there is a bleep holder responsible for staffing levels, they should be contacted before any unplanned time owing is taken to ensure that the staff member is not required to assist in another ward/area/locality. If the service allows, it may be possible for time owing to be taken as a full or half day / shift. Where possible this should be via written authorisation, where this is not possible verbal authorisation may be given and written/electronic authorisation obtained retrospectively. Staff requiring regular time off for family commitments, should refer to the Work Life Balance policy CORP/POL/521 (refer to Section 7). Staff must not intentionally accumulate hours in order to take full or half shifts on a regular basis. In accordance with Agenda for Change, (Section 3.5) where staff are unable to take time off in lieu within three months for operational reasons this will be paid as overtime at the appropriate rate. Time Off In Lieu cannot be accrued for work conducted at home, without the explicit authorisation of line management. In requesting authorisation for accrual of such time, the staff member must give the rationale for such work to be performed at home, prior to the work being conducted. Staff who use a manual paper recording system, must ensure that all such paperwork is submitted to line management on a weekly/monthly basis, to ensure assurance in relation to audit purposes. Page 3 of 8

3.1 Office Based Staff Core office hours must match the needs of the particular service. These hours must be agreed in advance to meet the needs of each specific team / individuals. Generally these core hours are between 08:00 18:00 hours however these can be adjusted to meet service needs (e.g. 07.30 16.30 hours where meeting/training preparation may be required). 3.2 Suspicion of Fraudulent Activity In order for the Trust s Time Owing Guideline to be successful, there has to be an element of trust between and the member of staff. However, any suspicion of fraudulent activity will be referred to the Trust s Counter Fraud Specialist for investigation, in accordance to the Trust s Counter Fraud and Corruption Policy, CORP/POL/136 (refer to Section 7). 4 ATTACHMENTS Appendix Number Title 1 Generic Timesheet 2 Equality Impact Assessment Tool 5 PROCEDURAL DOCUMENT STORAGE (HARD AND ELECTRONIC COPIES) Electronic Database for Procedural Documents Held by Procedural Document and Leaflet Coordinator 6 LOCATIONS THIS DOCUMENT ISSUED TO Copy No Location Date Issued 1 Intranet 25/08/2015 2 Wards, Departments and Service 25/08/2015 7 OTHER RELEVANT / ASSOCIATED DOCUMENTS Unique Identifier Title and web links from the document library CORP/POL/136 Fraud and Corruption Policy and Response Plan http://fcsharepoint/trustdocuments/documents/corp-pol- 136.pdf CORP/POL/521 Work-Life Balance http://fcsharepoint/trustdocuments/documents/corp-pol- 521.docx CORP/POL/221 European Working Time Directive (EWTD) http://fcsharepoint/trustdocuments/documents/corp-pol- 221.docx Page 4 of 8

8 SUPPORTING REFERENCES / EVIDENCE BASED DOCUMENTS References In Full NHS Employers. (15/01/2015). NHS terms and conditions of service handbook (Agenda for Change). Available: http://www.nhsemployers.org/your-workforce/pay-and-reward/nhsterms-and-conditions/nhs-terms-and-conditions-of-service-handbook. Last accessed 23/10/2015. 9 CONSULTATION / ACKNOWLEDGEMENTS WITH STAFF, PEERS, PATIENTS AND THE PUBLIC Name Designation Date Response Received Tracey Burrell Assistant Director of Nursing Karen Harte Staff Rep Maggy Heaton Staff Rep John Marsden Local Counter Fraud Specialist Stephen Mellors Matron Deborah Booth HR Advisor 10 DEFINITIONS / GLOSSARY OF TERMS E-Roster Electronic time management system TOIL Time off in lieu 11 AUTHOR / DIVISIONAL / DIRECTORATE MANAGER APPROVAL Issued By Glenda Hayes Checked By Anne Radcliffe Job Title E-Rostering Manager Job Title Head of Strategic HR Date June 2015 Date July 2015 Page 5 of 8

APPENDIX 1: GENERIC TIMESHEET RECORD OF ADDITIONAL HOURS WORKED TIME IN LIEU (TOIL) Name:... Division:... Place of work:... Job Title:... Band:... Contracted hours:... Date Hours Worked Reason for additional hours worked/taken Time Worked Time Taken Line Manager authorisation TOIL Balance Example 3/6/15 0800-1800 Clinic over ran + 2 hours 0 (Signature) = 2 BALANCE Please record times using the 24 Hour clock system Declaration: - I declare that the information I have given on this form is true, factually correct and complete. I confirm that I have worked the above stated hours in full. I understand that if I knowingly provide false information this may result in disciplinary action and I may be liable for prosecution and civil recovery proceedings. Signature of Employee:... Date:... Certified by:... (Line Manager) Date:... Page 6 of 8

APPENDIX 2: EQUALITY IMPACT ASSESSMENT FORM Department Organisation Wide Service or Policy CORP/POL/548 Date Completed: January 2014 GROUPS TO BE CONSIDERED Deprived communities, homeless, substance misusers, people who have a disability, learning disability, older people, children and families, young people, Lesbian Gay Bi-sexual or Transgender, minority ethnic communities, Gypsy/Roma/Travellers, women/men, parents, carers, staff, wider community, offenders. EQUALITY PROTECTED CHARACTERISTICS TO BE CONSIDERED Age, gender, disability, race, sexual orientation, gender identity (or reassignment), religion and belief, carers, Human Rights and social economic / deprivation. QUESTION RESPONSE IMPACT What is the service, leaflet or policy development? What are its aims, who are the target audience? development impact on community safety Crime Community cohesion Is there any evidence that groups who should benefit do not? i.e. equal opportunity monitoring of service users and/or staff. If none/insufficient local or national data available consider what information you need. Does the service, leaflet or development/ policy have a negative impact on any geographical or sub group of the population? How does the service, leaflet or policy/ development promote equality and diversity? development explicitly include a commitment to equality and diversity and meeting needs? How does it demonstrate its impact? Does the Organisation or service workforce reflect the local population? Do we employ people from disadvantaged groups Will the service, leaflet or policy/ development i. Improve economic social conditions in deprived areas ii. Use brown field sites iii. Improve public spaces including creation of green spaces? development promote equity of lifelong learning? development encourage healthy lifestyles and reduce risks to health? development impact on transport? What are the implications of this? Does the service, leaflet or policy/development impact on housing, housing needs, homelessness, or a person s ability to remain at home? Are there any groups for whom this policy/ service/leaflet would have an impact? Is it an adverse/negative impact? Does it or could it (or is the perception that it could exclude disadvantaged or marginalised groups? Issue Action Positive Negative Raise awareness of the Yes Clear Organisations format and processes identified processes involved in relation to the procedural document. The Procedural Document is to ensure that all members of staff have clear guidance on processes to be followed. The target audience is all staff across the Organisation who undertakes this process. Not applicable to community safety or crime No No Ensures a cohesive approach across the Organisation in relation to the procedural document. The Procedure includes a completed EA which provides the opportunity to highlight any potential for a negative / adverse impact. Our workforce is reflective of the local population. None identified All policies and procedural documents include an EA to identify any positive or negative impacts. Page 7 of 8

APPENDIX 2: EQUALITY IMPACT ASSESSMENT FORM Does the policy/development promote access to services and facilities for any group in particular? Does the service, leaflet or policy/development impact on the environment During development At implementation? No No ACTION: Please identify if you are now required to carry out a Full Equality Analysis Yes No (Please delete as appropriate) Name of Author: Signature of Author: Eleanor Palmer-Rigby Date Signed: June 2015 Name of Lead Person: Signature of Lead Person: Name of Manager: Signature of Manager Glen Hayes Date Signed: June 2015 Anne Radcliffe Date Signed: June 2015 Page 8 of 8