Residential On Call Rates
| Authority | Manx Care |
|---|---|
| Date received | 2026-01-29 |
| Outcome | All information sent |
| Outcome date | 2026-02-25 |
| Case ID | 5262577 |
Summary
The request sought a breakdown of Manx Care staff groups providing residential on-call services at Noble's Hospital and their specific hourly rates. The authority disclosed that while some roles like Operating Department Practitioners have a fixed hourly rate, most clinical staff are paid via annualised contracts or local agreements rather than a standard per-hour standing rate.
Key Facts
- Operating Department Practitioners receive a fixed rate of £10 per hour for residential on-call.
- Consultant Radiologists are paid under a local agreement where the first 2 hours of weekday shifts and specific weekend hours are classed as resident on-call.
- 1st on-call anaesthetists are paid based on a contracted rate where a 'PA' counts as 4 hours during weekdays or 3 hours during nights/weekends.
- Surgical Clinical Fellows, Medical SD/IMT, and Orthopaedic Clinical Fellows are paid via annualised salaries under the UK 2016 contract, meaning on-call commitments are pre-paid rather than billed hourly.
- For Operating Department Practitioners, work exceeding 10 minutes triggers overtime payments at time and a half for nights and weekends.
Data Disclosed
- £10
- 2 hours
- 9am-7pm
- 07:00 – 19:00
- 19:00 – 07:00
- 4 hours
- 3 hours
- 40-hour
- 1/12
- 10 min
- 2016
- 2026-01-29
- 2026-02-25
- 5262577
Original Request
1. Please provide a breakdown of which Manx Care staff groups (eg. Radiographers/Operating Department Practitioners/Biomedical Scientists) are currently required, by temporary agreement or otherwise, to provide a Residential (sleep in) On Call service at Nobles Hospital. 2. For each group please provide their per hour standing Residential On Call rate.
Data Tables (2)
| Contract | Role | Agreement Type | Rate |
|---|---|---|---|
| HMD | Consultant Radiologist | Bank Rate | Local agreement for first 2 hours of weekday on-call shifts to be paid as resident on-call. Also, 9am-7pm Saturday and Sunday classed as resident on-call. |
| HMD | 1st on call anaesthetist | Core NHS consultant Contracted Rate | Classed as a shift and therefore paid in line with contract, 1 PA counts as 4 hours when the work is carried out during: • 07:00 – 19:00 • Monday to Friday • Excluding public holidays A PA counts as 3 hours when the work is undertaken during: • 19:00 – 07:00 (any day) • Any time on Saturdays or Sundays • Public holidays |
| HMD | Surgical Clinical Fellow | Core NHS Contract | In line with the UK 2016 contract: • Basic salary is for a 40-hour working week. • The rota is prospectively converted into an annualised salary based on: Additional rostered hours o Night work o Weekend frequency o |
| HMD | Medic al SD and IMT | Core NHS Contract | In line with the UK 2016 contract: • Basic salary is for a 40-hour working week. • The rota is prospectively converted into an annualised salary based on: Additional rostered hours o Night work o Weekend frequency o On-call commitment o This means: Most evenings/weekends/nights in the rota are already paid through contractual enhancements, not ad-hoc overtime claims. Monthly pay is simply 1/12 of this total calculated annual amount, even if actual weekly hours vary. |
|---|---|---|---|
| HMD | Orthopaedic Clinical Fellow | Core NHS Contract | In line with the UK 2016 contract: • Basic salary is for a 40-hour working week. • The rota is prospectively converted into an annualised salary and based on the below factors an agreed upli: Additional rostered hours o Night work o Weekend frequency o On-call commitment o This means: Most evenings/weekends/nights in your rota are already paid through contractual enhancements, not ad-hoc overtime claims. Monthly pay is simply 1/12 of this total calculated annual amount, even if actual weekly hours vary. |
| MPTC | Operating Department Practitioner | Long Standing Local Agreement | £10 an hour to be resident on call, When call leads to more then 10 min work hours paid in line with contract and associated |
Full Response Text
Manx Care Noble’s Hospital, Strang Braddan, Isle of Man IM4 4R (01624) 650 000
Our ref: 5262577 19 February 2026
Dear **
We write further to your request, received 29 January 2026, which states:
"1. Please provide a breakdown of which Manx Care staff groups (eg. Radiographers/Operating Department Practitioners/Biomedical Scientists) are currently required, by temporary agreement or otherwise, to provide a Residential (sleep in) On Call service at Nobles Hospital.
- For each group please provide their per hour standing Residential On Call rate."
Response
Contract Role
Agreement
Type
Rate
HMD
Consultant
Radiologist
Bank Rate
Local agreement for first 2 hours of weekday
on-call shifts to be paid as resident on-call.
Also, 9am-7pm Saturday and Sunday
classed as resident on-call.
HMD
1st on call
anaesthetist
Core NHS
consultant
Contracted
Rate
Classed as a shift and therefore paid in line
with contract,
1 PA counts as 4 hours when the work is
carried out during:
•
07:00 – 19:00
•
Monday to Friday
•
Excluding public holidays
A PA counts as 3 hours when the work is
undertaken during:
•
19:00 – 07:00 (any day)
•
Any time on Saturdays or Sundays
•
Public holidays
HMD
Surgical
Clinical
Fellow
Core NHS
Contract
In line with the UK 2016 contract:
•
Basic salary is for a 40-hour working
week.
•
The rota is prospectively converted into
an annualised salary based on:
o
Additional rostered hours
o
Night work
o
Weekend frequency
o
On-call commitment
This means:
Most evenings/weekends/nights in your rota
are already paid through contractual
enhancements, not ad-hoc overtime claims.
Monthly pay is simply 1/12 of this total calculated annual amount, even if actual weekly hours vary.
HMD
Medic al SD
and IMT
Core NHS
Contract
In line with the UK 2016 contract:
•
Basic salary is for a 40-hour working
week.
•
The rota is prospectively converted into
an annualised salary based on:
o
Additional rostered hours
o
Night work
o
Weekend frequency
o
On-call commitment
This means:
Most evenings/weekends/nights in the rota are
already paid through contractual
enhancements, not ad-hoc overtime claims.
Monthly pay is simply 1/12 of this total calculated annual amount, even if actual weekly hours vary.
HMD
Orthopaedic
Clinical
Fellow
Core NHS
Contract
In line with the UK 2016 contract:
•
Basic salary is for a 40-hour working
week.
•
The rota is prospectively converted into
an annualised salary and based on
the below factors an agreed upli:
o
Additional rostered hours
o
Night work
o
Weekend frequency
o
On-call commitment
This means:
Most evenings/weekends/nights in your rota
are already paid through contractual
enhancements, not ad-hoc overtime claims.
Monthly pay is simply 1/12 of this total calculated annual amount, even if actual weekly hours vary.
MPTC
Operating
Department
Practitioner
Long
Standing
Local
Agreement
£10 an hour to be resident on call,
When call leads to more then 10 min work hours paid in line with contract and associated
overtime payments.
•
Nights at time and a half
•
Weekends at time and a half
Please quote the reference number 5262577 in any future communications.
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