Residential On Call Rates

AuthorityManx Care
Date received2026-01-29
OutcomeAll information sent
Outcome date2026-02-25
Case ID5262577

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.

  1. 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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I will now close your request as of this date.

Yours sincerely