Guerrilla industrial action by nurses in COHSE and NUPE during 1988, lead directly to Clinical Grading (April) and while Clinical Grading had it protractors and many waited years for an appeal.
It represented one of the largest increases in pay secured by nurses since 1974, again the result of nurses action (Halsbury Nurses Pay Report).
CLINICAL GRADING DEFINITIONS
SCALE A applies to posts where staff carry out assigned tasks involving direct care in support of and supervised by a registered nurse, midwife or health visitor.
SCALE B applies to posts where staff carry out assigned tasks involving direct care in support of a registered nurse, midwife or health visitor, regularly work without supervision for most of the shift or lead a team of staff at Scale A.
No statutory nursing or midwifery qualifications are seeded for posts at Scale A and B.
SCALE C applies to posts where staff provide nursing care under the direction of a registered nurse, midwife or health visitor, and participate in the assessment of care needs and the implementation of programmes of care.
The post- holder is normally required to have second level registration.
SCALE D applies to posts responsible for the assessment of care needs and expected to carry out all relevant forms of care without direct supervision. The post holder is required to have first level registration or second level registration plus a recognised post-basic certificate or an equivalent level of skill acquired through experience.
SCALE E applies to staff responsible for the assessment of care needs and the development, implementation and evaluation of programmes of care and one more requirement which could be regularly taking charge of a ward, or a first level registration plus a further post-basic qualification.
SCALE F applies to posts with continuing responsibility for the management of a ward, or responsibility for the assessment, development, implementation and evaluation of programmes of care, plus one other from a list of qualifications.
SCALE G applies to posts responsible for the assessment of care needs, the development, implementation and evaluation of programmes of care and the management of a teaching ward or equivalent.
SCALE H applies to posts responsible for the management of more than one ward or equivalent where the post holder has to meet at least four out of seven criteria.
SCALE I applies to posts with continuing overall responsibility for the management of more than one ward or equivalent and required to meet seven out of 11 criteria.