How is my Tax paid?
Everyone in Northern Ireland must pay tax and National Insurance on all earnings. For Nurses employed in the HSC this is deducted from your pay before you receive it. The payment actually made to you is therefore yours to use as you wish.
How much Tax will I pay?
Most people are entitled to receive a tax free allowance. This amount is determined by Her Majesty’s Revenue and Customs (HRMC), but for the 2016/17 tax year, the basic tax free allowance is £11,000. This means the first £11,000 of your earnings is tax free. Any earnings over the tax free allowance will be taxable.
Each month, tax will be deducted from your pay. Typically this deduction will be 20% of your earnings above the tax free allowance.
More information regarding income tax can be found at: https://www.gov.uk/income-tax/overview
Please note: you do not typically receive your tax free allowance in your first months’ pay. This is because HRMC must communicate the appropriate tax free allowance to the HSC Payroll Department. Once HSC Payroll have received this information they will recalculate your tax to ensure that you have not over contributed.
How much National Insurance will I pay?
National Insurance contributions are currently paid at the following rates:
Between £672 and £3583: 12%
Over £3583: 2%
More information on national insurance can be found here: https://www.gov.uk/income-tax/overview
When can I bring my family with me?
It is recommended that you make the move to Northern Ireland and gain your NMC registration
before you bring your family. This will also give you time to find suitable accommodation. You will be responsible for organising the Visa requirements for your family members which will be subject to Home Office requirements and approvals.
When can I seek Permanent Residency?
You will initially come with a 3 year visa after which you can apply for an extension. In most cases,
based on current rules, you can apply for Permanent Residency after 5 years. All applications are subject to Home Office requirements and approvals.
How much Leave will I have?
You will be entitled to 27 days annual leave for a full annual leave year which runs from 1st April to 31st March each year. If you start part way through the year you will receive a proportionate amount of annual leave for that year according to the number of months remaining.
In addition you will be entitled to 10 days statutory /public holidays which are set days throughout the year as follows:
If you are rostered on over a statutory / public holiday you will be paid at an enhanced rate of pay and receive a day off in lieu at another time.
When can I take my annual leave?
Annual leave can be booked through your line manager. You will normally be expected to give at
least 4 weeks’ notice of annual leave requests, particularly if you are wanting a block of time off.
However in most instances you will not be allowed to take all your annual leave in one block. You will be able to check your individual Trust arrangements on arrival.
When I am allocated to a Ward area will I remain there for as long as I want?
No, we expect all our Nursing staff to be flexible and move wards as service needs require. Some Trusts also operate a rotation of Staff Nurses which you may also be expected to participate in. We will always talk to you and ensure you know about any movement before it happens.
If I don’t stay for the full 3 years of my initial visa what will I have to repay?
The HSC is offering you a permanent post subject to Home Office restrictions. If you choose to leave the employment of the HSC prior to the expiry of your first 3 year visa you will be expected to repay
the support that has been afforded to you. This will include the training for your IELTS, your CBT examinations and the OSCE examinations. Full details would be discussed with you should this situation arise.
Is there any difference in pay rates across the Trusts for a Band 5 Nurse?
No all Trusts are required to use the Agenda for Change Pay scales which are the same for the whole of Northern Ireland.
Can I move to another Trust after a few months?
No, your visa and associated Certificate of Sponsorship (COS) is for a single employer which will not permit you to move Trusts. If on the longer term and whilst you remain on a COS, you apply to a new position in another Trust it would be subject to you obtaining a new COS. The COS can only be issued where the post is on the shortage occupation list and where there is no suitable worker in the resident labour market. Once you obtain permanent residency then you will be free to apply for positions as you wish.
Can men apply for senior positions in Northern Ireland?
Yes, all Trusts in Northern Ireland work to ensure Equality and Diversity in Northern Ireland. This means that there is equality of opportunity. Whilst you are in Northern Ireland under a Certificate of
Sponsorship (COS), you will be restricted to posts for which you can have a COS issued. The COS can only be issued where the post is on the shortage occupation list and where there is no suitable worker in the resident labour market.
Who pays for the Visa Application?
The visa application is covered under an arrangement between TTM and the HSC. The Health Surcharge which must be paid as part of your visa application will initially be paid for you, however, this cost will be repayable to the HSC over an agreed period following commencement of your employment.
Can I visit family in the South of Ireland?
There are restrictions in place for those who enter the UK (which includes Northern Ireland) on a Tier 2 Work Visa. The UK and Ireland combined form the ‘common travel area’ (CTA). If you enter the CTA as a tourist, you can travel anywhere within it. However if you enter the CTA on a specific work visa (such as a UK Tier 2), then you can only work and visit the UK. You cannot enter the Republic of Ireland as a tourist without a specific visitor visa, as you cannot switch visas once you have entered the CTA. This means that to enter the Republic of Ireland you will need to obtain a specific tourist visa which may or may not be possible when on a Tier 2 Visa.
(We are currently seeking clarification on the ability of someone on a Tier 2 Visa to obtain a visitor’s visa for the Republic of Ireland).
OSCE - will the cost of flight to Northampton and accommodation be covered by the Trust?
We have recently had a centre approved for the OSCE’s in Northern Ireland which will be operational by December 2016. Costs associated with traveling to the OSCE centre for the examination will be covered by the HSC.
Are the contracts permanent?
The offers being made are permanent but as you will be subject to Home Office restrictions in line with your visa then you employment must be managed in accordance with those restrictions. However, providing that you have leave to remain in the UK then the posts will remain open to you. If you obtain permanent leave to remain then you will be confirmed into a permanent post (subject to satisfactory performance).
Who pays airfare from Philippines to Northern Ireland?
This will be covered through arrangements between TTM and the HSC.
What happens if I fail my OSCE’s?
When you arrive in Northern Ireland you will be provided with training and support to prepare you for undertaking your OSCE’s in order to achieve your NMC registration. If you fail your OSCE at your first attempt you will be permitted to undertake it again. Should you fail your second attempt you will not be able to gain your NMC registration, your employment in the HSC will come to an end and you will be sent home. Please note that you must complete your second attempt within 8 months of your start date on your Certificate of Sponsorship.
Should you fail your OSCE’s TTM will look after having you returned safely to the Philippines.
How many beds are in each Ward?
Wards range from 17 – 36 beds. You will work as part of a team which will include a Ward Sister /
Deputy Ward Sister / Other Staff Nurses and Nursing Assistants as well as other professions.
What is the average Nurse to Patient Ratio?
In general acute wards, the average nurse to patient ratio is 1:8. However this varies for speciality areas for example ICU, HDU where the ratio may be 1:2.
I Had NMC registration in 2008 - would this still be okay?
If you have maintained your NMC registration then this is acceptable but if you have not maintained it then you will be required to reapply for registration and go through the NMC requirements.
Date of Issue – 27th September 2016
Author – Regional Leads for International Recruitment in Northern Ireland.
The answers to these questions are correct at the date of being published. Any changes will be notified through updates to this publication.
The TTM family were thrilled to present local children charity, The Clare Crusaders, with our fundraising cheque of close to €4,000 at our Ennis HQ earlier this week! We chose this fantastic local organisation as our Charity of the Year in recognition of the essential services it provides to young children with autism and cerebral palsy. Founded in 2007, it provides free therapy and specialist treatment to over 350 children with special needs in Co. Clare but receives no state funding, so it relies on fundraising efforts to keep the service going at a cost of over €250,000 each year. Our teams get creative Our teams outdid themselves this year, holding a number of special events throughout the year to raise vital funds, including: A Euro 2016 Sweepstake A sponsored 'Cycle the Mississippi River' challenge Halloween costume & Christmas Jumper competitions A Pancake Tuesday sale Random Acts of Kindness Day Brian Crowley, CEO of TTM Healthcare said: “We’re thrilled to be able to present our neighbouring charity, The Clare Crusaders, with this year’s team fundraising efforts. The staff worked tirelessly to keep the momentum going as we share the charity’s vision in enhancing the lives of people with disabilities and we are proud to support the vital services they provide to our local community here in Ennis. We wish the charity continued success in 2017 and beyond.” TTM in the community For more information on TTM Healthcare's Corporate Social Responsibility (CSR) activities, call us on 1890 88 20 66 or email firstname.lastname@example.org
The social care landscape is changing: the future of elderly care will now be in people’s own homes and, with that, comes a growing need for homecare nurses. Too often, a negative attitude of elderly care nursing prevails – that it can be a landing spot for less qualified nurses. However, this profession is one that should be highly valued, combining a set of key skills and qualities that are essential to delivering the quality care that allows people to age with dignity. Here are five that we consider to be essential to this role: Respect for the Elderly As people age and start to lose control of their faculties, it can be easy to lose sight of their individuality – who they see themselves as; their place in their world; their hobbies and interests. Faced with daily challenges of sensory loss, memory impairment, and physical disability, it can be an unenviable task for a nurse to get through to the person inside, to make them feel recognised and valid. Tremendous patience, determination and kindness is required. Powers of Assessment A good elderly care nurse will possess keen powers of observation, and be adept at assessing the subtle signs of a person’s deterioration or improvement. They will be skilled at assessing and caring for their psychological and social well-being, determining what the individual needs to continue to derive enjoyment from life. Communication Skills The ability to communicate is crucial to any healthcare role, but particularly for those working with the elderly, who so often have retreated into an inner world, or are suffering from dementia or Alzheimers. To tune into and decipher a patient’s needs in such circumstances is a particular skill, even a gift, and something that can greatly ease the confusion and disorientation experienced by elderly patients. Creativity Not a skill that is immediately associated with the healthcare professions, creativity is a trait that is becoming more and more useful for nurses in this field. For an elderly care nurse dedicated to improving her patient’s quality of life, thinking outside the box can present new ways to divert and engage them, and introduce a welcome change of rhythm to their daily routines. Flexible Approach Older people generally fall at the mercy of other people’s schedules as they grow increasingly dependent, whether they are residents of a nursing home, or being cared for by a family member. With this comes a huge loss of personal freedom and individualism, leading to depression for many. Being conscious of this, and allowing some flexibility and freedom of choice wherever possible, can improve a person’s quality of life dramatically. By simply involving a person in small daily decisions, such as what they will wear or eat, enables them to still feel some semblance of control in their own life. As our Baby Boomer population approaches old age, and the average age expectancy continuing to rise, there will be more need than ever for elderly care nurses with a genuine passion for what they do. Despite the challenges, the rewards for both nurses and their patients are great. There can be no finer profession than to enable another person to preserve their dignity, individuality and self-esteem for as long as possible. Speak to Us Today To speak to a member of our Nursing Division about Elderly Care Nurse positions across the country, contact us today for more information. T: 1890 88 20 66 | E: email@example.com
Psychiatric nursing is a vocation: a demanding but highly rewarding role that offers care and solace to the most vulnerable and distressed people in society. The path of a psychiatrist nurse can be a challenging one, and only the most dedicated and highly skilled professionals are well-suited to it. Currently undergoing much needed reforms, the field of mental health in Ireland is going through a period of flux. We look at the role of nurses in this specialist discipline, the measures needed to support them, and the future of mental health nursing in Ireland. The role of a psychiatric nurse Psychiatric nurses are currently the largest profession working within the Irish mental health services. Over the last 10 years, the role of the nurse has grown considerably, particularly with respect of their clinical roles and responsibilities as the healthcare landscape continues to change and nurses are required to provide more responsive care. Underpinning the role of the psychiatrist nurses are the core values of a non-judgemental approach; trust; dignity; respect; the provision of choice; and the promotion of rights. Part of the essential function of these nurses is their partnership with the patient and their families or advocates to enable them to draw on their own inner resources, realising their own potential and capabilities. Working daily with such high-support patients is unquestionably a challenging role, and nurses require crucial supports in order to carry out their duties to meet the needs of their patients. However, due to the many and varied challenges faced by the Irish health service, this area of nursing, as others, has suffered from a lack of funding, inadequate legislation, and unfulfilled targets. A vision for change Since the publication of the nation’s mental health policy A Vision for Change in 2006, our mental health services have been evolving in a more recovery and service-focused way. While many within the sector are critical that few of the proposed changes in that policy have been implemented ten years later, there has been a sustained focus on reforming mental health law and on re-defining supports for mental health nurses. In 2015, former Minister for Mental Health & Disability Kathleen Lynch established a framework of recommendations with a view to bringing Irish mental health legislation in line with international standards. A new Mental Health Bill is currently progressing through the Oireachtas, which addresses the inadequacies and anomalies in the existing 2001 Mental Health Act and re-focuses on a more person-centred approach to treatment and care. Support through clinical supervision A Vision for Psychiatric/Mental Health Nursing – a shared journey for mental healthcare in Ireland outlines a number of recommendations to support the delivery of such a person centred, recovery-focused, quality and safe mental health service - chief among them, the provision of clinical supervision to all nurses. Published in April 2015, the Clinical Supervision Framework for Nursing Working in Mental Health was designed: To provide support to mental health nurses for issues arising in their work To enable nurses to grow, both individually and professionally To provide a standardised structure for clinical supervision for all nurses Implementing this core function across the mental health services is essential, not only to the improvement of clinical standards and enhanced patient care, but also to the “health” of the psychiatric nursing profession. Best practice guidelines suggest regular hourly review sessions at 4-6 week intervals with a suitably qualified supervisor, taking place in the workplace and recorded for future reference. With such proper supports in place, those with a genuine calling to mental health nursing can look forward to developing their skills and career in a field where they can truly make a positive difference. Take the next step with us Want to know more about the current roles available for mental health nurses across Ireland? Contact a member of our expert Nursing Division today to discuss your future. T: 1890 88 20 66 | E: firstname.lastname@example.org  http://www.drugsandalcohol.ie/25684/1/Clinical_Supervision_Framework_Nurses_Mental_Health.pdf  Cusack, E. & Killoury, F., A Vision for Psychiatric/Mental Health Nursing – a shared journey for mental health care in Ireland, 2012 Writer Evelyn Moriarty, Content Specialist Evelyn Moriarty is a Content Specialist at TTM Healthcare, based in at our Irish headquarters. Joining the company in 2016, Evelyn specialises in both on and offline content creation for the health and social care market. Company Bio TTM Healthcare is a specialist health and care recruitment company established by Brian Crowley in Ennis, Co. Clare in 2002. Now recruiting highly skilled medical professionals from all over the world, TTM has offices in Ennis, Dublin and the UK. Selected as Ireland’s No 1 Healthcare Agency by the National Recruitment Federation, TTM is also the UK’s Recruiter Awards Public Sector Agency (2016) and Professional Services Agency of the Year (2016 & 2017), as well as a Gold Standard Deloitte Best Managed Company (2016 & 2017.)