Master C/AFP contract

Master C/AFP contract

The Master Clinical/Academic Funding Plan (C/AFP) Contract is a four-year contract between C/AFP physicians and the government of Nova Scotia. The contract was signed in September 2016 and runs from April 1, 2015 to March 31, 2019. Over the life of the contract, $12.7 million will be provided to the 12 C/AFP departments. Some of the money is applied as across-the-board increases; the remainder is applied as targeted investments to those departments and divisions whose remuneration is furthest from their national academic peers, and for new physician resources.

C/AFP Contract Investment

Across-the-board increases: $4 million

A total of $4 million will be applied as across-the-board increases incrementally over the latter two years of the contract.

  • Year 1 (2015–16): 0%
  • Year 2 (2016–17): 0% 
  • Year 3 (2017–18): 0.5% ($1 million; note that C/AFP contracts redirect 0.5 per cent of this increase*)
  • Year 4 (2018–19): 1.5% ($3 million)

Note that across-the-board increases only apply to funding received from the Department of Health and Wellness (DHW). Funds from the Nova Scotia Health Authority (NSHA)/IWK Health Centre and Dalhousie University are protected in this contract (with the exception of leadership stipends, which may be adjusted as negotiated between individual department heads and the NSHA/IWK).

*The government proposed a 1% (approximately $2 million) increase for Year 3. The Committee of C/AFP Department Heads decided to redirect some of that increase to be used as targeted investments. As a result, half of the increase in Year 3 – approximately $1 million – has been redirected as a targeted investment in the C/AFP departments whose compensation is furthest from their national peers.


Targeted investments: $6 million

A total of $6 million ($5 million plus the $1 million redirected from the across-the-board increases, see above) will be applied as targeted investments over the latter three years of the contract.

  • Year 1 (2015–16): 0%
  • Year 2 (2016–17): $1 million
  • Year 3 (2017–18): $3 million ($2 million as negotiated with the government, plus $1 million redirected by department heads from across-the-board increases)
  • Year 4 (2018–19): $2 million

Targeted funding formula

Understanding that nationally competitive compensation is a critical success factor for recruitment and retention, DNS and the C/AFP Department Heads created a new targeted-funding formula. This formula is used to determine how targeted funds will be allocated, based on how each specialty compares to the national mean for their peers.

Percentage of National Mean   Percentage of Targeted Funds
90% or higher = 0% of funds
80–90% = 10% of funds
70–80% = 30% of funds
Below 70% = 60% of funds

Physicians included in NewMD Committee

The NewMD Committee is responsible for considering all requests for new physicians in Nova Scotia. It includes representatives from the DHW, the NSHA and the IWK, as well as DNS and physician representatives. 

There is $2.8 million in funding available for new C/AFP and Master Agreement physician positions. Both C/AFP and Master Agreement physicians are part of the NewMD Committee. 

Other allocations: $600,000

The following allocations were made based on needs identified by C/AFP departments and the government’s desire to invest in certain priorities.

  • $350,000 – Emergency medicine
  • $60,000 – Family medicine
  • $190,000 – DHW priorities

The contract includes an additional investment of $190,000 to support specific issues identified by the government (for example, leadership stipends, provincial programs, development of safety protocols).

New FTEs: $4.92 million

$4.92 million has been invested in new physician full-time-equivalents (FTEs).

$2.12 million will go toward hiring:

  • 1.5 to 2 Anesthetists
  • 1 critical care physician (pediatric) 
  • 2 hematopathologists
  • 0.2 medical geneticist
  • 0.5 infectious disease (for Provincial Antimicrobial Stewardship Initiative)
  • 0.5 pathologist (for Provincial Antimicrobial Stewardship Initiative)

$2.8 million – New MD Committee and Dean’s Pool

This investment funds new physician FTEs on a provincial basis, including AFP, Fee for Service (FFS) and Alternate Payment Plan (APP) positions. Approvals are based on an application and review process.

Contact

Maureen Connolly
Compensation manager, clinical/academic funding plans
902-481-4906
1-800-563-3427 ext. 4906