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.