It is a contractual requirement for all clinical academic and clinical research staff to hold an honorary contract with the NHS Trust/Body where clinical work is undertaken.  Honorary contracts can be held at more than one NHS Trust/Body. Consultants who work at more than one Trust will need to ensure their job plan records all NHS Trust/Bodies where clinical work is undertaken. 

All clinical appointments are co-terminous, therefore they are an integrated appointment between the University and relevant NHS Trust/Body.  The clinician will be issued with an Honorary Clinical Contract by the relevant NHS Trust/Body.  If the contract with the NHS Trust/Body is terminated, their employment with the University will be terminated, and vice versa. 

In order to hold an honorary contract, GMC Registration and Licence to Practice, and Medical Indemnity Insurance is required for the duration of the appointment. 

The honorary contract does not constitute a contract of employment; rather it covers the clinician for engagement with the NHS Trust/Body for duties under the substantive post.  The honorary contract should be valid for the duration of the substantive post. 

The honorary contract has to be in place before the commencement of the post, otherwise the start date of the appointment will need to be changed. 

Clinical Honorary Contracts and DBS checks

Please note that, for University employees with clinical honorary contracts, the DBS check is normally undertaken by the NHS Trust concerned as part of the clinical honorary contract process rather than by the University (although the details of the DBS check must still be recorded on the University’s HR and Payroll System, CHRIS). However, where the clinical honorary contract is with NHS England or Public Health England, the DBS check should be requested as per the normal University process.

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Job Planning (Consultants) 

Duties under the substantive employment contract and under the Honorary Clinical Consultant Contract will be jointly agreed through the integrated job planning process taking account all duties under the University and the NHS and will be included in a single integrated job plan. 

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Honorary Contract Titles 

Honorary  Contract Title	Reason
Honorary Consultant	Individual has CCT
Honorary Locum Consultant	Individual has CCT but is employed in a junior role but can ‘act up’ to consultant level for a maximum of 6 months
Honorary Speciality Registrar	Trainee with a National Training Number
Honorary Clinical Fellow	Trainee without a National Training Number

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NHS Trust/Body 

The School of Clinical Medicine works closely with several NHS Trust/Bodies on a regular basis with the majority of honorary clinicians based at Cambridge University Hospitals NHS Foundation (CUHNHSFT) being the main partner Trust.  In addition, we have clinicians at: 

• Cambridge and Peterborough NHS Foundation Trust (CPFT) 
• Public Health England (PHE) 
• National Bloody and Transplant (NHSBT) 
• NHS England (usually GPs) 
• West Suffolk NHS Foundation Trust (WSH) 
• Royal Papworth Hospital (RPH) 

Honorary contracts for NHS Trust/Bodies that are not listed can be arranged via the HR Staff Hub Team and host department. 

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Honorary Contract Application Process  

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Honorary Contract Renewals 

For honorary contract renewals, the relevant renewal application will need to be completed by the individual and approved at departmental level, at least six weeks in advance of the current honorary contract expiring.  The completed honorary contract renewal will be sent to the relevant Medical Staffing Team by the host department for processing. 

The honorary contract renewal will then be sent to the individual, host department and HR Staff Hub Team.  

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Private Practice 

Clinicians can engage in private medical practice, however the honorary contract does not provide indemnity for private work.  It is a contractual requirement that all clinician’s hold personal Medical Indemnity Cover (insert link). 

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