Schedule 9 - Template for the collectio

Please provide details of all staff in your organisation - clinical / non-clinical and managment, in receipt of basic
Scales.

Where your organisation is part of a Group Company any managers or staff who participate in the managemen
Please complete 1 template for your organisation as a whole - and submit to your del
crossing more than one area copies may also be requested by local management for t
Each individual Salary should be entered separately, all payrolls should be included to show each individual tota
No requirement to name or uniquely identify the entries but each individual salary should have separate line.

Service Provider Name:

Number of
Senior Staff 0 Total Pay Package 0.00 Totals
Grade Category
Community Local Health Position/Title (equivalent to
Health Area Office Area HSE consolidated
Pay scales)
(Chose from
Drop Down
Menu)
e 9 - Template for the collection of Staff Remuneration & Packages
and managment, in receipt of basic salaries above €76,551. This equivalent to the minimum point of the Grade 8 of the Con

who participate in the management/administration of the company covered by the Service Arrangement should be included
ole - and submit to your delegated HSE manager (or as instructed), where your organisation ha
by local management for their files.
cluded to show each individual total salary package
salary should have separate line.

Completed by:
Completed date:
Contact No.

0.00 0.00 0.00 0.00

Provide
Annual Equivalent details of
€ benefits
and/or
Salary Allowances Pension Other Benefits allowances
(employers Cash provided
contribution)
imum point of the Grade 8 of the Consolidation Salary

rvice Arrangement should be included.

, where your organisation has activity

Staff on all payrolls as at

Funded by Provide details Comments

HSE % of source of
non HSE
(Please insert % of funded
salary package
funded by HSE) element.
 A B C D E F G H I J K L M N O P Q R S T U V W X
1 The Programme Types must be matched with relevant Programme detail see colour code below

Programme Detail
Colour coded to match Programme type.
2 - New categories 2017 highlighted by heavy box,
change name only in light box. HSE Area/LHO/Funding
List NameChild_or_Adult_service Disability Group Programme Type Residential, Day, Respite and Other. Staff Client support ratio Region unit Look up disability Look up KPI KPI KPI DIS GR Categories HIQA - Staff Grade Categories
3 Child or Adult service PS or Id For all care groups General Service Category Detailed Service Category Region Community Health Organisation Areas Local Health Office PS or Id Categories Chief Executive Officer
4 Adult Physical Residential Residential 7 day Community house Day Minimum (staff to client ratio is 1 to 10+) DML CHO 1 Donegal Physical P&S Residential Yes ID CEO/Head of Service Provider Finance Officer
5 Children Sensory Day - Other Day Service Adult Residential 7 day Institutional facility / residential centre Day Low (between 1 to 6 & 1 to 9) DNE CHO 2 Sligo / Leitrim Sensory P&S Day - Other Day Service Adults Yes P&S General Management Personnel Officer/Manager
6 Mixed Adults and Children P&S Day - Rehabilitative Training Residential 7 day Nursing Home (full cost placement) Day Moderate (between 1 to 4 & 1 to 5) South CHO 3 Roscommon P&S P&S Day - Rehabilitative Training Yes Human Resource Management Planning and Evaluation Officer
7 ID Day - Work/work like activity Residential 7 day Home Sharing Day High (between 1 to 2 & 1 to 3) West CHO 4 Mayo ID ID Day - Work/work like activity Yes Finance Management Functional Officer
8 Autism Day - Other Day Service Children Residential 7 day Other Day Intensive (1 to 1 or above) Corp CHO 5 Galway Autism ID Day - Other Day Service Children No ICT Management Grade IV
9 ID &Autism Respite Overnight Adult Residential 5 day Community house Residential Minimum (no sleep in) CHO 6 North Tipperary / East Limerick ID &Autism ID Respite Overnight Adult Yes Medical Management Grade V
10 ID &P&S Respite Overnight Child Residential 5 day Institutional facility / residential centre Residential Low (staff on duty most of the time plus sleep in) CHO 7 Clare ID &P&S Mixed Respite Overnight Child Yes Nursing Management Grade VI
11 ID, P&S, Autism Respite Day Adult Residential 5 day Home Sharing Residential Moderate (two staff on duty plus sleep in) CHO 8 Limerick ID, P&S, Autism Mixed Respite Day Adult Yes Health & Social care Professionals Management Grade VII
12 Mental Health ID Respite Day Child Residential 5 day Other Residential High (two staff on duty plus on duty night staff) CHO 9 Wexford Mental Health ID ID Respite Day Child Yes Support Services Management Clerical Officer
13 Home Supports Adult Residential Transitioned to new model* Residential Intense (Two+ staff 24/7) National Waterford Home Supports Yes Other Grade VIII
14 Home Supports Children Day Care Programme N/A Carlow / Kilkenny Personal Assistant (PA) P&S - Adult Yes Staff Nurse, Senior (Intellectual Disability)
15 Personal Assistant (PA) P&S - Adult Day Activation/Activity South Tipperary Multi Disciplinary Supports No Clinical Nurse Manager 2
16 Multi Disciplinary Supports Day Active Community Participation/Inclusion Cork North Management / administration No Clinical Nurse Manager 1
17 Management / administration Day Education Programme Adult Cork South Pension No Staff Nurse - Intellectual Disability
18 Pension Day Older Persons Programme Cork Continuing Care Other No Staff Nurse, Senior (Dual Qualified)
19 Other Day New Directions Service Kerry Clinical Nurse Manager 3
20 Day Special Pre school Dublin South Clinical Nurse Manager 2 - Night
21 Day Child Education & Development Centre Dublin South East Clinical Nurse Specialist (General)
22 Day Rehabilitative Training Dublin South City Staff Nurse (Psych), Community
23 Day Sheltered Work Therapeutic Dublin South West Staff Nurse, Dual Qualified (Intellectual Disability)
24 Day Sheltered Work Commercial Dublin West Director of Nursing 2A
25 Day Sheltered Work- Like Work Wicklow Nursing Unclassified
26 Day External Work like work –less than minimum wage Kildare / West Wicklow Social Care Worker
27 Day Supported Employment Cavan / Monaghan Social Care Leader
28 Day Voluntary Work Louth Services Coordinator 1 (Disability Services)
29 Day Sheltered Employment - Minimum Wage (disability specific) Meath Services Coordinator 4 (Disability Services)
30 Respite Overnight Adult Centre Based North West Dublin Other
31 Respite Overnight Adult Non Centre Based Dublin North Central
32 Respite Overnight Child Centre Based North Dublin
33 Respite Overnight Child Non Centre Based Longford / Westmeath
34 Respite Day Adult Centre Based Laois / Offaly
35 Respite Day Adult Non Centre Based Cork Kerry ID
36 Respite Day Child Centre Based Cork Kerry P&S
37 Respite Day Child Non Centre Based DNE-Disability Regional
38 Home Support in own home Area 1
39 Home Support in Nursing home Area 2
40 Home Supports for Pre-school Children Area 3
41 Personal Assistant (PA) P&S - Adult Area 4
42 Multi Disciplinary Early Intervention Area 5
43 Multi Disciplinary Support Other Area 6
44 Management/Admin Head Office Area 7
45 Management/Admin Regional Area 8
46 Management/Admin Local Area 9
47 Management/Admin Other Area National
48 Pension - Cost of Pensioners and Super Ann
49 Summer Camp
50 Centre of Nurse Education
51 Support Programmes
52 Counselling
53 Helpline
54 Aids and Appliances
55 Assistive Technology
56 Other
57
Residential Transitioned to new model*
58 Transitioning of existing residential place to new model not
covered under traditional residential programme detail.