CES Definition - Revision history

PeteTyerman: New link

2026-06-19T11:37:21Z

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	- For employers: cost-effective, improves retention, reduces locum costs, fulfils Equality Act obligations.		- For employers: cost-effective, improves retention, reduces locum costs, fulfils Equality Act obligations.

			Further detail on the benefits of CES for patients, the clinical unit, the employer and the individual clinician is set out here: [[Clinical Enabling Support - Benefits]].

PeteTyerman: /* 1. What is CES? */

2026-06-19T11:11:36Z

1. What is CES?

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	- CES therefore sits in the category of a reasonable adjustment, not general resourcing.		- CES therefore sits in the category of a reasonable adjustment, not general resourcing.

			Further detail on why CES is different from ordinary administrative support is set out here: [[Clinical Enabling Support - Difference from Ordinary Administration]].

	=== 5. Funding ===		=== 5. Funding ===

PeteTyerman: /* 1. What is CES? */

2026-06-19T08:38:51Z

1. What is CES?

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	- Act as a disability-specific support worker (a category recognised by Access to Work).		- Act as a disability-specific support worker (a category recognised by Access to Work).

			Further detail on how CES protects clinical capacity and the types of workplace barriers it may address is set out here: [[Clinical Enabling Support - What CES Does.]]

	=== 4. How is CES Different from Admin? ===		=== 4. How is CES Different from Admin? ===

PeteTyerman: /* 2. Why is CES Needed? */

2026-06-19T08:33:06Z

2. Why is CES Needed?

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	- Without CES, this places such clinicians at a substantial disadvantage compared to their peers.		- Without CES, this places such clinicians at a substantial disadvantage compared to their peers.

			For a fuller explanation of why CES may be needed, including the impact of neurodivergent strengths, cognitive capacity, administrative overload and burnout risk, see: [[Clinical Enabling Support - Why CES is Needed.]]

	=== 3. What Does CES Do? ===		=== 3. What Does CES Do? ===

PeteTyerman at 22:14, 7 May 2026

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			[[Clinical enabling support\|Back to clinical enabling support]]

	= Clinician Enabling Support (CES): Definition and Purpose =		= Clinician Enabling Support (CES): Definition and Purpose =

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	Clinician Enabling Support (CES): Definition and Purpose		= Clinician Enabling Support (CES): Definition and Purpose =

			=== 1. What is CES? ===
			Clinician Enabling Support (CES) is a form of workplace support designed to remove disability-related barriers for clinicians with neurodivergent conditions such as ADHD ASD (Autism Spectrum Disorder) and Dyslexia. It involves the provision of dedicated Band 4–5 support staff to assist with specific tasks that are disproportionately difficult due to disability but essential to safe clinical practice.

			CES is not routine administrative support. It is:

			- Separate from standard secretarial/clerical functions, which all clinicians receive.

			- Targeted at disability-related needs, in line with the Equality Act 2010 duty to make reasonable adjustments.

			- Clinically enabling, because it frees doctors to focus on direct patient care and training rather than being disproportionately burdened by paperwork.

			=== 2. Why is CES Needed? ===
			- NHS studies show doctors already spend the majority of their time on non-patient tasks (e.g. 73% for residents – TACT study, 2024).

			- For clinicians with ADHD, executive dysfunction and time management difficulties mean routine admin takes longer and creates greater stress.

			- Without CES, this places such clinicians at a substantial disadvantage compared to their peers.

			=== 3. What Does CES Do? ===
			CES staff can:

			- Draft and prepare clinical correspondence, reports, and referrals.

			- Manage scheduling, documentation, revalidation, and training portfolio requirements.

			- Support task prioritisation and follow-up, especially where ADHD causes organisational barriers.

			- Act as a disability-specific support worker (a category recognised by Access to Work).

			=== 4. How is CES Different from Admin? ===
			- Standard admin support = routine, generic tasks provided to all consultants, trainees, or GP practices (secretaries, receptionists, clerks).

			- CES = additional, protected support linked specifically to the disability-related disadvantage caused by ADHD (or other conditions).

			- CES therefore sits in the category of a reasonable adjustment, not general resourcing.

			=== 5. Funding ===
			- Cost-effective even without external funding (CES reallocates consultant,GP/trainee hours to patient care).

			- Access to Work may part/fully-fund/ CES as a 'support worker' role, further reducing employer costs.

			- For trainees, CES can also be supported through the Education & Training tariff already paid for by the NHS.

			=== 6. Benefits of CES ===
			- For clinicians: reduces stress, supports health, improves training success.

			- For patients: increases patient-facing time, reduces delays and errors.

			- For employers: cost-effective, improves retention, reduces locum costs, fulfils Equality Act obligations.

PeteTyerman: Created page with "Clinician Enabling Support (CES): Definition and Purpose"

2025-09-19T08:00:43Z

Created page with "Clinician Enabling Support (CES): Definition and Purpose"

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Clinician Enabling Support (CES): Definition and Purpose