issue 20 | number 6 | December 2014 thehospital consultant &specialist views | people | contacts Pay: What does 2015 hold? 4 Pay The key issue in 2015 6 HCSA Council John Schofield’s reflections 7 Consultant Contract Next steps Bi-monthly journal of the Hospital Consultants and Specialists Association in this issue 2 CEO’s Notes 3 President’s message John Schofield 4 Pay Pay is the key issue 5 NHS pay Joint union statement the hospital consultant and specialist 6 HCSA An historic council bi monthly magazine of the Hospital Consultants and Specialists Association Editorial: Eddie Saville Nick Wright 01256 771777 [email protected], www.hcsa.com Any opinions and views expressed in this publication are not necessarily those of the Editor, Publisher, Sponsors or Advertisers of HCSA News. 7 AGM A bigger splash Delegates needed 10 Your HCSA contacts 11 Join HCSA 12 Direct Debit Where links take you to other sites, the Editor, Publisher and Webmaster cannot be held responsible for the content of those sites. 2 The negotiations between the BMA and NHS Employers have been ongoing for 18 months and we were disappointed to hear that the BMA had stalled these negotiations. The Government have now referred these negotiations to the DDRB. It has asked them to make observations based on the information and data presented on pay-related proposals with the objective of reforming the consultant contract to better facilitate the seven days-a-week delivery of health care services in a financially sustainable way i.e. without increasing the existing spend. The DDRB is being asked to critique the proposals from the Department of Health and the employers, taking account of views from all parties. We will be giving our views to the DDRB following our recent survey of members. NHS pensions continued to be on the agenda in 2014. Discussions have been ongoing all year in preparation for the introduction of a new pension scheme in 2015. This will not be a final salary scheme but a career average revalued earnings (CARE) scheme. Layout: dennis@ kavitagraphics.co.uk No reproduction of any material is permitted without express permission of the respective owners. On two separate occasions we took Action Short of Strike (ASOS). This got the message across that the DDRB recommendations should be honoured and that we stood together with our fellow colleagues in 11 out of the 14 trade unions and professional associations to win a fair deal on pay for all NHS staff. As we move into 2015 we will consider our next steps to persuade the Government to listen. I want to thank all our members who have taken part in the ASOS – we did not take this action lightly. A notable event in 2014 was the launch of our new website with a complete rebranding of the association. We now have a vibrant new look to the HCSA with a user-friendly website and, coming very soon, online payment to make joining the HCSA even easier. With vibrant colours, an increase in our presence nationally and locally, HCSA is moving forward with our main objective to have more visibility for the members we represent. HCSA News and related devices are protected by registered copyright. ©2014 All Rights Reserved. Hospital Consultants & Specialists Association Pay action 2014 has been an eventful year for the HCSA. Many highlights spring to mind. The most notable is the pay campaign which saw us as the only trade union representing doctors to take action over the Government’s decision to ignore the independent Doctors’ and Dentists’ Review Body (DDRB) recommendations. Consultant Contract Next steps 9 CEO’s notes Call for contributions If you’d like to submit an article or suggestion for the Newsletter, we’d love to hear from you. Please get in touch via [email protected]. thehospital consultant &specialist Some members will not have to join the 2015 scheme as they have full protection if they were within 10 years of their normal pension age on 1 April 2012. Others, who were between 10 and 13.5 years of their normal pension age on 1 April 2012, will get tapering protection. This means that they will still have to join the issue 20 | number 6 | December 2014 president's message Message from the President, Professor John Schofield The HCSA is continuing to work hard to support all our members in a difficult period. As well as its advocacy for specific members, the HCSA is pressing Government to reconsider its position on pay through its periods of action short of strike. Whilst maintaining patient facing services at all times, it is important that our message is communicated to NHS employers. 2015 NHSPS but their joining date will be delayed, depending on how close to their normal pension age they were on 1 April 2012. Discussions have also taken place on Choice 2 which will be open to all members of the 1995 section not covered by ‘full protection’ from the 2015 scheme changes. In fact letters are being sent out now asking members to consider their position. There is an online calculator at https://apps.nhsbsa.nhs.uk/choice/index.html for more information. This year we were also pleased to support the Federation of Independent Practitioner Organisations in their continued campaign against the recent Competition and Markets Authority Report. With an election just round the corner, we are meeting with leading figures of all main political parties to drive home our messages. Following one such meeting, the HCSA received a specific request for contribution of evidence to the Doctors’ and Dentists’ Review Body, so we are finalising this submission for presentation later on this month. I would like to take this opportunity to thank all the HCSA staff for their hard work this year, and to thank all our members for their support. You can continue to help our organisation grow in the coming weeks and months by recommending membership to friends and colleagues, and we are still actively seeking Hospital Representatives – please email or call the Overton office if you are interested in this important role. Of course, following changes to our constitution, we particularly welcome applications for membership from hospital doctors in specialty training posts. With Christmas rapidly approaching, I would like to wish everyone a very happy festive season. The TUC conference in Liverpool again saw an HCSA representative elected to sit on the TUC General Council. Our resolutions on Bullying in the NHS and the concerns over the Transatlantic Trade and Investment Partnership were both carried unanimously. The HCSA is now an important player in the wider trade union/professional association arena and we gain greatly from this position. Membership This year also saw us expand our membership criteria in order to recruit specialist/specialty (not core trainees) registrars. It is vital that we engage with this group of doctors who are potentially the consultants of tomorrow. We also added to our complement of regional officers this year which has given us more visibility at local level and allowed us to help and support more members when in need. We are always looking at ways to improve our services and will do so again in 2015. Finally I would like to take this opportunity to wish all members all the best for the coming festive season and a happy and prosperous 2015. It is often the case that our staff who work tirelessly throughout the year go unmentioned, and with such a busy year I wanted to say a big thank you to the team at HCSA for their contribution in 2014. issue 20 | number 6 | December 2014 President, Professor John Schofield thehospital consultant &specialist 3 pay Pay is the key issue Eddie Saville looks ahead to the next stage in the NHS pay battle. NHS pay continues to be a key issue. Our two bouts of Action Short of Strike (ASOS) carried out in October and November - whilst being successful in terms of member participation - have not yet moved the Government or employers to shift their stance. However, we move into 2015 with the Government maintaining their position that the same approach will be taken next year, with no cost of living increase for anyone if an increment is due to be paid. This again means many HCSA members will get nothing in 2015. We continue to work closely with our fellow trade unions and there are now twelve out of the 15 NHS trade unions who will be taking action. In addition to the HCSA, the unions taking part are: ● UNISON ● Royal College of Midwives ● Union of Construction, Allied Trades and Technicians ● Society of Radiographers ● British Association of Occupational Therapists ● GMB ● Unite the union ● Managers in Partnership ● Prison Officers Association ● British Dietetic Association ● Society of Chiropodists and Podiatrists increase plus any increment that may be due; one per cent when inflation is running well above this level; when pay for doctors has been frozen for five years; when increases in pension contributions have been a constant theme for the past three years and when morale amongst NHS staff is spiralling downward. The HCSA poll carried out last year suggested morale for many was at rock bottom. The NHS trade unions are now Earlier this month there was a protest considering how we take this campaign outside the Treasury which was aimed at forward in the new year. We want to hear keeping the issue in the media and reminding the public that NHS staff are still from you on how the action impacted at local level and any suggestions on how we in dispute. We know from our own trade should carry the campaign into 2015. union polling that the public support NHS The action we have taken so far has staff and also many MPs, from all sides of the house, want to see a resolution to this certainly raised the profile of the HCSA, and has shown that we are an organisation pay dispute. We are also encouraged by the support that is willing to give voice to our members to ensure their views and opinions are of the Trade Union Congress and many heard loud and clear. other trade unions in both the public and private sectors. However, let’s not forget what this dispute is about: the Government’s refusal to honour the DDRB recommendation to pay a one percent pay ‘We move into 2015 with the Government maintaining their position that the same approach will be taken next year, with no cost of living increase for anyone if an increment is due to be paid. This again means many HCSA members will get nothing in 2015’ 4 thehospital consultant &specialist issue 20 | number 6 | December 2014 R I A F S H N Y A P Joint Union Statement on NHS Pay Issued on 2nd December Since 2010, NHS staff have had a 15% cost of living cut to their pay; some have lost significantly more through cuts to other elements of pay. The independent NHS Pay Review Body and the Doctors’ and Dentists’ Review Body was asked to recommend no more than 1% pay award. The NHS PRB went on to recommend the full amount possible of 1% consolidated (i.e. pensionable and integrated into all future awards). The Secretary of State for Health replied by saying that he would only pay staff on the top of their pay spine 1% as a cash payment on their basic pay, and then to be removed at the end of the year. This means pay rates in England will be frozen to 2013 rates. In addition the NHS PRB and the DDRB has been stood down from making a recommendation for 2015/6. The Governments in Wales and Scotland have agreed their pay award with the Agenda for Change trade unions, including paying the Living Wage. The Government in England is refusing to enter into negotiations with health unions. NHS workers have therefore been forced into a position of taking industrial action. The NHS staff are today, demanding talks following 2 days of strike action, action short of strike and working to rule across the country. With a further £2bn promised by the Chancellor for the NHS for front line staff & services, trade unions representing over 1 million NHS workers are calling on the government to use some of this money to resolve the ongoing pay dispute. It is in patients’ interest to have staff who feel motivated and fairly rewarded rather than being pushed into taking industrial action because the government won’t negotiate with unions. Without this the NHS faces more disruption into the new year and beyond. issue 20 | number 6 | December 2014 ‘It is in patients’ interest to have staff who feel motivated and fairly rewarded rather than being pushed into taking industrial action ’ thehospital consultant &specialist 5 HCSA Council An Historic Council Meeting Professor John Schofield reflects on the October meeting of the association’s Council I was pleased to see so many Council members at our October meeting. There was much to get through and with Action Short of Strike taking place in tandem with the meeting, it was an historic one. There was a lot to convey in my opening remarks to Council, and things have been moving at a fast pace since then, but the key issues covered were: HCSA’s ongoing position with regards to the pay dispute, the Efford Bill and HCSA’s part in shaping the NHS of the future. The issue of pay was always going to dominate the meeting, given the strength of feeling of our members, and I mentioned this in my opening remarks: “…the membership survey we undertook in August which showed well over half of respondents willing to take strike action and over three quarters willing to undertake action short of strike. When we proceeded to a formal ballot under the aegis of the Electoral Reform Society, there were slightly fewer willing to strike, but it was notable that just under half of respondents (with a very high response rate of almost 40%) were still willing to take strike action and over 80% were willing to take action short of strike even when the precise nature of this action had not been specified. I will not spend any longer on this area, as it the main debate of the day, but would just reflect that it takes a lot to ‘the key issues covered were: HCSA’s ongoing position with regards to the pay dispute, the Efford Bill and HCSA’s part in shaping the NHS of the future’ 6 get doctors to consider any form of industrial action and I believe this sends a very strong message to Government. We have informed colleagues in the BMA about our position, as I believe that we are stronger standing together in this struggle and Mark Porter has written to BMA members saying that he supports the right of the HCSA and its members (and other health unions) to undertake industrial action and will not undermine this.” Later in the day Eddie Saville gave a presentation on the journey we have taken since the Government’s announcement in March that it was going to ignore the DDRB recommendations on doctors pay, and this was followed by a lively discussion. By the time you read this, we will have undertaken a second period of Action Short of Strike, and it is my fervent hope that the Government will have sat down with us, and other unions, to discuss the issue. In September I met with Clive Efford, Labour MP for Eltham and Plumstead in South London, when I sat on a panel with him at the TUC conference. His bill, which is being put to the vote as this goes to print, is intended to reverse the devastating top down re-organisation of the NHS, “renationalise” the NHS and save it from being dismantled further. It also removes the competition and private care provisions in the current Act, which put profit before patient care. We were able to impress upon Clive Efford the unfairness of the current position of Government in relation to pay in the NHS and the strength of feeling of our members. As I have mentioned before, it is one of our objectives to gain greater influence so that we can put your views forward and I am pleased to say that our meeting with Clive Efford and subsequent discussions with Andy Burnham, Shadow Secretary for Health and Dan Poulter, Parliamentary Under Secretary of State, are a good step in this direction. The future of the NHS is being discussed in detail at present, with very different political viewpoints being expressed. The NHS Five Year Forward View, developed by the partner organisations that deliver and thehospital consultant &specialist Health unions together for fair NHS pay oversee health and care services including NHS England, Public Health England, Monitor, Health Education England, the Care Quality Commission and the NHS Trust Development Authority, was published on 23 October 2014. The new NHS Chief Executive, Simon Stevens, has said the NHS must end mass centralisation and instead expand its local services to treat people in their own communities – he has revealed deep scepticism about the effectiveness of integration schemes being planned as part of the Better Care Fund; and he has criticised the lack of diversity in management. The Labour Party’s proposal for an integrated healthcare system which acts across traditional boundaries between primary and secondary care and secondary care and social services, has great potential, but as always the devil is in the detail and there is still much development to be done. The breakdown of Consultant Contract talks between the BMA and the Government were a hot topic at Council, but this has since moved on and we have heard from many of you on this subject – thank you for your responses. We have included an update on this work on the page opposite. Presentation of Badges I was pleased to be able to present two of our past presidents, Mr Winston Peters and Dr Peter Richie, with HCSA lapel pin badges to mark their role as past presidents. Those past presidents not attending the Council will also receive a badge shortly. Talk by Sir Mike Richards Everyone welcomed Sir Mike Richards to the meeting. He delivered an excellent presentation entitled Inspection and regulation as a driver for quality improvement: the new CQC approach. issue 20 | number 6 | December 2014 contracts ‘It feels like we are on the brink of some interesting changes in the NHS. There was a definite mood at Council that now more than ever, we need to stand up for ourselves’ Sir Mike talked us through the CQC’s purpose and role and its new approach using five defined questions: Is it safe?; Is it effective?; Is it caring?; Is it responsive?; Is it well led? Outlining the need for this new approach he described some of the issues with the CQC’s previous approach: ● Missed important problems ● Focused on compliance vs. noncompliance ● Did not give a picture of overall quality of care ● Were undertaken largely by ‘generic’ inspectors without expert clinical input ● Did not command confidence (e.g. from providers) We heard about the new approach in more detail and how the services were rated using the “Trust X Ratings Grid.” In summing up Sir Mike said that the new model of inspection was undoubtedly more robust that the previous model, that the inspection model had come a long way, but there was still more to be done. The presentation led to an interesting question and answer session and we were told a little more about the “Fit and Proper Person” requirement for directors of hospitals and care homes, which has just been formally announced. Finally… It feels like we are on the brink of some interesting changes in the NHS. There was a definite mood at Council that now more than ever, we need to stand up for ourselves, our patients, and the NHS as a whole. As an executive body we are pushing to ensure that your voices are heard and I would like to thank all those who attended the Council meeting, as well as those who were not able to be there, for their continued support. issue 20 | number 6 | December 2014 ‘it is the intention of the HCSA to make a submission to the DDRB based on the responses we have received’ Consultant Contract For the past 18 months the Government and employers have been in negotiations with the British Medical Association on changes to the consultant contract. Heads of terms were agreed by all parties. Included in these negotiations were: pay progression, the current clinical excellence award system and seven day services. In October this year negotiations were stalled. Immediately Dr Paoloni, Chair of the HCSA Contract Negotiating Committee, issued a statement saying we were at crisis point in the Consultant and Trainee Contract Negotiations and she called on members to provide responses to the following questions: ● What aspects of the Consultant Contract need to be retained? ● What aspects of the Consultant Contract are negotiable? ● If restricted to working within the current budget restraints how can seven day service working be provided safely? ● Are you working in a unit or area where it works? Please tell us how. We had many responses to this call for views and comments and we are currently analysing those responses as we consider our next steps. However as a result of the stalling of negotiations, the Government have asked the DDRB to make: “Observations on the negotiations to date based on the information and data presented on pay related proposals for reforming the consultant contract to better facilitate the delivery of health care services seven days a week in a financially stable way, i.e. without increasing the existing spend.” The DDRB have also been asked to consider the work carried out so far on ● The payment of CEAs ● Proposals for pay progression to be linked to performance and responsibility ● Arrangements in other sectors which provide seven day services The DDRB is to consider all of these issues and report their findings in July 2015. It is the intention of the HCSA to make a submission to the DDRB based on the responses we have received. We have also set up a new Contract Negotiating Committee (CNC) which will formulate our approach now and in the future to progress these negotiations. thehospital consultant &specialist 7 TTIP Transatlantic Trade and Investment Partnership The EU-USA Transatlantic Trade and Investment Partnership (TTIP) negotiations are of critical interest for HCSA. A key issue of concern is the proposed Investor-State Dispute Settlement (ISDS) process, which would give companies the right to sue a government that acts in a way that could damage their profits. This could have a far-reaching impact on the NHS. In March the Hospital Consultant and Specialist reported that the European Commission had been forced into a public consultation on the ISDS section of the treaty. There were over 140,000 individual submissions, all generally hostile to ISDS.¹ However, reports in the national press suggest that this overwhelming display of public opinion is not being fairly considered and one EU official is reported by the Daily welcome Mail as saying: “The public consultation has not delivered a clear-cut conclusion on investment protection. Delays to a decision are now inevitable.”² The debate continues but it does not look like a TTIP deal will be completed for some time. Supporters of the trade deal wanted an agreement by the end of 2015, but this timeframe now looks unrealistic. The TUC continues to ensure that our opinions are heard and we will keep you updated on any new developments. P I T T 1 http://touchstoneblog.org.uk/2014/11/ ttip-debates-get-a-bit-fractious/ 2 http://www.dailymail.co.uk/wires/ reuters/article-2850114/Online-protest -delays-EU-plan-resolve-U-S-trade-row .html#ixzz3KjoQgfI7 A welcome to our new membership secretary It’s great to be able to introduce our new membership secretary to you, Denise Hayward. Denise joined us early in October, just before we took our first Action Short of Strike, and had to hit the ground running with all the membership communications that the action involved. Now settled into the more routine work of HCSA, Denise is here for all your membership enquiries and will be working Mondays, Wednesdays and Fridays. You can reach her on the office line or via [email protected] Welcome to the team Denise! HCSA Christmas opening hours ● Monday 22 December – Normal working ● Tuesday 23 December – Closed from lunchtime ● Wednesday 24 December – Closed ● Thursday 25 December – Closed ● Friday 26 December – Closed ● Monday 29 December – Skeleton cover ● Tuesday 30 December – Skeleton cover ● Wednesday 31 December – Skeleton cover ● Thursday 1 January – Closed ● Friday 2 January – Back to normal working New membership secretary, Denise Hayward 8 thehospital consultant &specialist issue 20 | number 6 | December 2014 AGM A bigger splash HCSA made a bigger splash at the Acute and General Medicine Show at the EXCEL in London in November with a well positioned stand and large display. Jenifer Davis and Gail Savage represented the association. “Having attended the show last year we were keen to see whether our brand refresh and increased profile would have had an impact. Would more doctors be aware of HCSA than last year? Gail Savage said: “The show was also another opportunity for us to hear more from senior doctors on the issues of the day, and we were pleased to hear that the topics that HCSA are focussing on are the ones that count. Current and potential We were lucky enough to be given a bigger members were also keen to talk to us about speaking opportunities stand area for free this year and were and to invite us into their situated in a prime spot, near to the hospitals to tell more senior Advanced Life Support Group Simulation doctors about HCSA and how lab, which is always popular, with doctors we can help. keen to attend the hands on training Thanks to those of you sessions. This proved useful to us as we got that came and talked to lots of passing traffic, with members and non-members alike stopping in to catch up us, we’ll be following up on your ideas over the and find out what was new with HCSA” coming months”. said Jenifer Davis. Gail Savage and Jenifer Davis at the AGM Conference delegates Delegates needed for TUC Conferences in 2015 We are looking for delegates to represent HCSA at the following TUC Conferences in 2015: TUC Women’s Conference Congress House, London 1-13 March 2015 TUC Black Workers Conference Congress House, London 17-19 April 2015 TUC Disabled Workers Conference Congress House, London 21-22 May 2015 TUC LGBT Conference Congress House, London 25-26 June 2015 For more information about the above please contact Eddie Saville at Headquarters. issue 20 | number 6 | December 2014 thehospital consultant &specialist 9 hcsa contacts Executive Committee HCSA Officers and Staff President Professor John Schofield [email protected] Chairman of Executive Professor Ross Welch [email protected] Immediate Past President Dr. Umesh Udeshi Honorary Treasurer Dr. Bernhard Heidemann Honorary Secretaries Dr. Cindy Horst, Dr. Paul Donaldson Dr. Mukhlis Madlom, Dr. Subramanian Narayanan, Dr. Claudia Paoloni Chairman – Education & Standards Professor Amr Mohsen Independent Healthcare Mr. Christopher Khoo Chief Executive/General Secretary Mr. Eddie Saville [email protected] Business Manager Mrs. Sharon George [email protected] Manager, Northern Region Mr. Joe Chattin [email protected] Regional Officer, South Mrs. Emma Champion [email protected] Regional Officer, North Mr. Rob Quick [email protected] Regional Officer, Midlands Mrs. Annette Mansell-Green [email protected] Membership Secretary Mrs. Denise Hayward [email protected] Employment Services Adviser Mrs. Gail Savage [email protected] Head of Communications and Web Services Mrs. Jenifer Davis [email protected] Accountant Mrs. Edidta Bom [email protected] Education & Standards Sub-Committee Chairman Professor Amr Mohsen Dr. M. Madlom Mr. O. Sorinola Dr. B. Heidemann Dr. H. Mehta Mr. C. Welch Office Telephone: 01256 771777 Facsimile: 01256 770999 E-mail: [email protected] Finance Sub-Committee Chairman Dr. Bernhard Heidemann Professor John Schofield Professor Ross Welch HCSA Hospital Representatives You can find the contact details of your local HCSA Hospital Representative on the website at: hcsa.com/contact-us - just click on national/hospital contacts and select your area from the drop down options. Prefer to receive this newsletter and other communication from HCSA electronically? Just drop us an email – [email protected] – and we’ll update your preferences. Thank you. 10 thehospital consultant &specialist issue 20 | number 6 | December 2014 join the association Hospital Consultants & Specialists Association HCSA, Number One, Kingsclere Road, Overton, Basingstoke, Hampshire, RG25 3JA T 01256 771777 F 01256 770999 E [email protected] W www.hcsa.com Membership Application 2014/2015 Title Surname Forenames Male/Female Qualifications GMC No Speciality Year Qualified Year of Birth Main Hospital Preferred Mailing Address Post Code E-Mail Contact Telephone Number Grade: a Consultant a SAS doctor Signature a Associate Specialist a Speciality Trainee Staff Grade/Trust Speciality Doctor a Date Current Subscription Rates: a Full Annual - £240 per annum commencing October 1st 2014 (pro rata for first year of membership) a Full Monthly - £20.75 per month a Specialist Trainee Annual - £192 per annum commencing October 1st 2014 (pro rata for first year of membership) a Specialist Trainee Monthly - £16.75 per month Please complete the Direct Debit Mandate overleaf and send it to the Overton Office address on reverse. Introduced by (if applicable) Important - Please Note: We are not normally in a position to provide personal representation over issues that have arisen prior to joining the HCSA. Please DO NOT fax or e-mail this application form - we need an original signature on the Direct Debit. Mandate for your bank to authorise payments. HCSA, Number One, Kingsclere Road, Overton, Basingstoke, Hampshire, RG25 3JA T 01256 771777 F 01256 770999 E [email protected] W www.hcsa.com issue 20 | number 6 | December 2014 thehospital consultant &specialist 11 direct debit form Instruction to your bank or building society to pay by Direct Debit HCSA 1 Kindsclere Road Overton BASINGSTOKE Hampshire RG25 3JA Please fill in the whole form using a ball point pen Service user number: Payment reference (To be completed by HCSA): Name(s) of account holders 9 9 7 5 7 2 Instruction to your bank or building society Bank or building society account number: Branch sortcode: detach here Please pay The Hospital Consultants and Specialists Association direct debits from the account detailed in this instruction subject to the safeguards assured by the direct debit guarantee. I understand that this instruction may remain with The Hospital Consultants and Specialists Association and, if so, details will be passed electronically to my bank or building society. Bank or building society account number: Address Post Code Signature Date Banks and building societies may not accept Direct Debit instructions for some types of accounts The Direct Debit Guarantee ● ● ● ● ● This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits If there are any changes to the amount, date or frequency of your Direct Debit the organisation will notify you (normally 10 working days) in advance of your account being debited or as otherwise agreed. If you request the organisation to collect a payment, confirmation of the amount and date will be given to you at the time of the request If an error is made in the payment of your Direct Debit, by the organisation or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society If you receive a refund you are not entitled to, you must pay it back when the organisation asks you to You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify the organisation. ✁ HCSA, Number One, Kingsclere Road, Overton, Basingstoke, Hampshire, RG25 3JA T 01256 771777 F 01256 770999 E [email protected] W www.hcsa.com
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