Thought Id start this one going because its rather dead on this board at the moment and I suppose all my usual muckers are either at the Stella tennis event watching Dim Tim (lose again) or at Henly Regatta eating cucumber sandwiches (they wish,...NOT).

Anyway please feel free to just talk to yourself blast away and let it go on any company or subject you wish. Just wish Id thought of this one before.

cheers GF.

By Laura Donnelly, Health Editor
10:00PM GMT 27 Dec 2015
Investigation discloses doubling in number of NHS managers being paid equivalent of at least £300,000 a year, with some on as much as £620,000 annually

The number of NHS managers being paid the equivalent of more than £300,000 a year has doubled in just 12 months, it can be disclosed.

In some cases, cash-strapped health trusts are hiring temporary executives for hundreds of thousands of pounds, an investigation by The Telegraph has found.

Patients’ groups said the “exorbitant” rates could not be justified, and nursing leaders said the sums were a “kick in the teeth” for junior staff who were refused a one per cent pay rise.

NHS board reports indicate that during 2013-14, 44 “interim” executives were employed on rates of £1,000 a day — the equivalent of £228,000 a year — compared with 24 the year before.

There was an even sharper increase at the top end of the scale. In the last financial year, 22 executives were paid the equivalent of at least £300,000 a year — compared with 11 the year before and just four in 2010-11. In most cases, the payments were not made directly to the managers, but via agencies, which were able to take a share.


Meanwhile, NHS finances spiralled out of control, with trusts running up a combined deficit of £500 million, before the Government announced plans to spend an extra £2 billion next year on the NHS.

Rotherham Foundation Trust paid the equivalent of £621,000 a year for the services of Michael Morgan as chief executive.

Mr Morgan worked for Rotherham trust for 10 months, until last November.

Accounts for eight of the months show payments of £380,000 plus expenses — the equivalent of £621,000 over 12 months, a sum that would cover the salaries of 28 nurses.

NHS trusts said the payments were justified to secure “high calibre” expertise at short notice.

But the investigation found some managers stayed in post for more than a year, on rates worth far more than the Prime Minister’s £142,500 salary.

Peter Reading was paid £405,000 to be chief executive of Peterborough and Stamford Hospitals Foundation trust. He left in June, after almost two and a half years.

Several of the organisations which hired executives at high rates faced major problems.

Colchester Hospitals foundation trust, which last month told patients to keep away from A & E unless their condition was life-threatening, hired two temporary executives, Kim Hodgson and Evelyn Barker, on rates of £387,000 a year during 2013-14.

Medway foundation trust, recently named as having one of the worst A &  Es in the country according to patient surveys, paid Nigel Beverley rates of £1,740 a day until he left just before an inspection found A &  E in a “state of crisis”.

Some individuals saw their pay rates soar. In 2010, Ian Miller was the highest paid NHS manager in the England, earning £310,000 for nine months’ work for the South East Coast Strategic Health Authority in 2009-10 — which equates to £400,000 a year.

Last year he was paid £251,000 for five months’ work as director of finance at Maidstone and Tunbridge Wells — the equivalent of £602,000 a year.

In 2012, the NHS said senior managers should not be employed “off payroll” — often through an agency — except in exceptional circumstances that should never last more than six months. But the 10 highest earners were all employed off payroll, in some cases through companies they owned or controlled, and three stayed more than six months.

The payments included VAT, and there is no suggestion that any individuals were using their off-payroll status to avoid paying tax or national insurance contributions.

Others moved from trust to trust, often commanding the same high rates while keeping within the “six-month” rule.

Although trusts do not have to pay national insurance and pension contributions for managers who are off payroll, in some cases they have paid significant expenses.

Rotherham paid £7,000 a month to cover the expenses of Mr Morgan and two colleagues paid via a consultancy firm, amounting to an extra £84,000 a year between the three.

Katherine Murphy, chief executive of the Patients Association, said the spending was “unacceptable.” She added: “Investment is urgently needed on the front line.”

Dr Peter Carter, chief executive of the Royal College of Nursing said: “For sums this large to be spent instead on paying temporary managers is a kick in the teeth to nurses and a blow to patient care.

Rotherham trust said the majority of those it hired on an interim basis, including Mr Morgan, were no longer working for the organisation.

A spokesman added: “The majority of board members who were on the Board 18 months ago when the contract was awarded, are no longer working for the trust; this includes the chief executive and chairman.”

Maidstone and Tunbridge Wells said the sums paid to Maxentius specialist financial support, which provided Mr Miller’s services, “provided independent financial expertise that was essential in helping the Trust achieve £23.5 million in efficiency savings last year without impacting on patient care”.

Peterborough and Stamford Hospitals said payments for Dr Reading’s services did not include any provision for pension, holiday pay or sick pay adding that the trust was not able to recruit a permanent candidate at the time.

Colchester Hospital foundation trust, which has been in special measures since October 2013, said its exceptional circumstances required “outstanding leaders with the right skills and experience.”

Monitor, the regulator for foundation trusts, which was responsible for the appointments to Medway, said trusts with failing leadership sometimes needed to appoint senior staff on an interim basis.

The paychecks:

Michael Morgan chief executive, Rotherham Foundation Trust

Payment during 2013/14: £380,000 plus expenses to work 7 months, 3 weeks

Annual equivalent: £621,000 including expenses

Ian Miller, director of finance, Maidstone and Tunbridge Wells Trust

Payment during 2013/14: £251,000 to work 5 months

Annual equivalent: £602,000

Peter Reading, chief executive, Peterborough and Stamford Hospitals Foundation Trust

Payment during 2013/14: £405,000 to work all year

Antony Sumara, chief executive, Royal Bolton Foundation Trust

Payment during 2013/14: £105,000 to work 12 weeks

Annual equivalent: £399,000

Nigel Beverley, chief executive, Medway Foundation Trust

Payment during 2013/14: £40,000 to work 7 weeks - trust said he was on daily rates of £1,740

Annual equivalent: £397,000

Kim Hodgson, chief executive, Colchester Hospitals Foundation Trust

Payment during 2013/14: £95,000 to work 11 weeks

Annual equivalent: £387,000

Evelyn Barker, chief operating officer, Colchester Hospitals Foundation Trust

Payment during 2013/14: £95,000 to work 11 weeks

Annual equivalent: £387,000

Jon Scott, chief operating officer, Kettering General Hospital Foundation Trust

Payment during 2013/14: £135,000 to work 4 months, 1 week

Annual equivalent: £383,000

Colin Gentile, director of finance, Dartford and Gravesham Trust

Payment during 2013/14: £185,000 to work 6 months

Annual equivalent: £370,000

Bill Boa, interim director of finance, Burton Hospitals Foundation Trust

Payment during 2013/14: £134,000 to work 6 months

Annual equivalent: £368,000

All figures taken from trusts’ annual reports and other documents. Rotherham Foundation Trust paid an additional £7K a month for expenses for Mr Morgan and two colleagues: a third share of this has been included in calculations of his yearly cost to the trust.

and your point is?????????????

i don't disagree that many or even most are probably paid far more than they should be for perhaps debatable input
However, as I wrote before, sacking every single one of them will not magically produce a larger pool of qualified nurses let alone doctors ....
yes, there may be some who might then be persuaded not to go to work overseas, but a significant and meaningful number? ..... i think not

Yeah go on cyners, kick his ass.

He as no idea about business being a former headmaster (good doer etc etc)

Weve been on the front line and know what it takes.

Top Man Management skills with each layer of management and admin knowing exactly what is THERE responsibility. The ability to delegate downwards and report upwards.

Its no good chucking money at headless chickens who may be good at there jobs but are totaly confused as to what their remit is after countless governments have poked there noses in and have continually moved the goal posts.

doctor d-in-law is sitting here and also my snooty (not really; promise!) golf club has a large pool of doctors and consultants of all ages, so for once, i have some idea what i'm talking about

the nhs (and education) problem is deep-seated and the roots go back decades .... if there was a simple and quick and effective solution, any of the previous gov'ts would have waved the magic wand

by the way, i certainly think nurses get a pretty raw deal
doctors also don't get paid quite the fortune perceived given the 10 year training period and tough conditions, especially in A&E which they have to endure during that time

Indeedy, I've witnessed some of your top man management skills on this thread, Fishfinger.

:o)

We keep getting told by 'Call Me Dave' we have more GPs more Nurses more ancillary staff, but without the captains of industry ie, the management and the management chain working in an effective way, increases in staff mean nothing.

Diminishing returns in fact.

Hey Hills apart from CARNEY not Carne its been spot on.

Stop being cheeky and p teasing.

Je ne comprends pas, mon petit.

DB4,

I will try again :

doodlebug4 - 30 Dec 2014 17:07 - 53930 of 53944

One of the major problems with the NHS is there are far too many chiefs and not enough Indians and it will not make much difference how much money is pumped in until that is stopped.


========


"DB4,

But the tories are trying to stop immigration.

8-)"





The 8-) should have given it away.

=========


But I have a "feeling" that the Medics are playing a certain degree of games with this government.

I think they are pissed off by the incompetent management from government down and policies they have tried to implement over the last 20 years but especially in the last 5years.

The constant change and disruptions by "reorganisations" and "dictat" from ill-informed "management", also the strong suspicion that the tories really want to dismantle the NHS and hand it over to their pals.

(Mind there and many Medics who would wish to have a private health service as some think they would earn more. A few would, but the majority wouldn't.)

hilary Ohhh oui je parie que vous faites.

Hmmm. I can tell you're a cunning linguist.

hilary....Je parie que vous avez de belles cuisses.

Dont mean to be ignorant here but how can a chap who thinks FLYB was going to make a profit /report a good result have any idea about business management?, and the NHS is just that these days.

Et je pense que vous avez trouvé Google Translate.

Hilary is one of the few people on this thread who consistently talks any sense! Perhaps it's due to the clearer air on the ski slopes?

You will never sort out the nhs until you make people accountable.

No one, and I mean no one, is accountable for anything.

That's why you get best practice ignored, sky high temporary staff rates, dodgy clinical decisions, huge admin costs etc.

Because, at the end of the day, no one gives a fuck!

And gf is second to only Fred in talking shite!

Clearer air, Doods? It's been 3 weeks of sun and green grass, and 1 week of snow and whiteouts so far.

hilary....non pas du tout, je ai étudié allemand français et espagnol à l'école. Je dois dire Im me pitthing au bugdooddle être un plonker encore une fois sur le fil. Quel branleur il est.

Gf, I don't know what makes you buy shares, but I buy them to make money and FLYB has certainly done that for me. If you care to read back through that thread - which you and your mate cynic totally polluted with your silly nonsense - you will figure out perhaps if you had climbed on board when I first said it might be a good recovery play then you could have made a few bucks aswel (sic). Tough luck old bean!

Pity your English is so bad.