Money, Money, Money

“If I got me an NHS fat cat, I wouldn’t have to work at all I’d fool around and have a ball,

40261762 - cat with the computer mouse.

“It’s a rich man’s world”¹

In a comment on ‘mydaftlife‘, we questioned the need for more money in the NHS – at least before layers of non-clinical managers are stripped out; bureaucracy reduced dramatically; fat-cat salaries of non-clinicians brought under control. We should add clinicians acting as bureaucrats and improved debt-recovery from health tourists.

BUREAUCRATS:

Last year ‘The Daily Telegraph‘ alleged amongst other things that:

  • Over 600 NHS quango chiefs earned in excess of six-figure salaries.
  • Doubling in the number earning more than the Prime Minister in three years.
  • The nine main health quangos employed 628 officials on salaries of over £100,000.
  • NHS Improvement alone had 79 officials on six-figure salaries.

Many of these high earners make frequent repeated demands on Government [i.e. us, the taxpayers] to increase NHS funding. Read more→

And it doesn’t end at national level. On 27 July 2018, ‘The Daily Telegraph‘ reported that Clinical Commissioning Groups in Sussex propose rationing hip replacements. Patients are expected to endure “uncontrolled, intense, persistent” pain for six months before referral for operations. Coastal West Sussex CCG employed an Interim Chief Finance officer at an annualised salary of £330,000 a year. This could have funded around 60 hip replacement operations². Read more→

Comparison: The Prime Minister is paid £150,402 a year, including the basic salary for an MP, which is currently £74,962. It doesn’t factor in the value of the Prime Minister’s flat in Downing Street, or other official residences – but then, who wants to have two jobs and live ‘on the job’ too? [Source: Full Factthe UK’s independent factchecking charity.]

Perhaps the salary of Simon Stevens, CEO of NHS England should be capped at the same level as the PM and other senior NHS officials at the level of equivalent Secretaries of State, Ministers and so on down the slippery pole. NHS England’s 2017/18 Annual Report shows that Simon Stevens earnt £190-£195K plus £45-£47.5K pension.

Solution: To his credit, it is reported that, in 2017/18, Simon Stevens voluntarily took a £20,000 per annum pay cut for the fourth year in a row, i.e. circa. 10%.

So, even if the 600 NHS quango chiefs and 628 officials are only earning £100,000 each, a 10% salary cut over for the next four years, would save the NHS £49.12 million.  

This would fund dialysis for up to circa 396 patients with renal failure every year.³

HEALTH TOURISTS 

41498855 - medical tourism vector background

 

There are two types of Health Tourist:

1. ‘Deliberate’ users of the NHS.

2. ‘Normal’ users of the NHS— foreign visitors who’ve ended up being treated while in England.

© Sayan Bunard

 

We concentrate here on ‘Deliberate users’ – those who come specifically to receive free treatment or who come for other reasons but take advantage of the NHS when here.

In July 2014, the Department of Health published its: ‘Visitor and Migrants NHS Cost Recovery Programme‘. Despite this, the ‘Mail on Sunday‘, reported recently that, NHS Improvement estimates hospitals should be collecting £167 million/year from overseas visitors, but are only recovering £113 million, a £54 million shortfall. Read more→

Labour wards are especially affected: two years ago, St George’s Hospital in London admitted that a fifth of its deliveries – up to 900 births – were to women who flew in from outside Europe. That’s a cost to the taxpayer of £6 million – at one hospital..

Solution:

Recently, NHS Un-Improvement (as it’s sometimes known) launched a crackdown on health tourism sending ‘hit squads’ into 50 NHS Trusts – no doubt at great expense.

Is there an alternative?

UK-aid-logo reduced

 

UK Aid from the British People, doled out by the Department of International Development (“DFID”), is detailed in ‘Statistics on International Development: Provisional UK Aid Spend 2017

 

Total provisional expenditure for 2017 by “The British People” was £13.933 billion, including £3.828 billion from other Government Departments and organisations.

Notably, one of the other government departments was Health & Social Care: it contributed £101 million of our money – an increase in £55 million over 2016

So, rather that hiring ‘hit squads’, why does the Secretary of State not just set up a system whereby NHS Trusts simply bill DFID, which pays the Trust and deducts it from its overall budget. Is that too simple for the Sir Humphreys in Whitehall?

After all, one of the objectives of Overseas Aid is to promote economic development and welfare of developing countries as its main objective. What better way of promoting welfare than to pay for the healthcare of their citizens, who come here.

RELATED STUFF:  

Talking of fat cats, in our main source of images this week, we found this – genuine original – no photo-shopping:

48116033 - percy word on banner and bikiny womanThis one said farewell taking circa £250K (including pension and benefits) for being “Bad at her job.” As ‘Scotlander’ commented in ‘The Oxford Mail’ on Katrina Percy:

“She could be a poster girl for NHS incompetence, waste and indifference to public opinion.”

© icetray

 

COMING SOON:

Comments on West Hampshire CCG’s Annual Report & Accounts: download here→

Red Mist

Footnotes 

¹ Adapted from ABBA “Money Money Money“: writer(s): Bjoern Ulvaeus, Benny Anderson, Stefano D’Orazio

² Based on £5,431 – £5,625 for “Very Major Knee Procedures for Non-Trauma” – Best Practice Tariff, NHS Improvement and NHS England: prices in 2017/18.

³ The National Kidney Federation – average cost of dialysis £30,800/patient in 2010.

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Mental Health Man of the Week

KONICA MINOLTA DIGITAL CAMERAToday’s post was to be titled ‘Red Mist owing to recent interactions with Southern Health and others in the last two weeks.

© CRASH

At the last minute, we came across a much needed ‘good news’ story. (‘Red mist‘ follows.)

It is the heartwarming story of Chris Ryder (@CWRyder), lifelong supporter of Barnsley Football Club, who tweeted about his “anxiety, stress and depression” on 8 August. He then shared an image of a letter he received from the Club’s Chief Executive, Gauthier Ganaye (@GGanaye), who opened with an apology for writing at random and wrote:

“I felt like I wanted to reach out to you and get in touch.

“I’ve noticed through social media that you’ve had a bit of a hard time recently, I’m not sure what it is but I hope everything improves for you as soon as possible.

“You’ve been a fan of the club for many years and always supported us, so we want you to know that if the favour needs returning and we need to support you, please do let us know.”

Dkjc-BpWsAAlcsVGauthier continued:

“You are welcome to swing by any time. My office door is always open….”

Having urged Chris to contact MIND,  if he needs to, Gauthier closed:

“Keep supporting the Reds, Chris. We’ll keep supporting you.”

When the letter went viral, a spokesperson for the club told HuffPost UK:

“We feel that every comment we could make is in the letter, other than that obviously the door is open to anybody in the community [bold added] that needs us.”

Has anyone received such a kind, empathetic and sympathetic open invitation from a Southern Health Director – or a Director of any NHS organisation – much less an “open door” to anybody in the community who needs their organisation? 

Gaultier was the youngest Chief Executive in the football league when he was appointed to the role at Barnsley FC in May 2017, at the age of 29. Before that, he was on the executive committee for French team Racing Club de Lens.

MONSIEUR GANAYE: Southern Health is currently recruiting Non-Executive Directors. Its service users and bereaved families need your empathy and understanding – even more so to ‘balance’ its Board with Directors with experience of the ‘real [commercial] world.’

Other like-minded, experienced persons should also apply!

Information here→            To learn more email Company Secretary here→.

Come on you Reds“: … and for balance … “You ain’t seen nothing like the Mighty Quins.”