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8000 Nhs Managers On > £100K

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At least we know now where Osborne's doing some of his over-spending. Parts of the NHS appear to be drowning in cash.

Pay up, numbers up... patient care down.

http://www.telegraph.co.uk/health/healthnews/10009054/The-8000-NHS-staff-on-six-figure-salaries.html

Almost 8,000 NHS hospital managers and consultants were paid six-figure salaries last year while nurses were “run ragged” because of dangerously low staffing levels.

By Steven Swinford 10:00PM BST 21 Apr 2013

A survey by The Daily Telegraph has found that more than 7,800 NHS staff were paid over £100,000 last year, with a third of them earning more than David Cameron’s £142,500 salary.

The figures indicate that NHS managers and consultants have been protected from the Government’s £20 billion cost-cutting programme, with the number earning six-figure salaries increasing slightly in the past three years. Their total pay also rose over the same period, amounting to almost £1  billion last year.

Many of the highest paid individuals were based at hospitals which have been at the centre of patient care scandals or are in serious financial difficulties.

The trust with the highest number on six figures – Southampton, with 384 – was deemed by the Care Quality Commission last year to be “placing patients at risk”, so poor were its staffing levels.

Dr Peter Carter, chief executive of the Royal College of Nursing, said the six-figure salaries sent the “wrong message” as front-line staff struggled to cope with “deep cuts” and pay freezes.

The highest-paid executive earned £340,000 — almost 16 times more than ward nurses, who earn as little as £21,388-a-year. Eleven high earners have been paid more than £250,000 each. The true figures are likely to be far higher as dozens of hospital trusts failed to respond.

Dr Carter said hard-pressed nursing staff “often feel undervalued, especially if senior NHS staff are not experiencing the same pay restraints”.

The number of NHS staff paid more than £100,000 has increased in the past year at almost half of the 75 trusts surveyed. In some parts of England, the number of high-earners has risen by more than 50 per cent.

Last year 17 NHS hospitals were censured for dangerously low staffing levels amid growing concern about the safety and dignity of patients.

At Mid Staffordshire NHS Foundation Trust, which was condemned for its “appalling” lack of care after one of the worst health scandals in living memory, a total of 85 staff are paid more than £100,000, up from 79 the year before.

Darren Cattell, the trust’s interim finance director, was paid £340,000 last year — almost £1,475-a-day — as the trust headed towards financial meltdown.

He left in May, four months before a team of consultants were sent in to investigate the trust’s £20 million deficit. Last week the trust went into administration and on Monday it will begin the bidding process for services to be taken over by other NHS trusts or the private sector.

The trust’s medical director was paid between £225,000 and £230,000. A spokesman said the trust had been forced to employ expensive interim directors to help turn the scandal-hit hospital around.

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You've gotta pay if you want top talent. It's just such a pity that we can't afford many other staff in these austerity-ridden times. Still, they've got the top right, so if we ever get back to a condition where we can employ some nurses, then it should be all systems go at the bottom too,

Peter.

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To be fair the article gives no idea of how many of those on over 100k are consultants, and how many are managers.

It should not be surprising that a lot of consultants are on 100k+ - these are people at the top of their game, with responsibility for a large number of patients. 100k doesn't seem excessive when you compare with other professions (banker, lawyer, top accountant etc).

It is also making up for the absurdly low levels of starting salaries for junior doctors- the basic starting salary for someone coming out of five+ years medical school is just £22,000 - unbelievable!

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It is also making up for the absurdly low levels of starting salaries for junior doctors- the basic starting salary for someone coming out of five+ years medical school is just £22,000 - unbelievable!

The hospital doctor payscale is just another Ponzi scheme. The youngsters are told "accept the low pay for long hours now while the older doctors are raking it in, you will be rewarded later, honest". Meanwhile most doctor pay comes from the state, and the state is serenely cruising towards bankruptcy. Those rewards will not be there when the current generation of junior doctors are senior/retired.

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i know a bank nurse earning 80k+.

this is not sustainable.

Is this turnover? If s/he's bank then s/he's effectively a contractor so equivalent to £40K permie. Hardly earth-shattering.

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The hospital doctor payscale is just another Ponzi scheme. The youngsters are told "accept the low pay for long hours now while the older doctors are raking it in, you will be rewarded later, honest". Meanwhile most doctor pay comes from the state, and the state is serenely cruising towards bankruptcy. Those rewards will not be there when the current generation of junior doctors are senior/retired.

Agreed- only five or so years ago, a junior Dr would start on 35k ish and get free accomodation in the hospital.

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Try looking into merit awards which double the doctors pay and also most GPs are on that kind of wedge.

Merit awards are very rare. The top award is only held by a few dozen consultants. The median merit award is zero - I. E. Most consultants go through their entire career never getting an award.

To get a higher award a consultant basically has to have a 20 year track record of consistent results with a prominent international profile in their field.

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I'm surprised the figure is that low if it includes doctors. Our local GP earns upwards of £120-£140K a year (single GP dispensing practice).

I don't begrudge him the money, he does a really good job and is out at patients houses at 6am and 11:30pm.

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I'm surprised the figure is that low if it includes doctors. Our local GP earns upwards of £120-£140K a year (single GP dispensing practice).

I don't begrudge him the money, he does a really good job and is out at patients houses at 6am and 11:30pm.

GPs are probably conveniently excluded from the figures as they're not NHS employees

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i know a bank nurse earning 80k+.

this is not sustainable.

surely this indicates what the market rate is, and shows what are bargain we are getting by paying NHS nurses 30% of this. another plus - it will save paying them the NHS "gold plated" pension of about £9000 a year.

Also an agency nurse earning £80k will probably be costing the NHS double that, due to the agency costs etc.

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You've gotta pay if you want top talent. It's just such a pity that we can't afford many other staff in these austerity-ridden times. Still, they've got the top right, so if we ever get back to a condition where we can employ some nurses, then it should be all systems go at the bottom too,

Peter.

we pay it and dont get top talent....check box targetters are the winners.

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To be fair the article gives no idea of how many of those on over 100k are consultants, and how many are managers.

It should not be surprising that a lot of consultants are on 100k+ - these are people at the top of their game, with responsibility for a large number of patients. 100k doesn't seem excessive when you compare with other professions (banker, lawyer, top accountant etc).

It is also making up for the absurdly low levels of starting salaries for junior doctors- the basic starting salary for someone coming out of five+ years medical school is just £22,000 - unbelievable!

I think they mean Management Consultants...not Medical Mr.s

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Is this turnover? If s/he's bank then s/he's effectively a contractor so equivalent to £40K permie. Hardly earth-shattering.

top 2% earner.

All because some highly paid manager wont employ 1 extra full timer to cover for sickness and other absence.

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Meaningless numbers without some context given the size and complexity of the organisation.

</h3>

<h3>Management
  • Managers and senior managers accounted for 2.83 per cent of the 1.35 million staff employed by the NHS in 2010.
  • Between 2001 and 2011 the NHS recruited 10,790 additional managers, an average annual increase of 3.4 per cent. The number has declined in each of the past two years. In the same period almost 93,500 additional doctors and nurses have been recruited.
  • In 2008/09 the management costs of the NHS had fallen from 5.0 per cent in 1997/98 to 3.0 per cent.

International comparisons

  • In comparison with the healthcare systems of six other countries (Australia, Canada, Germany, Netherlands, New Zealand and USA) the NHS was found to the second most impressive overall by the Commonwealth Fund in 2010.
  • The NHS was rated as the best system in terms of efficiency, effective care and cost-related problems. It was also ranked second for equity and safe care.
  • However in the categories of long healthy and productive lives (6th) and patient-centred care (7th) the NHS fared less well.

http://www.nhsconfed.org/priorities/political-engagement/Pages/NHS-statistics.aspx

So there appear to be around 38,000 managers out of a total of 1.35m staff, of whom 7,800, the top quintile, earned > £100k.

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we pay it and dont get top talent....check box targetters are the winners.

Who/where is the 'top talent'?

Evidence?

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Is this turnover? If s/he's bank then s/he's effectively a contractor so equivalent to £40K permie. Hardly earth-shattering.

The 80K is a conservative estimate. probably paying no Ni and small amount of tax + agency fees on top...probably costing us 100K+

This is not sustainable.

I also know engineer contractors getting less than half of that.....

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Who/where is the 'top talent'?

Evidence?

anyone with an IQ over 120.

Jesus would have been quite good,,,doing the job for the proper reasons, not some form of empire building, patients come first, troughers tossed out.

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The 80K is a conservative estimate. probably paying no Ni and small amount of tax + agency fees on top...probably costing us 100K+

This is not sustainable.

I also know engineer contractors getting less than half of that.....

indeed - 100k is (I guess) a tiny fraction of the very top 1% earners, so 100k is NOT comparable to the 'top talent' if that constitutes top few % of earners - that wage figure should be much lower

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