£375000 overtime pay for doctor, who syas NHS isnt broken
Discussion
V8 Fettler said:
OP's article refers to "One doctor made an extra £375,000 last year on top of their salary." If correct, then this particular individual was probably PAYE employed directly by the NHS, probably not employed directly as a contractor on a specified hourly rate and unlikely to be employed via an agency. Although given the generally dismal track record of the reporting by the media, it's as clear as mud.
Agreed, its the usual media trolling. That said I do know of instances whereby Trusts contract a consultant-owned company for their overtime and thus avoid PAYE
TLandCruiser said:
Get people jealous and envious of doctors, it already sounds like the op is. Anytime the media wants to attack a profession they just throwing salary numbers around.
This highlights not enough staff for one reason or another.
NO I'm not! my point was that the NHS is out of control, salary's and payments should be controlled and authorised centrally, the current system is open to abuse, not necessarily by the doctors, but they are benefiting hugely, just as likely to be agencies. This highlights not enough staff for one reason or another.
Dixy said:
.... they expect a significant remuneration package and a reasonable work life balance.
...
There is not a job on the planet that offers both of these (and I include footballers and politicians etc alike in this, much as I have a general distaste for both). If they expect it, then they are fooling themselves....
Adrian W said:
NO I'm not! my point was that the NHS is out of control, salary's and payments should be controlled and authorised centrally, the current system is open to abuse, not necessarily by the doctors, but they are benefiting hugely, just as likely to be agencies.
Average Agency pay rates seem to be a lot less than people think.Adrian W said:
NO I'm not! my point was that the NHS is out of control, salary's and payments should be controlled and authorised centrally, the current system is open to abuse, not necessarily by the doctors, but they are benefiting hugely, just as likely to be agencies.
I would have thought central control would be more open to abuse as it is easier to check if work has been done if payments are authorised at a local level.IrateNinja said:
Why stay in rainy Blighty when you can pick up a visa to Canada/Australia and improve your quality of life with a couple of long haul flights?
I think it's going to continue getting worse as junior doctors with no hard ties here up sticks.
Can you? I thought in Canada at least you, as a doctor, couldn't just go over there and get on with it. You have to jump through all their hoops for years essentially re-training because they won't just accept you because you came from the NHS. Last I read Canada's system was fairly protective over their home grown employees, those emigrating had lots of hoops to jump and then could look forward to earning less (typically) over their time vs a Canuck.I think it's going to continue getting worse as junior doctors with no hard ties here up sticks.
greygoose said:
Adrian W said:
NO I'm not! my point was that the NHS is out of control, salary's and payments should be controlled and authorised centrally, the current system is open to abuse, not necessarily by the doctors, but they are benefiting hugely, just as likely to be agencies.
I would have thought central control would be more open to abuse as it is easier to check if work has been done if payments are authorised at a local level.It is impossible to control 50 different hospitals with 50 sets of staff doing things 50 different ways, it is also hugely inefficient and wasteful, the level of duplication is massive.
Adrian W said:
greygoose said:
Adrian W said:
NO I'm not! my point was that the NHS is out of control, salary's and payments should be controlled and authorised centrally, the current system is open to abuse, not necessarily by the doctors, but they are benefiting hugely, just as likely to be agencies.
I would have thought central control would be more open to abuse as it is easier to check if work has been done if payments are authorised at a local level.It is impossible to control 50 different hospitals with 50 sets of staff doing things 50 different ways, it is also hugely inefficient and wasteful, the level of duplication is massive.
Hence it is a local matter what the Trusts pay to consultants to get the CCG contracted work done
ucb said:
Adrian W said:
greygoose said:
Adrian W said:
NO I'm not! my point was that the NHS is out of control, salary's and payments should be controlled and authorised centrally, the current system is open to abuse, not necessarily by the doctors, but they are benefiting hugely, just as likely to be agencies.
I would have thought central control would be more open to abuse as it is easier to check if work has been done if payments are authorised at a local level.It is impossible to control 50 different hospitals with 50 sets of staff doing things 50 different ways, it is also hugely inefficient and wasteful, the level of duplication is massive.
Hence it is a local matter what the Trusts pay to consultants to get the CCG contracted work done
One of the projects I am involved in is Telehealth, tens of millions have been thrown down the toilet because every trust is insisting on approving the product individually, again massive duplication, with administrators creating huge barriers because the efficiencies produced will directly effect their jobs. some companies have actually given up saying the NHS are impossible to deal with even though Telehealth is published government policy and has been for years.
Adrian W said:
It will never work,
One of the projects I am involved in is Telehealth, tens of millions have been thrown down the toilet because every trust is insisting on approving the product individually, again massive duplication, with administrators creating huge barriers because the efficiencies produced will directly effect their jobs. some companies have actually given up saying the NHS are impossible to deal with even though Telehealth is published government policy and has been for years.
As much as that explains your prejudice, title of this thread and consequent OP are ridiculous. When you calm down a bit, you'll see that, hopefully.One of the projects I am involved in is Telehealth, tens of millions have been thrown down the toilet because every trust is insisting on approving the product individually, again massive duplication, with administrators creating huge barriers because the efficiencies produced will directly effect their jobs. some companies have actually given up saying the NHS are impossible to deal with even though Telehealth is published government policy and has been for years.
Adrian W said:
It will never work,
One of the projects I am involved in is Telehealth, tens of millions have been thrown down the toilet because every trust is insisting on approving the product individually, again massive duplication, with administrators creating huge barriers because the efficiencies produced will directly effect their jobs. some companies have actually given up saying the NHS are impossible to deal with even though Telehealth is published government policy and has been for years.
Part of the issue is that people think that the NHS is one beast, when its far from it, the most simple example I came across was Hand washing training, there was a overarching NHS training materials produced, e-learning, videos, posters f2f classes you name it full blended learning solution. Pretty much every NHS trust said thats rubbish and produced their own at great costs. Great for the contractors but not for the NHS.One of the projects I am involved in is Telehealth, tens of millions have been thrown down the toilet because every trust is insisting on approving the product individually, again massive duplication, with administrators creating huge barriers because the efficiencies produced will directly effect their jobs. some companies have actually given up saying the NHS are impossible to deal with even though Telehealth is published government policy and has been for years.
I have also seen very similar with electronic patient records and worked at a trust that ignored all the other patient record programmes and built their own, which worked very well as the clinical staff were consulted from day 1.
What partially gets my goat is that some roles in the NHS have CatII work allowance built into their contracts which can be extremely lucrative, mate of mine can double his six figure nhs salary with Cat II work.
TLandCruiser said:
Jockman said:
"The average amount paid in high-cost overtime was £13,356 per consultant"
And yet we focus in on the exceptions??
Get people jealous and envious of doctors, it already sounds like the op is. Anytime the media wants to attack a profession they just throwing salary numbers around.And yet we focus in on the exceptions??
This highlights not enough staff for one reason or another.
It would presumably be a much worse story if that £375K consultant decided he didn't just want the overtime or chose to work to rule.
glazbagun said:
This is on page 1 and is pretty much /thread for me. We are continually told that FTSE 100 firms need to hire the very best and reward them accordingly in cash and shares, our football clubs pay millions for the very best sportsmen in a free market, why we expect healthcare to be different is beyond me.
It would presumably be a much worse story if that £375K consultant decided he didn't just want the overtime or chose to work to rule.
I think you have half of a fair point :It would presumably be a much worse story if that £375K consultant decided he didn't just want the overtime or chose to work to rule.
1. We need to pay appropriately to get the key skills we need in the NHS
2. In your football example, the clubs have finite resources and are competing with other clubs for the key players - there is massive differentiation between the best players and the average player.
3. In the NHS example, there is seemingly not a proper market for consultants and there is little means of ensuring that the NHS get good value for the money spent.
Otispunkmeyer said:
Can you? I thought in Canada at least you, as a doctor, couldn't just go over there and get on with it.
My daughter already has her place for this time next year if she is unable to get the reg job she wants. She will work less hours, less antisocial hours, considerably more salary and help with her CV when she applys to be a consultant. Gassing Station | News, Politics & Economics | Top of Page | What's New | My Stuff