£375000 overtime pay for doctor, who syas NHS isnt broken

[Adrian W]

when it suits them doctors say being a doctor is vocational, this is out of control

http://www.bbc.co.uk/news/health-36898881

[Adrian W]

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.

[Adrian W]

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.

I don't get that, what is the difference between an accounts person in an office in a hospital and one centrally, neither would be close to the actual function.

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]

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.

I don't get that, what is the difference between an accounts person in an office in a hospital and one centrally, neither would be close to the actual function.

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.

And it is also exactly what the Government wants. It wants local accountability of health budgets, local control of commissioning and the DoH wants to be at an arms (preferably bargepole) length at all possible costs from actual delivery of healthcare, hence CCGs and foundation trust status. DoH wants Trusts to manage their own finances which was the big attraction of FT status. Having said all that Trusts are merging executive functions for efficiency savings.

Hence it is a local matter what the Trusts pay to consultants to get the CCG contracted work done

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.