GPs (Commissioning Groups in England) spend vast sums on temporary managers – no its not happening in Scotland or Wales

The fact that (English) commissioning groups cannot easily fill such well paid posts is due to the managers also realising that their job is impossible without overt rationing. Is there a conspiracy – “a good time to bury bad news”, whilst we are all focussing on the EU? No, its not happening in Scotland or Wales… No wonder the government is suppressing/withholding its report on GP support… until 2017

In an an-accredited article in The Times 29th June 2016, and not on line (as the article on end of life care spending yesterday) a report reads: GPs spend vast sums on temporary managers.

GP-led groups that look after the bulk of the NHS budget are spending hundreds of thousands of pounds on interim directors, it has been reported.

One interim director cost a clinical commissioning group (CCG) £335,000 for just over 11 months work, according to the Health Service Journal (HSJ) 28th June 2016.

Another group, – Surrey Downs – employed a director of turnaround last year at £195,000 for six months.

A chief officer at another CCG cost £85,000 for less than 3 months work, and a director of clinical performance £55,000 for the same period.

NHS England has the right to issue legal directions to CCFs, giving it power over issues such as finance plans and appointments. These cannot be issued when a CCG is in deficit.

urreyDowns CCG said that reducing the use of interim staff was a top priority. Claire Fuller, its clinical chairwoman, told HSJ: “When setting pay rates to senior staff, we take into account the national guidance to ensure we are paying a rate that is appropriate.

“in some circumstances sometimes we do need to bring in short term, interim support. For example when NHS England placed directions on us, we were reqired to bring in a turnaround director to support our financial recovery – so this is what we have done”.

KERNOW CCG spent £25,000 on a turnaround director for less than three months. KERNOW chairman, Iain Chorlton told HSJ: “This appointment was approved by NHS England”……

Pulse: General practice cannot escape need for reform, NHS England warns

Alex Matthews king in Pulse reports 23rd June 2016: NHS to withhold report on primary care support problems until 2017

Is the future of health to be defined by the ultra right? If we don’t ration overtly, it will be.

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This entry was posted in A Personal View, Commissioning, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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