The state of the Trusts’ budgetary deficits should be made public before the election… Purdah rules should not apply

Normally there would be a budgetary report on the English Welsh and Scottish Trusts before the election. Home office staff are arguing that such data is so politically sensitive that it should be kept secret until after the election. What nonsense. Hiding the truth is not a good precedent for something which should be routine. Darlington Hospital is one of many who may not be able to pay their staff. The state of the Trusts’ budgetary deficits should be made public before the election… Purdah rules should not apply to something routine and pre-planned. BBC News reports 19th May: Reality Check: Why is NHS budget data delayed by purdah? and Will NHS stats spark polling day debate? 

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All the Trusts are bust.

Ben Glaze in the Mirror reports 20th May 2017: Tories accused of ‘blocking damning figures on state of NHS finances’ – Key statistics were due to be released at the end of May but ministers are citing “purdah” rules to hold the information back until after the election

on 19th May in the Northern Echo, Graeme Hetherington reports: Darlington Memorial Hospital trust could run out of money to pay some wages unless plan to solve cash crisis is found

A HOSPITAL trust could run out of money to pay some staff wages unless it comes up with a plan to solve its dire financial predicament by next month.

Concerns over the future of Darlington Memorial Hospital have been raised after details of its financial situation were leaked to The Northern Echo.

Senior management and consultants are being told to tighten their belts as money-saving initiatives are missing their targets and an email sent to some staff has highlighted that the trust could run out of money if drastic action is not imposed.

The County Durham and Darlington NHS Foundation Trust ( CDDFT) introduced cost reduction targets (CRT) in an attempt to balance its books – but is missing its £6.9m savings target by about £1.7m.

The detailed email raises the prospect of the length of operation and appointment waiting times being extended beyond the Government target of 18 weeks, the Trust’s inability to cover staff wages and a reduction in nursing levels.

However, the CDDFT’s consultant surgeon and surgical care group director is reassuring people that patient safety is central to all discussions in the hospital and that there are no plans to reduce staffing levels.

The internal email was sent out to senior staff following a meeting of the Trust’s Financial Stability Programme, which was described as a “maul” after the stark warning was driven home by finance chiefs.

And the news comes just days after it was revealed that maternity services at the hospital could be lost as plans are being investigated to centralise care in Darlington, Durham and North Tees – albeit on a temporary basis.

Today, the full extent of the financial pressures on the hospital’s surgical departments can be revealed.

The email reads: “The three of us have to go back in four working days time with a full plan, costed and developed for a further £1.5m pounds of guaranteed CRT in addition to the already identified as an interim to meeting the full amount. So far in month one we are forecasting to be £350k (April) overspent due to not achieving CRT.

“I do not intend to just pass on this message in the same way. You all work hard and I know you are all very hard pushed for time. However, I need urgent and focused work form every one of you to help the senior triumvirate as yesterday’s is an experience I have not had before and never want to have again.

“I have been asked to ensure that all staff are fully briefed that if by June we do not have a full plan for CRT and are not completely in control of expenditure that we, CDDFT, will run out of cash to pay wages.

“Whist this has been briefed before I chose not to put it in these terms. I have been asked not to sanitise the message.”

But Mr Steve Scott, consultant surgeon and surgical care group director at County Durham & Darlington NHS Foundation Trust, has reassured people that patients’ health will not be put at risk, as the document is not a formal trust plan.

He said: “NHS organisations are working under financial pressure and we regularly review the best way to provide safe efficient patient care. It is worth noting that County Durham & Darlington NHS Foundation Trust ended 2016/17 with a surplus and ahead of our financial plan.

.

What and when is “purdah”?

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This entry was posted in A Personal View, General Practitioners, Rationing, Stories in the Media, Trust Board Directors 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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