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Post by frankwellshrews on Aug 5, 2015 19:05:08 GMT 1
I thought i had answered that, why should there need to be an audit commission board to oversee common sense, and what the hell are a public sector worker giving out such huge pensions for in the first instance.... As i see it, there have been investment in the NHS on a yearly basis, maybe not enough, but more money has gone into it, unlike other areas of public spending which has been cut...... or is that conveniently forgotten. Its waste like this that needs to happen, as to Matron's point about the cost of insulin pens..... address it with a H&S solution, rather than just accepting it and carrying on!! Yes to be fair you did. Obviously common sense didn't prevail so maybe a commission of some sort is needed. Eric Pickles got rid of the Audit Commission, he didn't get rid of the requirement for public services to be audited. As I tried to explain in my last post, there's not a great deal an external auditor can do in this regard. A good example of the 'expectation gap' in action.
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Post by mattmw on Aug 5, 2015 19:07:06 GMT 1
On the subject of the wages and pensions being high, that too is down to market forces
Even a small NHS Trust has a multi million pound budget and the heads of those trusts have responsibility for those budgets; plus the staff, patients and associated legal liabilities that come with that. Looking online the NHS trust the guy the article mentioned had a £230 million annual budget and 5000 staff. A private company with similar turnover and staff would pay similar rates
You need top quality managers to look after those budgets and the market dictates you have to pay high wages to get that. The pension goes with that, but as others have said the employee would be contributing between 10 and 14% from their income to that pension
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Post by Deleted on Aug 5, 2015 19:11:08 GMT 1
Yes to be fair you did. Obviously common sense didn't prevail so maybe a commission of some sort is needed. Therein lies the problem.... No matter how much money you chuck at the NHS, they will always say they need more, and waste will increase.....
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Post by shrewsace on Aug 5, 2015 20:39:01 GMT 1
Yes to be fair you did. Obviously common sense didn't prevail so maybe a commission of some sort is needed. Therein lies the problem.... No matter how much money you chuck at the NHS, they will always say they need more, and waste will increase..... I think one of two things have happened here: Either some sort of corrupt back room deal.... Or supply and demand economics has swung into force - ie this guy has been able to convince the NHS Trust that he has a unique skill set it can't do without and has named his price. 'Market forces' as your heroine once said.
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Post by SeanBroseley on Aug 5, 2015 21:43:49 GMT 1
Perhaps I shouldn't be but I am completely sceptical about the efficacy of top managers in large organisations. It seems to me that the larger and more complex an organisation is then the more diffuse is the distribution of knowledge required to run it efficiently.
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Post by Deleted on Aug 6, 2015 6:32:58 GMT 1
Yes to be fair you did. Obviously common sense didn't prevail so maybe a commission of some sort is needed. Eric Pickles got rid of the Audit Commission, he didn't get rid of the requirement for public services to be audited. As I tried to explain in my last post, there's not a great deal an external auditor can do in this regard. A good example of the 'expectation gap' in action. Isn't there a difference between an audit commission and somebody doing the books?
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Post by Deleted on Aug 6, 2015 13:13:22 GMT 1
Yes to be fair you did. Obviously common sense didn't prevail so maybe a commission of some sort is needed. Therein lies the problem.... No matter how much money you chuck at the NHS, they will always say they need more, and waste will increase..... Sorry buddy but that's ball lox. Stop treating hospitals like factories with customers and profit margins and the NHS will be fine. As has been pointed out this guys remuneration was in line with similar business of similar size so you have to expect pay to follow. Stop that crap, fund them properly, keep out private companies and stop using the NHS as a political football and it will be fine.
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