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Brighton and Sussex University Hospitals NHS Trust hires £143,000 expert to advise on cuts

Hospital bosses are paying an independent financial expert £143,000 to help them save money.

Managers at Brighton and Sussex University Hospitals NHS Trust are currently spending around £1 million more a month than they can afford and are struggling to keep costs under control.

The trust, which runs Royal Sussex County Hospital in Brighton and Princess Royal Hospital in Haywards Heath, needs to save £21 million this year but admits it does not have the financial expertise to hit the target and it needs extra help.

It has called in consultant Donald Muir and his team, who will be looking at all areas of the trust over the next 11 weeks to find ways to help it save money.

There are no plans for job losses or any cuts in patient services.

Managers hope the money will be saved through working more efficiently and a closer monitoring on what services, supplies and equipment staff are buying.

A trust spokeswoman said: “The trust has finally become debt free after years of work and we want to keep it that way.

“However this year is proving a lot tougher than we were expecting.”

In a message to staff, trust chief executive Duncan Selbie said: “Everyone knows we are facing the most pressure ever in our income and expenditure and I hope it is understood by everyone that we are presently spending more than we are earning.

“The NHS can’t stop providing services which do not make a profit. If we did, no hospital would have an accident and emergency or any elderly care or general medical wards.

“For the services that will never break even we need to demonstrate we are as efficient as we can be and in those where we can make a profit we need to be the best there is.

“Only through this combination can the hospital as a whole thrive.

“The country is in an extremely tough spot, as is the NHS, and so are we, and we won’t ignore it.”

Peter Adams, from the Patient Action Group in Sussex, said: “I would have expected hospitals to employ people with the expertise to do this type of work instead of having to spend money asking independent experts to help.”

East Sussex Healthcare NHS Trust is working with accountants Ernst and Young to try to clear a £6 million deficit but Western Sussex Hospitals NHS Trust has not brought in anyone to help it manage costs at this stage.

Comments(11)

Angryoldman says...
2:12pm Wed 20 Jul 11

Sack the army of tick box pen pushers that make a £2 loaf of gluten free bread or pasta nearly £30 when admin costs are added.
It's disgusting! Grrr

Davrow says...
2:44pm Wed 20 Jul 11

What a Load of Brainless Nincompoops in the NHS, it does not matter how they waste taxpayers money as long as they do not have to think.
Then these idiots will resign for making a large "F" up and go away with an overated cash BonusThe Law should be brought before they run away with all the money.
These legalised thieves are preventing a good patient care in the NHS as a whole.
Get rid of these Pratts

Joshiman says...
2:45pm Wed 20 Jul 11

I can do that job for half the money.So can many others.It isnt Rocket science.

Davrow says...
2:46pm Wed 20 Jul 11

What a Load of Brainless Nincompoops in the NHS, it does not matter how they waste taxpayers money as long as they do not have to think.
Then these idiots will resign for making a large "F" up and go away with an overated cash BonusThe Law should be brought before they run away with all the money.
These legalised thieves are preventing a good patient care in the NHS as a whole.
Get rid of these Pratts

Spanners says...
3:38pm Wed 20 Jul 11

Davrow wrote:
What a Load of Brainless Nincompoops in the NHS, it does not matter how they waste taxpayers money as long as they do not have to think. Then these idiots will resign for making a large "F" up and go away with an overated cash BonusThe Law should be brought before they run away with all the money. These legalised thieves are preventing a good patient care in the NHS as a whole. Get rid of these Pratts
Sorry but what comments really make no sense whatsoever. Senior NHS staff should be experts at running hospitals. No-one would expects them to do the accounts - they hire an expert i.e an accoutant to do that. If they get sued, no-one expects the NHS management to defend in court but rather hire the experts i.e a lawyer or barrister. In exactly the same way, there is nothing wrong in paying £143,000 to save £21,000,000. Essentially, there is nothing inherently wrong or stupid in hiring experts. However, it would seem a very good idea to have their contractual remuneration based on their success. For example, if they save £21m then they get £143k. If they only save £15m then they get paid £100k and so on til they save nothing and get paid nothing. This prevents the experts just filling their boots.

Morpheus says...
4:08pm Wed 20 Jul 11

You have to wonder what the NHS bosses think they are paid for. I hope the consultant starts by arranging for a few of them to be sacked.

Surely not! says...
5:40pm Wed 20 Jul 11

Joshiman wrote:
I can do that job for half the money.So can many others.It isnt Rocket science.
Can you? I doubt it, even if you knew what the job was...or maybe you do, if so you have researched into this subject more than just reading this article.

On balance, if I had to put money on it, I'd say you are someone with many opinions sitting on very little thinking.

Nivek73 says...
8:41pm Wed 20 Jul 11

Angryoldman wrote:
Sack the army of tick box pen pushers that make a £2 loaf of gluten free bread or pasta nearly £30 when admin costs are added.
It's disgusting! Grrr
The £30 plus for a loaf of gluten free bread was a sum allegedly paid by NHS procurement officials in Wales. It has no bearing whatsoever either on subject matter of this article, or the procurement department of Brighton and Sussex University Hospitals NHS Trust.
In future, perhaps you should make sure that you know what you are talking about before you make such a stupid comment.

Cass says...
11:08pm Wed 20 Jul 11

From what I witnessed this very afternoon I would say they have already made too many cutbacks in just one area. It looked as though they had sacked the cleaners too. Disgraceful.

ss995 says...
9:48am Mon 1 Aug 11

Re:- Hospital bosses are paying an independent financial expert £143,000 to help them save money.


I liked the health care assistant in renal outpatients, she has consistently been helpful compared to renal nurses. The health care assistant is highly professional and the nurses could learn a thing or two from this lady called Jean. In contrast my nurse refused to get my medication and then complained I was aggressive when she herself behaved badly towards a seriously ill person.

I have had sub-standard care in the renal department i.e. refusal to answer my concerns over the toxic treatment, and then informed me blood kits were faulty via the renal nurse, I have been depressed since Oct 2009. The complaints dept. closed ranks against me and claims I am asking too many questions, but other consultants have advised them I am anxious and worried due to treatment concerns. Many consultants are critical about the care I received in the kidney unit. They have said that they treated the numbers and not the person. I deserve answers over the faulty blood kits. Nonetheless I was sent a letter with wild generalizations claiming I can't sustain relationships cutting off my care and abandoning me, like an unwanted animal to self manage my care via the internet. I have told the ceo in response to his criticisms that for there to be "sustained" relationships, clinical care needs to be respectful, patient-centered and empathic which has not been the case. There is a direct correlation in my case over receiving neglectful care as resulting in un-sustained relationships as I refused to be treated in a harmful manner. Hence I refuse to accept unfounded claims made against me at a time when in fact I need SUSTAINED CARE which has been cut-off by the c.e.o. They poured steroids into my body – but consultants in London are taking me off even the maintenance dose of steroids. This requires highly skilled doctors but I am having to manage this dangerous situation as my care is terminated.

Despite the fact that I had a sustained relationship with a renal registrar and a new consultant there, Dr Lever, renal clinic has alleged I am somehow faulty. They said I have ‘behavioural’ problems, I say I this is symptomatic of trauma which is recorded on the cd, this evidence is conveniently ignored. This is very oppressive indeed. This feels like a smoke screen to avoid answering questions over the faulty blood kits and the needless treatment renal clinic gave me. If the complaints dept., was working transparently, it would re-assure me and advise me not to worry, but I have been made a medical orphan and treated like an animal, they have not which does not look very good! I am glad that the complaints process in the parliament is to be reviewed and Ombudsman has no true grit nor the back bone to investigate concerns. I am on valium to silence my symptoms, because Selbie did not arrange psychological or good psychiatric help, which was advised by my doctor in London, to address my trauma.

I will speak to a journalist, if there is an interest in following up my lived experience.

ss995 says...
10:02am Mon 1 Aug 11

Re:- What a Load of Brainless Nincompoops in the NHS, it does not matter how they waste taxpayers money as long as they do not have to think.
Then these idiots will resign for making a large "F" up and go away with an overated cash Bonus. The Law should be brought before they run away with all the money.
These legalised thieves are preventing a good patient care in the NHS as a whole.
Get rid of these Pratts

---

I have direct evidence of this as you can see above. Did you know Selbie earns more than the PM? If you don't believe me check the internet, Argus reported this - they say " Duncan Selbie, chief executive of Brighton and Sussex University Hospitals Trust has an annual salary of between £180,000 and £185,000".

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