Inbox – September-October 2015

From: Morris Heseltine

Subject: Revised contract to be given to all junior doctors – NHS Employers

Perhaps Mr Mortimer [CEO of NHS Employers] would like to explain why these reforms are “essential”. As far as I can see, the reforms have nothing to do with improving care for patients or making the way doctors are paid fairer.

They simply serve to save the government an awful lot of money, while further degrading both pay and training for a group of hard working, highly skilled professionals who are already underpaid and overworked compared to their peers in similar highly demanding professions in the UK.

The only reason doctors stay in their jobs is because they care about doing things to the best of their ability. If they can’t even do that anymore, what’s the point?


From: Rob W

Subject: Some NHS staff to miss out on pay rise over next 5 years

The government does not understand the NHS pay scale. All this bluster about incremental pay rises blinds the public. When you are offered a post in the NHS it is in a pay band. The job pays up to the top of that band, which you achieve incrementally whilst developing the skills and competencies required of the post.

It’s not a pay rise per se, it’s recognition of you achieving what’s needed to do your job. The fact that the cost of living is outstripping our salary increments is why NHS staff should be offered more than 1%. How many people in the private sector have had a five-year pay freeze and look set to face another five? Don’t tell me how hard it is outside the public sector, I’ve been there, and it’s often better paid than we are!


From: Philip

Subject: Department of Health to review NHS funding of private nursing homes

Yes, this is good news, but I do hope the Department of Health will consider also the huge subsidy paid by privately funded care home residents that enables local authority funded residents to stay in so many of these homes, thereby decimating their own assets and those that might be inherited by their families.

The low level of the NHS funding is forcing private care homes, such as the one with which I am associated, to refuse to take residents eligible for this contribution in the same way that such homes are now taking only privately funded residents due to the very low fees paid by local authorities.

What a shame there was such a quick government U-turn on the Dilnot proposals so soon after the general election in May.


From: Belinda Sadler

Subject: Paramedic workforce crisis

I know of two or three young people (18-23) who would love to be paramedics. I have encouraged them to apply. The first question they are asked is [whether] they hold a UK driving licence. If the answer is no they can go no further. Why? Learning to drive is too expensive for many young people. Surely they can commence training with a view of learning to drive over the duration of the course instead of excluding them from even being considered. Short-sighted I think.


From: Cllr Stewart Young

Subject: Ambulance trusts will have legal duty to integrate with police – Cameron

Yet again, the actions fail to live up to the rhetoric. What is needed is a single blue light service, which would save significant amounts of money, as well as improving the service.

That would require changes to legislation. These proposals, which in effect are saying “let’s all work more closely together” don’t go anywhere near delivering the level of change which is required.


From: A Moore

Subject: Does CSUs' closure reflect their performance?

The failure of these two CSUs must surely be a reflection of how poorly they performed over the past few years? The organisational ethos many CSUs inherited from PCTs, and the view that they were there to ‘do it to the GPs’, was contrary to the situation that the GPs were now in charge.

That the NWCSU also won the Plain English Campaign’s ‘Bull’ award in 2013-14 was indicative of an unreal mindset. There won’t be many tears shed to see some CSUs disappear – it’s just a shame for their best staff who might suffer.


There are no comments. Why not be the first?

Add your comment


national health executive tv

more videos >

latest healthcare news

Calls for law change as Mental Health Act detainees taking their lives at ‘appalling’ rates

14/08/2018Calls for law change as Mental Health Act detainees taking their lives at ‘appalling’ rates

Women and girls detained under the Mental Health Act are taking their lives at “appalling” rates, new figures have revealed. Dat... more >
Gloucestershire trust boss who treated NHS as a ‘cash machine’ jailed

13/08/2018Gloucestershire trust boss who treated NHS as a ‘cash machine’ jailed

A senior NHS manager who coaxed his trust for £650,000 to fund a luxury lifestyle has been jailed. Royston Dyke, 58, of Ivy Mews, Stro... more >
Dr Bawa-Garba wins court appeal against dismissal decision

13/08/2018Dr Bawa-Garba wins court appeal against dismissal decision

The formerly struck-off Dr Hadiza Bawa-Garba has won her Court of Appeal challenge and is free to practise medicine again. Dr Bawa-Garba sai... more >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital exemplars who were revealed at the same show 12 months earlier.  Jeremy Hunt also stated th... read more >

last word

Hard to be optimistic

Hard to be optimistic

Rachel Power, chief executive of the Patients Association, warns that we must be realistic about the very real effects of continued underfunding across the health service. It’s now bey... more > more last word articles >

the scalpel's daily blog

The NICE impact on falls and fragility fractures

10/08/2018The NICE impact on falls and fragility fractures

Falls should not be an inevitable part of ageing – and their snowball effect means the consequence of falls are far from limited to just hospital admissions, says Professor Gillian Leng, deputy chief executive and director of health and social care at NICE Almost a third of over-65s in the UK have a fall at least once a year, with a... more >
read more blog posts from 'the scalpel' >


It’s time to invest in our support staff

08/08/2018It’s time to invest in our support staff

Dean Royles, director and strategic workforce advisor at Skills for Health and co-author of ‘An Introduction to Human Resources Management,... more >
We need to take personal health budgets seriously

08/08/2018We need to take personal health budgets seriously

Don Redding, director of policy at National Voices, and its communications & engagement officer Laura Bell, look at the voluntary sector&rsqu... more >
Integrated commissioning: Making a difference

08/08/2018Integrated commissioning: Making a difference

Dr Graham Jackson, co-chair of NHS Clinical Commissioners (NHSCC) and clinical lead for the Buckinghamshire integrated care system, makes the cas... more >
Driving improvement in South West London mental health

08/08/2018Driving improvement in South West London mental health

David Bradley, chief executive of South West London and St George’s Mental Health NHS Trust (SWLSTG), discusses the improvements and collab... more >


Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >
Cutting through the fake news

22/11/2017Cutting through the fake news

In an era of so-called ‘fake news’ growing alongside a renewed focus on reducing stigma around mental health, Paul Farmer, chief exec... more >
Tackling infection prevention locally

04/10/2017Tackling infection prevention locally

Dr Emma Burnett, a lecturer and researcher in infection prevention at the University of Dundee’s School of Nursing and Midwifery and a boar... more >
Scan4Safety: benefits across the whole supply chain

02/10/2017Scan4Safety: benefits across the whole supply chain

NHE interviews Gillian Fox, head of eProcurement (Scan4Safety) programme at NHS Supply Chain. How has the Scan4Safety initiative evolved sin... more >

health service focus

View all News