Tagged: Glenn Turp

‘Massive spike’ in long A&E waits highlights crisis facing North-East NHS

A nursing union has highlighted the “crisis” facing the North-East NHS by publishing details of what it calls a “massive spike” in long accident and emergency waits in the last four years.

The figures from the Royal College of Nursing contrast the small numbers of long A&E waits in the week ending May 8 in 2011 with the same week this year.

They show that at six out of eight North-East accident and emergency units the number of patients who had to wait between four and 12 hours from the decision to admit to actual admissions had rocketed between 2011 and 2015.

In 2011 only 15 patients had to wait between four and 12 hours until they were admitted – but by 2015 this figure had risen to 141.

The largest rise was seen at the Newcastle Hospitals NHS Foundation Trust, where the number facing long waits for admission to A&E rose from eight in 2011 to 47 this year.

The second highest figure was recorded at the County Durham and Darlington NHS Foundation Trust where the number facing long waits to be admitted rose from zero to 37.

At the South Tees Hospitals NHS Foundation Trust the number facing long waits jumped from six in 2011 to 14 in the corresponding week this year.

 Glenn Turp, regional director of the Royal College of Nursing, said:
“This is nothing short of a crisis in A&E. If anybody tries to tell you that the NHS is not feeling the strain, then frankly they are living in cloud cuckoo land.”

Mr Turp added: “What this basically tells you is that, without significant extra funding from central government, our beloved NHS simply will not be able to cope in the future.”

A spokesman for County Durham and Darlington NHS Trust said:

“Pressure on A&E departments has increased significantly since 2011 as reflected in these figures.

“We have taken a number of steps to improve the patient’s experience in our A&E departments, and to reduce waiting times.

“There is more to be done, which is why we have announced plans to extend the A&E departments at Darlington Memorial and University Hospital of North Durham.”

Source –  Northern Echo, 12 May 2015

Unions slam ‘disgusting’ pay rises for South Tyneside health bosses

Pay hikes for senior hospital bosses in South Tyneside have been branded “shocking and disgusting” by health union leaders.

Salaries for six executives at South Tyneside NHS Foundation Trust rose by at least £5,000 in the space of a year – between 2012/13 and last year, a shared cash boost of £50,000.

Trevor Johnston, who is head of health for the North East region for health union Unison, called for hospital bosses to limit their pay rises to the same one per cent increase being received by frontline NHS staff this year.

The trust says management pay increases were introduced because of a large increase in workload when community services in Gateshead and Sunderland became part of its remit.

 Trust chief executive Lorraine Lambert saw her salary increase by 19 per cent – from between £160,000 and £165,000 to £185,000 to £190,000.

Mike Robson, executive director of finance and corporate governance, saw his salary swell from between £115,000 and £120,000 to £120,000 to £125,000

Chief operating officer Helen Ray left her post in March last year but saw her final salary rise from between £105,000 to £110,000 to £115,000.

Fellow senior executives Steve Jamieson and Elaine Criddle enjoyed £5,000 pay boosts over the same period.

Trevor Johnston said:

“It is absolutely shocking and disgusting. These people have their own remuneration committee and award themselves big pay rises when frontline staff get very little.

“What conscience do they have when frontline staff got a one per cent rise for the coming year? Executives should be taking a one per cent rise as well.

“It is the frontline staff that are delivering services to patients.”

Health workers had planned to strike in January after the Government initially rejected a one per cent pay rise proposal by the NHS pay review body for England but the protest was called off to allow fresh negotiations to take place.

Glenn Turp, northern regional director for the Royal College of Nursing, says pay increases for health staff such as nurses and midwives is failing to keep up with those given to hospital management.

Mr Turp said:

“Our research showed that the amount spent on executive directors had increased by an average of six per cent, compared to a 1.6 per cent rise in earnings for nurses, midwives and health visitors.

“Nurses are continuing to feel the effects of austerity and the impact of the Government’s decision not to award them a pay increase for the last five years. Now is the time for more fairness and better pay for all NHS staff.”

Ian Frame, the trusts’s executive director of personnel and development, said:

“In July 2011, our Trust incorporated the community services from Sunderland and Gateshead into our organisation and, in doing so, doubled the size of the workforce, the operational turnover and the complexity of services provided.

“During 2012 we commissioned an external independent remuneration company, to compare the salary scales of managers who have Trust-wide responsibilities, with managers in other Trusts of comparable size and complexity. The outcome was that the existing salary scales were significantly less than our comparators.

“A revised salary scale was approved by the Trust`s Remuneration Committee (comprising Non-Executive Directors only), which accounts for the increases published in the Annual Reports, though the committee opted to phase the increases over a four year period, in order to reduce the immediatel financial impact.

“Executive director annual inflationary salary increases are directly linked to the national NHS pay awards, so they receive exactly the same inflationary increase as all other staff. Had the organisation not doubled in size and complexity, then the published increases would not have happened.

“Irrespective of the increases, South Tyneside NHS Foundation Trust chief executive and executive directors’ salaries are amongst the lowest in the North East.”

Outgoing Hospital boss Lorraine Lambert enjoyed a £25,000 pay boost in just one year – as “compensation” for withdrawing from an NHS pension scheme.

South Tyneside Hospital Foundation Trust says she had not been given a basic salary increase or bonus payment, but had received a lump sum payment after withdrawing from the NHS pension scheme.

A trust spokeswoman confirmed:

“As stated in our annual report, it was agreed that she should receive a compensatory sum equivalent to the employers’ pension contributions no longer payable due to her withdrawal from the pension scheme.

“We can confirm that this compensatory sum, which is taxable, is the sole reason for the total remuneration shifting into the higher banding and there was no additional cost to the trust.”

Mrs Lambert will retire from her role as chief executive of the trust in September.

Mrs Lambert has spent 20 years at South Tyneside District Hospital, in South Shields, with the last 18 in her current position.

Source – Shields Gazette, 13 Mar 2015

North East health bosses’ ‘disgraceful, demoralising’ pay rises condemned

Health bosses at a North East health trust have been awarded huge pay rises despite frontline nurses struggling to get an across the board 1% increase.

Senior members of staff at Northumberland, Tyne and Wear NHS Foundation Trust, which runs mental health services in the region, have seen their wages hike by up to 9.5% in the last two years.

Northumberland, Tyne and Wear NHS Foundation Trust is currently undergoing significant change with its Transforming Services Programme which could see as many as 169 posts reduced under radical plans to change the way that care is delivered to vulnerable patients.

Former chief executive of the trust Gillian Fairfield, who left her post at the end of March this year, saw her salary rise the most from £182,700 in 2012/13 to £200,000 in 2013/14, a boost of £17,300.

Meanwhile, Lisa Quinn, executive director of performance and assurance, and Elizabeth Latham, former director of workforce and organisational development, had pay rises of 5.5%, with both their wages jumping from £100,000 to £105,500.

Nurses’ leaders and MPs have reacted with anger as the wage boosts come at a time when not all frontline NHS staff are being given a 1% rise. While some nurses and health care assistants will still get their incremental pay increase, which rewards experience and skills learnt after a length of service, many will not be entitled to the rise.

The Government has insisted it cannot afford a general pay increase without putting frontline jobs at risk.

Glenn Turp, Royal College of Nursing Northern Regional Director said: “We are very concerned to learn that Northumberland, Tyne and Wear NHS Foundation Trust awarded such a significant pay rise to Gillian Fairfield. When it comes to pay, it seems we are seeing one rule for NHS chief executives, and another for frontline nursing staff.

“Less than half of nursing staff at the top of their pay increment will get a paltry 1% pay rise this year, following three years of pay restraint. The rest will simply get what they are contractually entitled to, if they can demonstrate they have developed their skills in the previous year.

“And we know that, once inflation is factored in, NHS salaries have in fact been cut between 8% and 12% in real terms, between the period 2010 and 2014. A band three health care assistant working on the frontline earns £16,200 a year; less than this chief executive was awarded as a pay rise in one year. It’s disgraceful and demoralising for frontline workers.”

Health chiefs have insisted that since Northumberland, Tyne and Wear became a foundation trust in December 2009, executive directors had more responsibility and this was reflected in their salaries.

Chairman of the trust, Hugh Morgan Williams, said: “When a NHS trust gains foundation trust status it acquires a significant amount of managerial and financial freedom and a degree of independence from the Department of Health.

“Individual executive directors of the organisation therefore gain more responsibility, which you would expect to be reflected in their remuneration, amongst other things, due to the complexities of responsibilities directors have to undertake.

“Northumberland, Tyne and Wear became a foundation trust on December 1, 2009, and it had been agreed to commission an external review on authorisation as a foundation trust. This review was deferred on several occasions and took place during 2013/14. There was a commitment to back date any increases to the date of achieving Foundation Trust status and this commitment has now been honoured.”

Newcastle East MP Nick Brown said pay restraint in the NHS should be the same for everyone. He added: “If exceptions are to be allowed, we should start with those who are the least well-paid. There is no excuse for breaching the public sector pay policy just for those who are already amongst the highest paid.”

Dr Fairfield now works at Pennine Acute Hospitals NHS Trust and was unavailable for comment.

Northumberland, Tyne and Wear NHS Foundation Trust’s executive directors pay

Gillian Fairfield, former chief executive

Salary 2012/13: £182,700

Salary 2013/14: £200,000

% change: 9.5

James Duncan, executive director of finance and deputy chief executive

Salary 2012/13: £125,000

Salary 2013/14: £126,250

% change: 1%

Gary O’Hare, executive director of nursing and operations

Salary 2012/13: £107,124

Salary 2013/14: £109,800

% change: 2.5

Elizabeth Latham, former director of workforce and organisational development

Salary 2012/13: £100,000

Salary 2013/14: £105,500

% change: 5.5

Lisa Quinn, executive director of performance and assurance

Salary 2012/13: £100,000

Salary 2013/14: £105,500

% change: 5.5

Lisa Crichton-Jones, acting director of workforce and organisational development

Salary 2012/13: n/a

Salary 2013/14: £105,500

% change: n/a

 

Source –  Newcastle Journal, 17 July 2014

Nurses’ leaders have branded North East health bosses’ pay rises a “disgrace”

Health trusts’ chief salaries have increased by up to 13% in the North East, new figures have revealed.

Freedom of Information requests to NHS trusts have shown that the amount paid to executive directors over the last two years has increased by anything up to £25,000 compared to just a 1.6% rise in earnings for nurses, midwives or health visitors.

Nurses’ leaders in the region have hit out at the pay rises, which come a time when not all frontline NHS staff are being given a 1% hike in wages.

The findings of the Royal College of Nursing’s report – All in it together? The Executive pay bill in England’s NHS – shows that the chief executive of Gateshead Health NHS Foundation Trust, Ian Renwick, saw his wages rise by up to 13% from £185,000-£190,000 in 2011/12 to £205,000-£210,000 in 2012/13.

Meanwhile, figures for Northumbria Healthcare NHS Foundation Trust’s chief executive, Jim Mackey, suggests that his salary rose by 9% from £225,000–£230,000 in 2011/12 to £240,000–£245,000 in 2012/13. However, the health trust has insisted that the findings are incorrect and there has been no pay increase as the rise relates to pension contributions.

Glenn Turp, Northern regional director of RCN said: “When it comes to pay, we are seeing one rule for NHS chief executives, and another for frontline nursing staff. The staggering inequity of the way NHS staff are being treated is completely unacceptable. So much for us all being in this together.

“A band three health care assistant earns between £16,200 and £19,200. But apparently, unlike NHS chief executives, the Government doesn’t think they are worth a pay rise. It’s disgraceful.”

The FOI figures come at a time when the Government has failed to honour a 1% pay rise to all frontline NHS staff this year.

Susan Johnson, 47, of Killingworth, a senior sister in critical care at North Tyneside General Hospital said: “It is a huge kick in the teeth. Day-to-day most staff are being asked to do a little bit more and we are going that one step further to continuously develop our skills. Yet chief executives are getting significant pay rises. It is demoralising for frontline staff.”

A spokesperson for Gateshead Health NHS Foundation Trust said: “The salaries of our chief executive and of all our executive directors are decided by an independent nominations and remuneration committee and this is to ensure they are in line with publicly available salary benchmarking information.

“As one of the country’s top performing NHS Foundation Trusts, it is important that those with ultimate accountability are remunerated appropriately so that we can retain the very best health care leaders in the North East NHS.”

Northumbria Healthcare NHS Foundation Trust said that, along with the rest of its staff, no director has had an increase in pay since a pay freeze was implemented in 2011/12.

A Department of Health spokesperson said: “NHS Trusts, Foundation Trusts and clinical commissioning groups set pay for their very senior managers.

“We have an available budget of nearly £1bn for pay increases. We have offered to look at any proposal the unions make on how to use this money. However they have not put forward any proposals to help the lowest paid. Our door remains open if they wish to reconsider their position.

“The RCN’s figures should be used with caution – they have included exit packages for executive directors but not nurses. In fact, the latest independent evidence shows that for the third year running, there was no increase in median executive board pay.”

Source – Newcastle Evening Chronicle,  17 June 2014

Health care staff protest outside Newcastle hospital over low pay for NHS employees

Frontline nurses and health care assistants gathered in the region this morning to protest against pay conditions.

Scores of NHS staff joined prominent MP Nick Brown outside Newcastle’s Freeman Hospital to show their anger at the Government’s failure to honour a 1% pay rise this year.

After three years of pay freezes and pay restraint, Chancellor George Osborne had said a 1% pay rise across the board was “affordable” from April this year. However, the Government then controversially reneged on this promise.

While some nurses and health care assistants will still get their incremental pay increase, which rewards experience and skills learnt after a length of service, many will not be entitled to the rise.

The Government has insisted it cannot afford a general pay increase without putting frontline jobs at risk.

Glenn Turp, Royal College of Nursing Northern Region regional director, said: “Nurses are working very hard and the number of people at our protest shows how angry our members are.

“It is baffling that the Chancellor said the Government could afford a 1% pay rise across the board and then that was reneged on. It makes no sense.

“What the NHS cannot afford to do is continue a policy of treating hard working and loyal staff with contempt, at a time when morale is at an all time low and trusts around the country struggle to retain and recruit enough nurses to maintain safe staffing levels.

“We see this as being a year long campaign leading up to the general election.”

Nurses, doctors, physiotherapists, paramedics, hospital cleaners and other NHS staff took part in demonstrations throughout the country.

Newcastle East MP Nick Brown said: “The Government’s continuing public sector pay restraint is not fair and not sustainable. It is particularly unfair on nurses and other low paid workers in the NHS.

“I completely support the Royal College of Nursing, hospital staff look after us in our time of need and we must stand up for them. It is important that the public understands just how shabby the Government is in treating key health service workers.”

Staff nurse Grace Onuoha, 53, of Walker, Newcastle, had just finished a night shift for Northumberland, Tyne and Wear NHS Foundation Trust when she attended the protest.

The mum-of-three said: “It is very disappointing that there is not an across the board pay rise as we are working hard and doing a lot yet receiving nothing in return. It feels like we have been given a slap in the face by the Government.

“Morale is extremely low among staff as we are doing more and getting less. My pay is exactly the same as it was in 2009 despite the rise in the cost of living.”

The TUC, representing 14 health unions, said its research showed that health staff in England were “donating” £1.5bn worth of unpaid overtime every year.

Unions said that by 2015/16 NHS staff would have had their pay capped for six years. Pay was frozen in 2011 and 2012, and limited to 1% last year.

Susan Johnson, 47, of Killingworth, a senior sister in critical care at North Tyneside General Hospital, said: “It is frustrating because we work so hard and my concern is that we will put off future generations from joining the profession as nursing staff struggle with unsociable hours and are not very financially rewarded.”

The Department of Health said it was saddened by the health unions’ reaction to reject the pay offer. A spokesperson said: “NHS staff are our greatest asset.

“That’s why at a time of severe funding restraint we have been clear that they should receive at least 1% additional pay this year and next.

“We cannot afford a general pay rise on top of incremental pay increases of up to 6% without risking frontline jobs and safe staffing levels.

“We are disappointed that the unions rejected our offer to discuss any alternative proposals on pay, within an available budget of nearly £1bn.

“However, our door remains open if they wish to reconsider their position.”

Source – Newcastle Evening Chronicle,  05 June 2014

Fears for mental health patients as 150 jobs go at North East health trust

Fears have been expressed for some of the region’s most vulnerable patients after it emerged more than 150 frontline NHS posts will be cut.

As many as 169 posts at Northumberland, Tyne and Wear NHS Foundation Trust will be lost under radical plans to change the way that care is delivered to mental health patients.

Nurses are set to be the worst hit, though a total of 867 employees will be affected as staff may be required to change their place of work or undergo different shift patterns.

Plans put forward for consultation will see wards close, services relocated and the development of new units as the trust aims to reduce costs by 20% over a five-year period.

Health chiefs have insisted that the changes will significantly improve patient services, but staff and unions have raised fears over employees’ safety and future staffing levels.

Glenn Turp, regional director for the Royal College of Nursing, said: “Trust management have told us that although they are endeavouring to redeploy all of the staff who are affected by the restructuring, they can not give guarantees that all staff will be redeployed, and as a consequence they have issued ‘advance notice of redundancy forms’ affecting around 170 staff.

“The fact remains that local NHS employers are in the invidious position of having to make huge cost savings that are not deliverable without having a negative impact on patient care, frontline staffing and inpatient activity.”

Thirteen new schemes will be introduced across the region covering all aspects of mental health, including older people’s services, psychiatric intensive care and male high dependency.

Community services will be enhanced so that fewer people will require hospital admission.

It is believed that more than 90 beds will be reduced and new ways of accessing treatment introduced for those with psychosis, non-psychosis, cognitive disorders and learning disability.

A mental health nurse, who has asked not to be named, said: “A number of challenging patients who used to be managed within the hospital setting are now going to have to be cared for in the community.

“Without significant additional investment in community services and staff, this will put significant pressure on both the patients themselves, and their families who will be increasingly relied upon to provide support when NHS staff are not available.

“For those patients who do not have a supportive family network, this may put both their health and safety at risk.

“The public should be concerned about the scale and the nature of this restructuring, because it looks as if community care is being delivered on the cheap. That has implications for everyone.”

The trust is currently working with staff on the proposals and a number of public consultation events have taken place. It is expected that the changes will come into force within the next two to three years.

A spokesperson for Northumberland, Tyne and Wear NHS Foundation Trust said: “Service users, carers, the voluntary sector and our commissioners and local authorities have been involved for many months in developing our plans for mental health services across Northumberland, Tyne and Wear.

“The vast majority of our services are provided in the community with only 3% of our patients ever needing to go to hospital, yet we spend more than 50% of our resources for services on our inpatient beds.

“Our aim is to improve quality in both our inpatient and community services whilst at the same time meeting the cost savings required of us.

“In terms of our inpatient beds, the trust currently has over 650 beds and as an example, in the last three weeks we have used in the order of 470 beds each day.”

Source – Newcastle Journal  23 April 2014

North East NHS managers get pay rises as nurses’ salaries cut in real terms

Health chiefs have received pay rises of up to 17% while nurses and health care assistants experience real term cuts topping 12%, a union has revealed.

Analysis of senior executive NHS pay by the Royal College of Nursing (RCN) has shown that bosses at hospital trusts in the region were awarded salary increases averaging 10.5% between 2010 and 2013, while mid-band nurses managed a paltry 0.1%. Taking into account inflation some suffered a real terms cut of 12%.

Health Secretary Jeremy Hunt previously warned that health service employees would face a pay freeze until March 2016 and that they might not get the 1% promised for 2014 unless unions accept greater pay restraint.

Glenn Turp, regional director for the RCN northern region, said: “Frontline nurses and health care assistants have already borne the brunt of the Government’s pay restraint policy over many years. And we know that, once inflation is factored in, NHS salaries have in fact been cut between 8% and 12% in real terms, between the period 2010 and 2014.

“The Chancellor promised to deliver a 1% pay rise this year for the front line, but the Secretary of State for Health is now trying to introduce a further pay freeze until March 2016.

“This is completely unacceptable. It is particularly galling that the Government is quite happy for NHS managers to get significant pay rises, while at the same time, the front line takes another hit.

“A 1% pay increase is a perfectly reasonable and proportionate request, particularly when put in the context of the rises in senior managers’ pay. The Government needs to stop having one rule for the frontline nursing staff, and another for senior bosses.”

The RCN northern region compared the salaries of chief executives across all North East trusts for the financial year 2010-11, with the most recent financial year data available, 2012-13.

Ian Renwick, chief executive of Gateshead Health NHS Foundation Trust, received the largest pay rise of 17% as his wages jumped from £190,000 to just under £223,000.

Jim Mackey from Northumbria Healthcare NHS Foundation Trust saw his salary rise 9%, from £211,000 to £230,000.

Newcastle Hospital’s NHS Foundation Trust’s chief executive, Sir Leonard Fenwick, is paid the most at £246,000, although the trust has insisted he has had no pay rise in three years, despite the RCN suggesting he had received a 6% increase.

A spokesperson for Gateshead Health NHS Foundation Trust said: “The salaries of our chief executive and of all our executive directors are decided by an independent nominations and remuneration committee and this is to ensure they are in line with publicly available salary benchmarking information.

“As one of the country’s top performing NHS Foundation Trusts, it is important that those with ultimate accountability are remunerated appropriately so that we can retain the very best healthcare leaders in the North East NHS.”

Figures show that a mid-band 5 nurse salary in the North East increased from £23,563 in 2010/11 to just £23,589 in 2012/13, a rise of just 0.1%. In 2011-12 a pay freeze was implemented by the Government to NHS staff earning more than £21,000.

A spokesperson from Northumbria Healthcare NHS Foundation Trust said: “The remuneration of our leadership team is decided independently to make sure that salaries are in line with those of other high performing NHS organisations.

“To be clear, however, along with the rest of our staff, no director at Northumbria Healthcare has had an increase in pay since the pay freeze was implemented in 2011/12.”

Last night, the Department of Health defended its decision to limit pay rises for NHS frontline staff.

A spokesperson said: “The NHS is rightly playing its role in public sector pay restraint.

“Average pay has increased by around 1%. Despite this, many NHS staff continue to be well paid for the lifesaving work they do and the majority of staff have received additional incremental pay increases of up to 6%.

“The number of admin staff, managers and senior managers in the NHS has fallen by over 21,000. This will lead to a significant reduction in managers’ costs.”

Source – Newcastle Journal  03 Feb 2014