Nurses fear wage cuts over debt crisis at University Hospital of North Staffordshire

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Wednesday, December 05, 2012
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The Sentinel

HEALTH workers fear their salaries could be slashed to help ease spiralling debts at Staffordshire's biggest hospital.

Nurses have raised concerns as the University Hospital of North Staffordshire faces major financial problems, with auditors revealing its overspend could increase to a staggering £37million.

  1. Healthwatch coordinator Ian Syme

    Jobs fear: Healthwatch co-ordinator Ian Syme

But despite the bleak figures, union leaders have vowed to fight any attack on the wages and conditions of the Hartshill unit's workforce of more than 6,000 staff.

A month after forecasting that the hospital would break-even, its directors are now predicting debts of £9.8 million by March.

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That defies a directive from Whitehall for the hospital to have retained a surplus of £2million.

And officials admit they will only be able to keep the deficit to £9.8 million if they receive a £14 million bale out.

They are pleading for the cash from the regional strategic health authority and two primary care trusts which commission most UHNS services.

As the crisis deepened, finance director John Maddison suddenly left the trust this week just 11 months after being appointed.

Health campaigners claim the crisis will put hundreds of jobs at risk.

Healthwatch co-ordinator Ian Syme said: "The only way to save £10 million is job cuts and it is the equivalent to 300 nurses' salaries."

But Unison leaders representing thousands of UHNS staff hoped no posts would go as many nurses have already been put on lower pay grades following a review last year.

Branch secretary Rob Irving said: "There is still room to reduce the growing number of managers but if nurses go, patients will be at risk and I can't see that happening. Instead they could look at cutting pay and conditions but that will cause uproar and be fought all the way."

The black hole emerged from Mr Maddison's finance report he had been due to give to a meeting of the trust's directors on Friday.

The report blames:

The extra costs of coping with an 11 per cent increase in patients attending A&E.

Fines of millions of pounds for keeping patients waiting too long and the loss of incentive payments for missing performance targets;

An over-reliance on doctors and nurses from agencies.

Rising monthly payments for private finance initiatives behind the financial structure of the new superhospital.

Mr Maddison's report states: "Even assuming additional income and external support of £14 million to cover the additional beds and staffing needed for increases in A&E attendance and emergency admissions, together with further projected increases over the winter, we forecast a deficit of £9.8million against a planned £2 million surplus."

Auditor Mark Stocks' report blamed the PCT-led Fit for the Future Programme for failing to reduce A&E activity – and uncertainty over the future of Stafford Hospital. He said: "The Trust continues to operate at a significant recurrent deficit, estimated as between £25million to £37million."

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  • Profile image for Pepper09

    by Pepper09

    Friday, December 14 2012, 6:15PM

    “...and how long ago was it that staff were not paid in the couple of months running up to Christmas?”

  • Profile image for MightyMacc

    by MightyMacc

    Thursday, December 06 2012, 11:44AM

    “certain staff - says it all really. ie; a certain handful who are in the minority and may benefit. Rather than; "we're entitled to a free ipad who wants one ? we may aswell as they are on offer" because that is the case in a lot of areas.”

  • Profile image for Rob_Irving

    by Rob_Irving

    Thursday, December 06 2012, 11:12AM

    “MightyMacc - I don't know about the Christmas tree, but i too thought the same thing about ipads until i saw the bigger picture. By allowing certain staff to carry ipads, it enables them to take documents to meetings in electronic form, and not print off reams and reams of paper. Ensuring the trust is better equipped to meet its sustainability targets. It also allows the trust to cut down on the number of printers it has, saving costs on that hardware and the associated wallport costs in the new hospital.”

  • Profile image for MightyMacc

    by MightyMacc

    Thursday, December 06 2012, 9:30AM

    “Is this the same NHS who have allegidly paid £5000 to rent a xmas tree to put in the foyer of the new build and also waste money left right and centre on buying consultants and some secretarys, nurses ipads (not because they need them but because they can!!)”

  • Profile image for atriskNurse

    by atriskNurse

    Wednesday, December 05 2012, 10:36PM

    “here we go again, Nurses and Patients will bear the brunt of cuts caused by inadequacy of managers and the massive underfunding of the NHS by the government ..
    dedicated staff already do many extra hours here and there unpaid - yet no doubt they will be the ones who are left even more out of pocket .

    Demoralised just doesn't even cover it !”

  • Profile image for Rob_Irving

    by Rob_Irving

    Wednesday, December 05 2012, 11:41AM

    “The frustrating points of this report is that it blames ...

    "An over reliance on Drs and nurses from agencies"... When the nursing management of change was first announced Unison confronted management about the plans and warned that reducing nursing numbers and cutting grades would lead to an exodus that would put patients at risk. We were readily dismissed and told the plans would work.But an exodus is exactly what happened and paying through the nose for agency staff was the result, but who is accountable?

    "The Fit For The Future programme for failing to reduce activity" ...... Again we warned that a bigger hospital with fewer beds was madness, that projected moves of services from secondary to primary care wouldn't materialise and that would lead to a bed crisis. lo and behold the PCTs have failed to come up with the goods and UHNS has been forced to keep open 3 additional wards at huge extra cost. Nobody listened but who takes responsibility?

    "Rising monthly payments for private finance initiatives behind the financial structure of the new superhospital" .... Vehemently opposed by the unions on the grounds that it would be financially crippling and lead to substandard services being provided by private firms tied into the contracts. We may have a new super hospital but paying for it is crippling the trust and who will ultimately suffer? The staff and the patients of North Staffordshire.

    "Fines of millions of pounds for keeping patients waiting too long and the loss of incentive payments for missing performance targets"..... Politicians at the highest level need to open there eyes and realise that an NHS driven by a target culture and financial penalties is failing. We need to move away from those methods which only succeed in driving trusts further into the red, and return to a healthcare system that recognises the capacity of the service and concentrates on what is best for the patient ahead of anything else.”

  • Profile image for stokeandvale

    by stokeandvale

    Wednesday, December 05 2012, 9:19AM

    “Pen pushers, not nurses.”

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