Hospital "must look to cut costs"

SALISBURY District Hospital must look to cut costs in the face of competition from the private sector, according to interim chief executive Peter Hill.

While staff and unions protested against possible pay cuts outside the hospital’s annual general meeting held at Salisbury Arts Centre on Monday, Mr Hill said they had to look at all options to reduce spending.

Unions are angry the hospital has joined a consortium of 20 south west trusts that will look at ways to reduce the £113million wages bills, which accounts for 62 per cent of its budget.

But the packed meeting heard the hospital needs to save more than £9million a year and must consider all ways to cut costs.

“The challenges are huge and we risk that services traditionally offered by a local hospital will be provided by private sector companies with lower staff costs,” said Mr Hill.

“We have joined a consortium of 20 trusts to look at terms and conditions – including for hospital executives – and there were many others that wanted to join because they face similar pressures.

“We are not going to rush in and do something stupid; we are aware we need the quality staff we have to continue to offer the quality care we provide but in an affordable way and for precisely that reason we must explore these options.

“Nothing has been decided and staff will be consulted fully throughout the process.”

Finance director Malcolm Cassells added: “The past three years have been exceedingly challenging financially.

“Our surplus is too small to give real financial flexibility – it would be nice to move all departments out of the old buildings but the capital funding isn’t there.

“In order to sustain safe high quality services for patients we need to increase efficiency and this will include reducing staffing costs and ensuring in-patients are only in hospital as long as clinically necessary.”

But staff from a range of hospital departments protested outside the meeting as hospital executives, board members and the public arrived.

The demonstration was organised by public sector union Unison and the Royal College of Nursing, and follows a 1,500 signature petition opposing the trust’s involvement in the pay consortium handed to Mr Hill last week.

“We feel now is the time to make our voices heard,” said Mark Wareham from Unison.

“Hardworking staff are feeling concerned, undermined and frustrated. “They want answers and so far they haven’t got them.”

Comments(10)

karlmarx says...
6:15pm Tue 25 Sep 12

It's a shot in the dark but, my guess is that nearly all staffing cost cutting will be at 'hands on' patient care level.
Strange how the 4% pay rise these people 'awarded' themselves isn't deemed to be part of the 'staffing costs'.

'we're all in this together'!
Some more than others it seems.

rantone says...
8:08pm Tue 25 Sep 12

A positive AGM of the Salisbury H Trust on Monday evening in many ways. Excellent presentations from the four Departments. A little more on the 320 complaints noted on page 4 of the screen pictures could have given some reassurance to future policy.Good questions at the end, but perhaps the repetive similar question only was ever only to receive a set answer - this given very sincerely by the Board Members.The Union will have local support if job losses are made, but HM Government is the body to protest to at the present time. The savings are being forced on the Trust and from the annual report all avenues have and will be addressed.The next year will be extremely difficult, the sooner a decision on a Chief Ex is made the better - or stick with Mr Hill. They may be on a good salary, but I for one do not envy the problems they face in 2013. I wish them and all the staff well.

karlmarx says...
5:55pm Thu 27 Sep 12

"They may be on a good salary"
£150,000 a year = a good salary?
understatement of the century!

"but I for one do not envy the problems they will face in 2013"

Problems on £150,000 a year? How about those at patient care level on £11,000 to £16,000 a year that will have 15% of this stolen?

The South West pay cartel is NOT recognised by anyone except the South West pay cartel. A small selection of those who do not recognise the cartel...
Royal college of Nursing
Every union
British Medical Association
Royal College of Midwives
The Liberal Democrats (weren't they part of a 'coalition' once?)

I understand that the staff at the patient care level, i.e all those who do shift work, have already started to research their contingency plans in response to the attacks on their pay by the £150,000 a year brigade.
Among others these include leaving the NHS altogether, joining agencies (3 times the hourly rate they get now). Moving to London, Australia, New Zealand, Canada, USA, Gulf States etc... Or taking similarly low pais jobsoutside the NHS without the stress, hastle, abuse and fear.
I really do fear for the safety and well being of patients at salisbury Hospital when it looks as if the staff who will be caring for them are agency staff bussed in from as far away as London, Kent, Wales, Luton, Milton Keynes etc... and on one occasion Scotland!

PenfoldLou says...
11:25pm Thu 27 Sep 12

Karlmarx have you ever worked for the NHS? I did for a few years and worked out that they needed to plough more money into training British nurses and get rid of many of the 'non clinical' roles, plus stop using over expensive agency staff but did they do it?
The other factor to consider is that due to the fantastic progress made by medical science we now have people living for longer and many more people around than when the system started; plus more people on benefits so they cannot contribute. So how on earth is the NHS meant to cope?
I am not making excuses for them but they have to do their jobs. As wrong as this sounds it is not their fault if they are offered a job and someone says you wil get paid £150,000 (and I have to say I would not want their job for all the money in the world).
Salisbury District Hospital is not the worst place in the world. Lets just hope the situation improves.

karlmarx says...
1:07am Fri 28 Sep 12

Great points PenfoldLou but, cutting the wages of staff who are already totally demoralised and exhausted isn't going to do Salisbury hospital any favours in the popularity stakes. That's only my opinion of course and, who knows, perhaps starving an engine of fuel does increase its performance, we shall see I guess.
All the points you made are very valid and apply to the situation most NHS trusts find themselves in.

PenfoldLou says...
1:25pm Fri 28 Sep 12

Thanks Karlmarx. What you say is right cutting the wages will do no good for morale and I do fear the situation will only get worse; as much as I would like to be optamistic.
This type of thing is across the board, most companies are making redundancies, cutting costs, etc.

I fear we are now paying the consequences for living the last 40 or so years of paying for things via credit. We have never caught up.

Plus paying for lots of people to go to university who just went for the ride (obviously I am referring to times before you had to pay fees).

The lsit is endless......

karlmarx says...
6:44pm Fri 28 Sep 12

Agreed, it's not as if the staff are working for a company making cakes or windows. Peoples lives depend on the staff at the hospital and, I'm sure they don't do the work simply for the money.
Yes, it would be a sad day for the NHS when a credit check was needed before treatment could be administered. I hope it never comes to that as there is a growing population of weak and vulnerable people, elderly, young, less abled etc... I don't mind paying my way and helping others less fortunate, it's what makes us human.
If only we could prevent those who avoid paying taxes from getting away with it.

aldonreaper says...
10:14pm Sun 30 Sep 12

whilst departments in this hospital are run as a business they stand no chance of success PFI buildings costing millions to run will always make these areas impossible to succeed, so to pay the PFI mortgages we the low paid with no prospects are the ones that will suffer, some who will no longer be able to afford the bus fare to get to work will be classed as the natural wastage avoiding redundancies, and i see 2 new jobs advertised £13000 per year for a director to work 4 days a month, so that is one nurse gone to be replaced by another advisor (48 days a year) I give up

karlmarx says...
1:31pm Mon 1 Oct 12

It's a sad fact that those working in the engine room of the NHS are being driven away in exchange for more captains on the bridge, as pointed out above. Eventually HMS National Health Service will become too top heavy and capsize and sink without a trace.
Sad to see it go this way :-(

karlmarx says...
7:05pm Mon 1 Oct 12

It would be nice to see our local MP, Mr Glen, showing support for his local constituents.
We shall see

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