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-   -   The Naylor Report... selling NHS assets ASAP (https://www.cableforum.uk/board/showthread.php?t=33704961)

Taf 01-06-2017 12:07

The Naylor Report... selling NHS assets ASAP
 
The Naylor Report

http://www.youtube.com/watch?v=tx3hrpDCct8

:mad::mad::mad::mad::mad::mad:

Damien 01-06-2017 12:38

Re: The Naylor Report... selling NHS assets ASAP
 
errr?

RizzyKing 01-06-2017 12:47

Re: The Naylor Report... selling NHS assets ASAP
 
That link took me to some Brazilian video so nothing to do with the nhs.

Taf 01-06-2017 13:11

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by Damien (Post 35901336)
errr?

DOH! at my end, fixed now.

---------- Post added at 13:10 ---------- Previous post was at 13:10 ----------

Quote:

Originally Posted by RizzyKing (Post 35901338)
That link took me to some Brazilian video so nothing to do with the nhs.

DOH! at my end, Fixed now.

---------- Post added at 13:11 ---------- Previous post was at 13:10 ----------

I sent the link to several national newspaper, SIX have contacted me asking for more info.

ianch99 01-06-2017 13:37

Re: The Naylor Report... selling NHS assets ASAP
 
Disgraceful ... thanks for the find ..

Has TM just given Jeremy more ammunition?

nomadking 01-06-2017 13:45

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by ianch99 (Post 35901351)
Disgraceful ... thanks for the find ..

Has TM just given Jeremy more ammunition?

What find?

An INDEPENDENT report with SUGGESTIONS, published 2 months ago.

Mr K 01-06-2017 14:04

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by nomadking (Post 35901352)
What find?

An INDEPENDENT report with SUGGESTIONS, published 2 months ago.

The PM said she's ' backing it's proposals' in her Andrew Neil interview. It's about flogging off NHS assets to the private sector.

nomadking 01-06-2017 14:38

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

This work suggests that the NHS can release £2bn of assets and deliver 26,000 homes and with an effective programme of interventions in high value propositions in London, this could significantly increase the property receipts to a figure exceeding £5bn in the longer term.
Quote:

Despite the fact that gross proceeds will in many cases be subsumed in reprovision costs, this investment could dramatically reduce backlog maintenance and will produce a fit for purpose, more cost efficient estate, which enables better patient care.
How evil can you get?:rolleyes:

Quote:

11) At a minimum, the Department of Health (DH) and HM Treasury (HMT) should provide robust assurances to STPs that any sale receipts from locally owned assets will not be recovered centrally provided the disposal is in agreement with STP plans. This report recommends that HMT should provide additional funding to incentivise land disposals through a “2 for 1 offer” in which public funds match disposal receipts.
IE not only do they keep the money, for every £1 they raise they get an extra £1 in funding.

Quote:

14) Land vacated by the NHS should be prioritised for the development of residential homes for NHS staff, where there is a need. The NHS Property Board should support this.

ntluser 05-06-2017 20:15

Re: The Naylor Report... selling NHS assets ASAP
 
Though the government often says we are spending more money than previously on the NHS perhaps we need to ask how we are spending it and if there are better ways to get value for money.

RizzyKing 05-06-2017 22:49

Re: The Naylor Report... selling NHS assets ASAP
 
The NHS is like all government departments wasting vast sums of money that could be better spent and should be better spent but it's been going on so long it's become an unquestioned culture.

Osem 11-06-2017 15:13

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by RizzyKing (Post 35901838)
The NHS is like all government departments wasting vast sums of money that could be better spent and should be better spent but it's been going on so long it's become an unquestioned culture.

... and of course those wasting the money have every reason to blame someone else, especially a government which is trying to make savings which might cost them their jobs.

richard1960 11-06-2017 15:21

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by RizzyKing (Post 35901838)
The NHS is like all government departments wasting vast sums of money that could be better spent and should be better spent but it's been going on so long it's become an unquestioned culture.

Perhaps you could tell us where this waste is as working in the NHS these last few years I have seen cut back after cut back in services such as mental health.

And cash going to private PFI companies as well as virgin healthcare taking huge amounts of cash as sercives are privatised,still at least the private sector does not waste cash right.?

And a vast increase on people needing social care farmed out to the oh so efficient private sector paid for out of public sector funding .

Ramrod 11-06-2017 15:28

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by richard1960 (Post 35902800)
Perhaps you could tell us where this waste is

*sigh* I'll post this link again.
fyi: http://www.bbc.co.uk/programmes/b087rx6b

Osem 11-06-2017 15:29

Re: The Naylor Report... selling NHS assets ASAP
 
How about the issuing of wholly unnecessary appointments generate an solely to achieve targets? Then there's all that purchasing which is ridiculously expensive and should be centralised to achieve economies or scale. In an organisation the size of the NHS it's as ridiculous to assume that there's no scope for efficiencies as it is to claim that certain areas such as social care aren't a huge problem and extra cost for the NHS. Agency nursing costs would be another huge area of waste.

1andrew1 11-06-2017 15:38

Re: The Naylor Report... selling NHS assets ASAP
 
Worth reading this fact-checking piece https://fullfact.org/health/what-is-naylor-review/

richard1960 11-06-2017 15:41

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by Ramrod (Post 35902804)
*sigh* I'll post this link again.
fyi: http://www.bbc.co.uk/programmes/b087rx6b

The NHS is facing a sustained squeeze. An ageing population, the rising cost of new treatments and increasing patient demand on the one hand, and the impact of continued austerity on the other. What can it do?One answer might lie in improving productivity. In the first of two programmes on the NHS, Louise Cooper explores its productivity puzzle. What does increased productivity look like in the health service? She meets clinicians, across the country, who are trying to do more for less. Can their efforts be replicated across the NHS? And, if so, will it ever be enough?
Presenter: Louise Cooper
Producer: Rosamund Jones.…


Doing more for less is something I am familier with the trust I work for sometimes only has two HCAs on for a ward of 26 people , getting them up fed,washed,dressed and out,and the patients sometimes have dementia as well as there are not enough beds in mental health units for them.

Lots of trusts such as University NHS trusts get one pot of money a year from the government and no more if they run out, efficiencies in these trusts as nearly reaching optimum level believe me.

We as the article says are already doing our best to do more for much less.

---------- Post added at 15:41 ---------- Previous post was at 15:39 ----------

Quote:

Originally Posted by Osem (Post 35902805)
How about the issuing of wholly unnecessary appointments generate an solely to achieve targets? Then there's all that purchasing which is ridiculously expensive and should be centralised to achieve economies or scale. In an organisation the size of the NHS it's as ridiculous to assume that there's no scope for efficiencies as it is to claim that certain areas such as social care aren't a huge problem and extra cost for the NHS. Agency nursing costs would be another huge area of waste.

Now on the appoointments and agency nursesI think you have a fair point.

But agency Nurses are only needed as they cannot fill nursing roles in many trusts.

Osem 11-06-2017 16:11

Re: The Naylor Report... selling NHS assets ASAP
 
I also think there's a big problem with unnecessary testing. Both myself and a near neighbour were treated at the same hospital and after having been assessed for surgery were told at the last minute that we needed to have MRI scans. There'd been no change to our conditions and neither scan revealed anything the quacks didn't already know but would have cost the NHS hundreds no doubt. Were they done for the sake of it or to avoid missing targets or was it just a case of excessive caution? I think we're getting to the point of overkill when it comes to certain tests and whatever the reason for it, unnecessary and duplicated tests cost a lot of money.

Yes of course clinical judgement is a factor and qualified people are required to make judgements but I have a feeling fear of litigation is a factor in this also and is imposing huge direct and indirect costs on the NHS.

What needs to happen is not spending more money all the time, it's ensuring we get value for the money we spend and avoiding the situation in which costly hospital beds are blocked up because a form filler somewhere didn't get around to ordering a basic household aid in good time. Saving pennies but costing pounds comes to mind in NHS land.

Reforming social care would go a long way to easing the NHS's problems but unless the fundamentals change that problem will just be replaced by another.

richard1960 11-06-2017 16:44

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by Osem (Post 35902816)
I also think there's a big problem with unnecessary testing. Both myself and a near neighbour were treated at the same hospital and after having been assessed for surgery were told at the last minute that we needed to have MRI scans. There'd been no change to our conditions and neither scan revealed anything the quacks didn't already know but would have cost the NHS hundreds no doubt. Were they done for the sake of it or to avoid missing targets or was it just a case of excessive caution? I think we're getting to the point of overkill when it comes to certain tests and whatever the reason for it, unnecessary and duplicated tests cost a lot of money.

Yes of course clinical judgement is a factor and qualified people are required to make judgements but I have a feeling fear of litigation is a factor in this also and is imposing huge direct and indirect costs on the NHS.

What needs to happen is not spending more money all the time, it's ensuring we get value for the money we spend and avoiding the situation in which costly hospital beds are blocked up because a form filler somewhere didn't get around to ordering a basic household aid in good time. Saving pennies but costing pounds comes to mind in NHS land.

Reforming social care would go a long way to easing the NHS's problems but unless the fundamentals change that problem will just be replaced by another.

Great post .

And your right trusts have a great fear of "Blames r us Lawyers" .

Also bed blocking is rife in some areas as social care packages need to be arranged via county councils,and money is tight there too.

Yes the fundamemtals need to change as do our reluctance to finance social care properly.

Taf 11-06-2017 17:50

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by richard1960 (Post 35902808)
But agency Nurses are only needed as they cannot fill nursing roles in many trusts.

Many of my Nursing friends and their mates have left the NHS to become Agency Nurses. Better pay, fewer hours, more scope to choose when you want time off.

And the trend was going to continue until Nursing Bursaries were stopped. Now many are paying their way to train, then going directly to the private sector.

Osem 11-06-2017 19:07

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by Taf (Post 35902864)
Many of my Nursing friends and their mates have left the NHS to become Agency Nurses. Better pay, fewer hours, more scope to choose when you want time off.

And the trend was going to continue until Nursing Bursaries were stopped. Now many are paying their way to train, then going directly to the private sector.

They get better pay and the agency makes loads of money on top - it's a double whammy for the NHS which winds up paying more for the same staff. :shrug:

richard1960 11-06-2017 19:15

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by Taf (Post 35902864)
Many of my Nursing friends and their mates have left the NHS to become Agency Nurses. Better pay, fewer hours, more scope to choose when you want time off.

And the trend was going to continue until Nursing Bursaries were stopped. Now many are paying their way to train, then going directly to the private sector.

Yes its pretty much what is happening .

The agencies pay better rates with the 7 year virtual freeze on NHS wages thanks go to Jeremy hunt for that guess what we call him.

---------- Post added at 19:15 ---------- Previous post was at 19:14 ----------

Quote:

Originally Posted by Osem (Post 35902891)
They get better pay and the agency makes loads of money on top - it's a double whammy for the NHS which winds up paying more for the same staff. :shrug:

It does but as OLD Boy told me earlier the private sector which most agencies are saves the NHS cash.!

Osem 11-06-2017 19:23

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by richard1960 (Post 35902895)
Yes its pretty much what is happening .

The agencies pay better rates with the 7 year virtual freeze on NHS wages thanks go to Jeremy hunt for that guess what we call him.

---------- Post added at 19:15 ---------- Previous post was at 19:14 ----------



It does but as OLD Boy told me earlier the private sector which most agencies are saves the NHS cash.!

The thing is 'private' is no more inherently bad than 'public' - they both have their shortcomings and I just wish we could find a middle way.

richard1960 11-06-2017 19:41

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by Osem (Post 35902900)
The thing is 'private' is no more inherently bad than 'public' - they both have their shortcomings and I just wish we could find a middle way.

Ok that's fair enough.

But what I can say is this a staff Nurse who is skilled earns about £34000 a year a train driver who is also skilled gets £52000 a year.

When it comes to skilled NHS staff there is a market we have had staff go to Saudi Arabia ,and Australia both countries have regular jobs fairs here.

Hunts 1% pay rises mean more are choosing to work privately or go elsewhere.

Those that do not work in the NHS and only repeat what they hear not you don't help ,the reality is for a lot of us these days its a real graft to fill in the missing gaps.:)

Gavin78 11-06-2017 19:48

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by richard1960 (Post 35902905)
Ok that's fair enough.

But what I can say is this a staff Nurse who is skilled earns about £34000 a year a train driver who is also skilled gets £52000 a year.

Actually these are the pay scales

https://www.rcn.org.uk/employment-an...scales-2017-18

Staff nurses top pay is just over 28k and a junior sister gets around 35k while the ward managers are around 41k

It does take around 7/8 years to get to this top pay band

Mr K 11-06-2017 19:59

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by richard1960 (Post 35902895)
The agencies pay better rates with the 7 year virtual freeze on NHS wages thanks go to Jeremy hunt for that guess what we call him. !

Guess who managed to keep his job in the so called reshuffle today? :rolleyes:. Doing a wonderful job obviously ! A nurses strike is his next little problem.

Osem 11-06-2017 21:08

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by richard1960 (Post 35902905)
Ok that's fair enough.

But what I can say is this a staff Nurse who is skilled earns about £34000 a year a train driver who is also skilled gets £52000 a year.

When it comes to skilled NHS staff there is a market we have had staff go to Saudi Arabia ,and Australia both countries have regular jobs fairs here.

Hunts 1% pay rises mean more are choosing to work privately or go elsewhere.

Those that do not work in the NHS and only repeat what they hear not you don't help ,the reality is for a lot of us these days its a real graft to fill in the missing gaps.:)

I don't disagree at all about the relative values or the desire to earn more pay - we'd all do that. That doesn't however alter the fact that it places the NHS under even greater strain and it's the taxpayer who foots the bill.

There are plenty of public sector and private sector workers who deserve more than they get but who's going to pay for it and what impact will that have on costs in the case of the NHS and prices in the case of for example, retail staff?

Just for information my eldest son has just been offered his first job in teaching from September. He could have done something else and quite probably earned more but he hasn't chosen to do so, he's also in debt to the tune of over £25k as a result of his choice to pursue that chosen career. If we're going to pay everyone what we think they deserve and pay for their training, we'd better accept we're going to have to pay a lot more in tax and prices because an awful lot of people deserve more than they get. Who's going to vote for that?

1andrew1 11-06-2017 21:18

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by Osem (Post 35902929)
If we're going to pay everyone what we think they deserve and pay for their training, we'd better accept we're going to have to pay a lot more in tax and prices because an awful lot of people deserve more than they get. Who's going to vote for that?

Agreed. We can't have our cake and eat it and credit to any party that acknowledges this.

spanna 12-06-2017 08:53

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by 1andrew1 (Post 35902807)
Worth reading this fact-checking piece https://fullfact.org/health/what-is-naylor-review/

Pesky facts

nomadking 12-06-2017 09:14

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by spanna (Post 35902967)
Pesky facts

Facts?:confused:
Quote:

The report examines how the NHS can make the best use of its estate to support NHS England’s Five Year Forward View.
It highlights the opportunities available to support sustainability and transformation plans (STPs) and optimise the use of NHS land and buildings.
The government is already acting on some of the recommendations by:
  • creating a new NHS property body
  • making a £325 million capital investment over the next 3 years to develop local STPs - as announced in this year’s Budget
  • developing an incentive scheme to guarantee that proceeds of sales are available for reinvestment


OLD BOY 12-06-2017 09:36

Re: The Naylor Report... selling NHS assets ASAP
 
Quote:

Originally Posted by richard1960 (Post 35902895)

It does but as OLD Boy told me earlier the private sector which most agencies are saves the NHS cash.!

Er, no, I didn't say that! I said the private sector was able to make a profit from running things more efficiently, and there is plenty of scope for that in the NHS.

The use of agency staff is itself inefficient when used to the extent that it is, and you can hardly blame the private sector for capitalising on that.

Instead of demonising the private sector, we should use it as appropriate where it is best to do so. It shouldn't matter whether any service is provided by the public or private sector, as long as it achieves value for money.

Unfortunately, the Labour Party has this ideological view that if people have to go on a waiting list to be treated by NHS doctors, then so be it, even though they could be treated more quickly if they used private sector provision. That's just nuts! As long as the patient isn't paying more for the privilege, why should it even matter?


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