Outrage above £200,000 deal for NHS chief who operates a single day a week

In the same month, the trust began paying an interim chief executive Nigel Beverley on daily rates of £1,740 a day plus expenses. The deal, which includes VAT, was paid to his company NB Health Consulting.

Mr Langley was appointed by Monitor, the regulator for foundation trusts, on a contract, which is initially for one year. His earnings and expenses are paid by the troubled hospital trust, which was found last year to be failing in four out of five areas inspected, including caring for patient safely.

His predecessor was paid £40,000 to £45,000, the typical rate for foundation trust chairmen.

Mr Langley’s contract reveals that his company is paid £14,400 a month, including VAT, plus an extra 10 per cent each month to cover un-named “out of pocket” expenses.

The total package is worth £190,000 a year – enough to employ more than eight nurses full-time.

If Mr Langley spends one day a week at the trust, it amounts to rates of £3,300 a day – plus £330 expenses.

He lives in London, 40 miles from the Kent hospital. The trust is paying the money to West Eaton Consulting, of which Mr Langley is a director.

Last night, patients groups said they were appalled that NHS regulators had agreed the deal.

Katherine Murphy, chief executive of the Patients Association, said: “It is alarming that such vast sums of money are being spent in this way. At a time when the NHS is under such huge financial pressures, this type of waste is unacceptable.

“This is taxpayers’ money that could be spent on resourcing our wards with frontline staff. What’s more, it is shocking that such vast sums of money can be claimed without having to produce receipts.”

Dr Peter Carter, chief executive of the Royal College of Nursing said: “Its astonishing to see how liberally the NHS is still prepared to dish out pay packages like this. At a time when nurses are struggling to make ends meet, these are eye-watering sums of money.”

He said it was “simply indefensible that expenses of this magnitude can be claimed without accountability” criticising those who authorised the deal.

Roger Goss, from Patient Concern, said the payments were “an insult to frontline staff.”

Chairmen are meant to provide leadership to trusts, along with other non-executives, but not to get involved in day-to-day operational matters.

Mr Langley, whose past career included stints as a managing director of Dixons, had previously been the interim chairman at two other NHS trusts.

The trust referred queries to Monitor, the foundation trust regulator which made the appointment.

A spokesman for Monitor said, “When we took action in February, Medway was one of the most challenged foundation trusts in the country and faced a range of serious issues. The trust needed the right people in place to make the urgent improvements needed for its patients, which is why the interim chair and chief executive were appointed.”

He said the regulator was made aware of the proposed package for the chairman and “sought advice to confirm that the package was legally sound.”

Outrage above £200,000 deal for NHS chief who operates a single day a week

I"ve witnessed the long term of Britain"s healthcare and it operates | Jackie Ashley

‘One stroke survivor had identified that Nordic strolling – with ski poles – assisted his motion and fitness, so the staff persuaded him to lead a group in ­Nordic walking after a week.’ Photograph: Alamy

It’s in a sprawling home in Twickenham, west London, housing a staff of 30 in former bedrooms. It doesn’t seem significantly like the long term of healthcare in Britain, but at a time when the debate rages about NHS costs, privatisation and scarce resources, this organisation could provide part of the response.

Integrated Neurological Providers (INS) was set up back in 1999 by Liz Grove and Ellie Kinnear to fill the gaps left by the NHS. It is there for individuals with Parkinson’s ailment, multiple sclerosis, stroke and several other neurological complaints that impact movement, memory, stability and communication – certainly, every little thing vital to a normal life. The charity helps make the distinction among a lifestyle devastated by severe sickness and a life that can make the most of the possibilities still obtainable. It is all about expanding horizons and realising what is attainable.

At 1st, the organisation operated from a church hall with just a number of patients. Nowadays 600 men and women a yr benefit from the service. In the well-equipped gyms, ten individuals are attending a balance class. Beatta, a Parkinson’s patient, is dropping her stability, but needs to display her fellow sufferers how yoga has aided her. John has agreed with Frank to swap skills – John will educate Frank guitar-enjoying, even though Frank will assist John on the personal computer. Other sufferers take part in memory classes, cooking skills and speech therapy.

It truly is all about mutual assistance. When you are hit with a long-term health-related situation your existence – and your family’s life – modifications completely. But the charity aims to help you adapt, to share experiences with folks suffering from the very same situations and to learn skills that may possibly enable you to reside a fulfilling life, perhaps following a different pathway.

The two key words from all employees are “patient-centred”. These people are ill, frequently extremely unwell. But every person is individually assessed, and offered a “care navigator” to help them by means of the technique. That can be anything from locating clinical aid, medication, bodily therapy, emotional help, housing assistance and aid for the carers too.

The individuals I met felt valued, supported and empowered. One particular stroke survivor had identified that Nordic walking (with ski poles) aided his movement and fitness, so the team persuaded him to lead a group in Nordic walking as soon as a week.

Patients suffering from Parkinson’s assess notes. Is their expert really as knowing as another? Is the medication all that is available? Are there bits of tools, from kitchen aids to mobile phones, that can assist deal with the difficulties?

All really effectively, you may say, this is just a patient help group. But no, it emphatically is not. Parkinson’s, several sclerosis and stroke are the conditions we are increasingly struggling from, as the health care advances in heart ailment and cancer indicate that we reside longer. Physical therapy, just as a lot as medicines, can support with recovery from stroke and with delaying the onset of signs and symptoms from Parkinson’s and multiple sclerosis.

So now here is the rub. How is INS financed, and how can it be spread nationwide? Its founding principle is that therapy is totally free to all of these who want it. It receives £250,000 a year from the NHS, and the salary of the chief executive, Ann Bond, and one of the two fundraisers are paid from the Large Lottery fund. As it happens, the charity’s contract comes up for renewal in a year’s time. If Big Lottery does not renew this funding it would be a huge error.

This is specifically the variety of support the NHS need to be supplying. About 300,000 folks a 12 months are impacted by neurological conditions and often dwell for another 15 or twenty many years – so you can see the scale of the problem.

I request Bond regardless of whether she worries that by delivering this charitable support she is, in effect, letting the NHS off the hook. Let’s be sincere, she says: can you think about the NHS delivering this kind of services any time quickly? At a time when all the speak is of cuts, it is of course ludicrous to propose that the NHS alone will roll out this variety of essential services nationwide.

So how can this little but brilliant organisation in Twickenham give a national model? Alan Britten, the acting chair of its trustees, fears that any expansion will dilute the level of support. That’s accurate, but perhaps INS could train other local units, as the services grows. NHS commissioners could be encouraged to help this kind of groups.

At the core of this achievement story is versatility – what the individuals want. There is no speak of outcomes, waiting times, services provision and the rest of the NHS jargon. Over all, there is no talk of revenue. Revenue is the last thing that would encourage workers – their reward is seeing the progress of their patients, and in merely continuing, year on yr, to provide that help.

This is completely not a privatised services, in contrast to Hinchingbrooke hospital in Cambridgeshire, run by Circle group. INS started out from the bottom – two therapists who saw a desperate need to have in the local community. It has been nurtured by the local community, with many volunteers assisting to increase funds.

Ultimately, it will only be sustained by NHS contracts, lottery cash and community spirit. Definitely, right up until the great British public is ready to shell out higher adequate taxes to fund the NHS effectively, it is portion of the long term.

I"ve witnessed the long term of Britain"s healthcare and it operates | Jackie Ashley