MAINLY ARITHMETIC AND ALGEBRA
Ah ha…..
Here is a new page which will continually be carved and recarved as time goes on.
One of The Witch Doctor’s “Aide Memoires.
Not a protocol, nor a competency.
Just an “Aide Memoire.” A personal “Aide Memoire” that will help me get to grips with what is happening to the compulsory monetary contribution that those in the UK are giving to the government in return for health care provision.
Share it with me if you want. It probably won’t be accurate but eventually it will demonstrate important trends.
THE PRODUCTIVE WARD – RELEASING TIME TO CARE
2008 – £50m Rollout of Productive Wards programme in England.
Source:
Department of Health Website, 8 May 2008
TOTAL NHS EXPENDITURE (ENGLAND)
2007-2008 £90bn – Direct
2007-2008 £12.5bn – Indirect through local authorities on social care etc.
Source:
Capability Review of the Department of Health, June 2007
MEDICINES AND HEALTHCARE PRODUCTS REGULATORY AGENCY (MHRA)
2006-2007 £80m (mostly funded from fee income from pharmaceutical companies)
Source:
Capability Review of the Department of Health, June 2007
NHS PURCHASING AND SUPPLY AGENCY (PASA)
2006-2007 £28.5m
Source:
Capability Review of the Department of Health, June 2007
DEPARTMENT OF HEALTH EXPENDITURE
2006-2007 £240m
Source:
Capability Review of the Department of Health, June 2007
EXPENDITURE ON EXTERNAL MANAGEMENT CONSULTANTS
? 2003 -2007 £2.8bn
Source:
Hospital Doctor 21 June 2007
NATIONAL PROGRAMME FOR IT
2003 – 2004 £370m
2004-2005 £730m
2005-2006 £1.2bn
It is possible the total cost may be in excess of £20bn
Source:
DOH-The National Programme for IT in the NHS April 2007
ANNUAL DEFICITS AND SURPLUSES
2005-2006 £547m deficit.
2006-2007 £500m surplus
Source:
Capability Review of the Department of Health, June 2007
COST OF MTAS
£1.9m for development costs and running website during 2006-2007
Many collateral costs so far not included.
ENGLISH DEPARTMENT OF HEALTH GP PATIENT SURVEY
2006-2007 Upwards of £11million.
Source:
BMA, July 2007
OPINION LEADER RESEARCH
£1,361,745 for market reasearch for the Department of Health
Source:
Hansard, June and July 2007
TRANSACTION COSTS OF THE NHS MARKET
£20bn in England in a year.
This approximates 20% of the annual NHS funds in England.
Source:
Professor Allyson Pollock,
Head of the Centre for International Public Health Policy at the University of Edinburgh.
September 2007
GP PATIENT SURVEYS 2007-2008
£10m
Ben Bradshaw – Hansard
…………………………………
ENDEAVORS – NO COST SOURCE YET IDENTIFIED
EXPERIENCE BASED DESIGN
The Witch Doctor 
THEY SHOULD BE ASHAMED OF THEMSELVES.
“The group noted the remarkably strong body of research evidence for the effectiveness of opioid substitution treatment (OST), albeit mostly from other countries. … The new agenda is about more than business as usual (or even business as it should have been).” (my emphasis)
These two sentences from ‘Recovery-Orientated Drug Treatment – An Interim Report’ (full interim report here) by Professor John Strang, Chair of the Expert Group, are at the furthest end of the scale of studied insult as ever I have seen employed by an academic writing professionally.
As an amateur, I do not feel so constrained. What on earth has been going on at the NTA for the last 10 years? People – that is carers, those in recovery and addicts – have been respectively struggling, suffering anddying in part because the NTA, it would appear, had neither a clear idea of what it was supposed to be doing nor any appreciation of how that might be achieved. It would take a lot to convince me that the Department of Health suddenly thought it would be a good idea to ask a Special Health Authority to commission an investigation into, and a report on, its own functional efficiency without very strong grounds for so doing.
The numbers to be found in the NTA FoI report of July 2009 show in rounded figures that ‘last year’ the cost of employing 180 whole-time equivalent staff was £8m, just shy of £45,000 per head. What did we get for our money? Not one of these individuals seems to have grasped the fact that decent record keeping is the key to evaluation and analysis, still less processed such data as had been captured in any sensible manner.
Now we are told by an employee of NTA that certain figures will be available on its web-site soon. No doubt in due time, if the cards fall as the board would wish, we shall be told that ‘lessons have been learned’ in some meaningless formula from the communications directorate probably including also entirely novel concepts such as ‘blue sky thinking’, ‘kick-start’, ‘pushing the envelope’ and ‘road-map’. This cannot be allowed to happen. The board and senior management should hang their heads in shame. We cannot repair or recover the years ruined or lost by their incompetence, but exemplary, just and condign sanction must be visited upon those responsible.
By: Franklin Percival on October 17, 2011
at 4:24 am