All rights reserved. The hours worked also fell, from 51.6 per week to 50.2. Under the deal, agreed in 2003, consultant salaries have risen by 27% - from average pay of £87,000 for their NHS work. For example, the Christie hospital in Manchester, one of the NHS’s specialist cancer hospitals, co-owns the private patient unit it created in partnership with the US-owned private operator HCA Healthcare, called LOC@The Christie LLP. Private earnings vary significantly by specialty; plastic surgeons on average earn an additional 190% on top of their NHS income through private practice, whilst paediatricians 27 / 9 / 2019 3.21pm. The pay gap shrank to £1,500 when overtime and bonuses were stripped out. Sir, The recommendation by Sir Malcolm Grant, the chairman of NHS England, that NHS consultants should declare their private practice income may seem straightforward (report, Sep 20). We rely on advertising to help fund our award-winning journalism. Dr Jacky Davis, a radiologist and former chairman of the NHS Consultants Association, said she was "surprised and disappointed" by the figures. Figures obtained by the BBC last year showed the highest paid doctor in the NHS … But his notion How do NHS consultant earnings compare with private consultant earnings? A report says 371 consultants own shares in private healthcare, exposing a potential conflict of interest, Sun 30 Jun 2019 13.13 EDT It explained that it “entered into the joint venture arrangements as we saw that there was a big market potential to develop private patient services. Just 16 women received this award. © 2020 Guardian News & Media Limited or its affiliated companies. However, in order to ensure that there is no risk of the NHS subsidising private care: • It should always be clear whether an individual procedure or treatment is privately funded or NHS funded. NHS trusts have paid at least £40m to 11 private hospitals in which some of their own consultants own shares, according to CHPI’s findings. Such gifts included a hospitality package to an England-West Indies cricket match that cost £1,068. Another 177 medical consultants own equipment in private hospitals such as CT scanners and lasers, 67 of whom earn a fee each time it is used, according to a study of links between NHS doctors in England and the private sector by the Centre for Health and the Public Interest (CHPI). Analysis of consultants' NHS and private incomes in England in 2003/4. Junior doctors in the NHS will now be able to undertake their training in private and independent hospitals thanks to a new agreement reached between the sector and the health service. If women applied for them they were just as likely to receive them, with both genders having success rates of 26 per cent. Britain’s major health bodies have backed the initiative, announced by the Independent Healthcare Providers Network (IHPN) this week. Meanwhile 252 went to men, the report by the Advisory Committee on Clinical Excellence Awards found. These doctors are referring growing numbers of patients because understaffing and the soaring demand for care means the NHS is struggling to treat people quickly enough. "With women making up the majority of medical graduates in recent years, it's vitally important that we address the root causes of the gender pay gap, and develop a wider programme of work to eliminate it across the medical workforce," she added. that 28,000 consultants undertake some private practice in the United Kingdom, with the bulk of that concentrated in England (BMA personal communication, 2012). Private health firms have also spent at least £1.5m on treating NHS consultants to trips to Wimbledon, cricket matches and golf tournaments, Rowland also discovered. Medical Directors, NHS England Regional Directors, NHS England Directors of Commissioning Operations, NHS Trust CEs Communications Leads N/A N/A N/A Consultant to Consultant Referrals Good Practice Guide Superseded Docs (if applicable) Contact Details for further information Document Status 0 This is a controlled document. Some doctors said some of the earnings differences could also stem from the fact men were more likely to do overtime. By highlighting NHS consultants' private income, health bosses seem to be spoiling for a fight. “I’m appalled that so many consultants have shares in private hospitals they work in. The development is important for the Christie as [the profit from] it makes a significant contribution towards our NHS services.”, Available for everyone, funded by readers. Trusts pay for privately provided care from their own budgets, though the sums private operators can charge is capped. According to the NHS Information Centre, NHS Staff Earnings report (January - March 2011), the average NHS consultant salary (under the new NHS contract) is £117,700 pa. (There are around 35,000 consultants working in the NHS.) ... Average basic salary for NHS work is £89,000 in England. His victims described him as a “monster”. “If doctors stand to gain financially from treating patients this can influence their clinical decision-making. In total, 103 men got the highest bonus worth £77,000 a year. One in five of the trust’s oncologists own shares in that unit, and – with the Christie and HCA Healthcare – share in the profits it makes, Rowland found. The average percentage of private patient income for all FTs was 2% in 2011/12. We are legally obliged to offer patients a choice of where they want to be treated and we have six hospital choices, only one of which is Claremont hospital and the work is less than 0.5% of our total activity,” said Priestly. potential conflict between their income and patients’ best interests, £1.1bn in 2017-18 paying for NHS patients, https://www.therutherford.com/centres/north-east/. NHS trusts are sending growing numbers of their own patients to be treated in private hospitals because their own services are so busy that they cannot treat them themselves. “Private practice is extremely appealing when you consider that the NHS is getting worse in terms of doctors’ working conditions,” said Cosmo Hallstrom, a consultant psychiatrist based in London who went into private practice 15 years ago. In the most notorious case of that scenario, disgraced breast surgeon Ian Paterson referred 750 patients from Solihull hospital, part of what was the Heart of England NHS trust, where he worked on to private hospitals at which he performed operations. Last week Simon Stevens, chief executive of the NHS, expressed concern that female doctors were far less likely than male doctors to receive clinical excellence awards. Last year the Telegraph revealed that four times as many bonuses are being paid to male consultants, compared with those for women. We urge you to turn off your ad blocker for The Telegraph website so that you can continue to access our quality content in the future. The 2012 NHS reforms in England allowed trusts to generate more income from private practice in the expectation that this would support improved NHS care, but, as Sarah Walpole and colleagues show, existing governance arrangements provide no assurance that such benefits are being realised The 2012 Health and Social Care Act was the largest ever reorganisation of the English NHS… Its report is based on analysis of declarations about share and equipment ownership that private health firms are legally obliged to make, accounts lodged at Companies House, NHS trusts’ financial reports and freedom of information requests. But the Christie defended its ties with HCA Healthcare to Rowland. David Rowland, the thinktank’s director and author of the report, said the existence of such financial relationships – most of which are hidden from public view – give the doctors concerned a direct financial incentive to refer patients to a private hospital for treatment they do not need. Peter Walsh, chief executive of the patient safety charity Action against Medical Accidents, said the CHPI’s findings showed that better regulation of private healthcare was needed. There is a clear separation. In a similar arrangement, Sheffield Teaching Hospitals NHS trust pays for patients with musculoskeletal conditions to be treated at the Claremont Private Hospital, in which Sheffield Orthopaedics Ltd – in which many of its own consultants own shares – has a 10% stake. In light of the size of these pay differences, should senior doctors consider retraining in a new specialty? The figure is two and a half times the earnings of the highest paid woman. Applying this ratio to mean NHS earnings for April-June 2010 implies consultants earn on average £54,000 per year through private practice and a total of £174,000 per year. This figure is used to determine an NHS employer’s funding commitment for their LCEA round in a given year. It said only that the true proportion of its oncologists who own shares in its joint venture with HCA was more likely to be under 10%, rather than the 20% which Rowland stated. It is believed that about half of England's 46,000 NHS consultants do private work, on top of average earnings of £112,000 a year. • Private and NHS care should be kept as clearly separate as possible. NHS trusts can be different: The last thing to consider before we look at the pay scales, is that some NHS Trusts can interpret the pay scales and a doctor’s experience in different ways. NHS income by an additional 45% through private practice. Overall - 22,874 of 43,856 consultants in England - more than half - received some kind of bonus, of between £17,000 and £77,000 a report to ministers shows. Private patient unit income hits £360m in London By Ben Clover 2018-02-21T06:00:00 London trusts increased their income from private patient units by 8.1 per cent year on year, with earnings hitting £360m in 2016, new analysis reveals. The care is usually provided by NHS doctors doing private work in their own time. That sum has increased in recent years as the number of patients waiting for planned care at at NHS hospitals has risen, now standing at a record 4.4 million people. The private income quoted is less than 0.5% of the NHS budget for 2013/14. Share-owning Christie consultants were entitled to £2.35m in dividends of the overall £22.6m in dividends generated in 2013-17, on top of their NHS and private earnings, Rowland estimates. Overall 548 senior NHS doctors own shares or equipment or both. So, a consultant earns £117,700 pa in the NHS. The increasing outsourcing of care has prompted concern among NHS campaigners and the Labour party. the NHS. This is clearly a conflict of interest and totally unethical”, said Deborah Douglas, one of Paterson’s victims. You need to be a subscriber to join the conversation. She called for more leadership training and mentoring of women working in medicine. Based on a relatively small sample of 670 respondents to a survey of 3,000 NHS consultants, the BMA estimates that 53 per cent of consultants undertake some private practice, a In my experience men are better at pushing for more money, putting the case for awards and they get them.". From Analysis of Consultants’ NHS and Private Incomes by Morris et al. NHS private patient income predicted to grow every year to 2020 By Ben Clover 2017-10-17T09:55:00 Income from private patient work carried out by NHS run units will grow by more than 5 per cent in each of the next three calendar years, researchers have predicted. Follow The Telegraph Facebook icon Receiving private and NHS care at the same time. Once a bonus is given, it is normally handed out for life, and is pensionable. In all, 371 senior doctors have a stake in some of the private hospitals that are earning more than £1bn a year from NHS trusts. Best paid of all was a male doctor who earned almost £740,000 in 2016/2017, according to the figures obtained by the BBC. Share-owning Christie consultants were entitled to £2.35m in dividends of the overall £22.6m in dividends generated in 2013-17, on top of their NHS and private earnings, Rowland estimates. Like all averages, this figure hides the wide range of income. Records show that the trust paid Claremont £16.3m between 2015/16 and 2017/18 and its referrals accounted for 30% of the private hospital’s overall income, Rowland said. The highest paid doctor in NHS is earing £740,000 a year, according to new figures showing a £14,000 pay gap between male and female consultants. He earned fees for performing unnecessary surgical procedures on patients, including mastectomies, after exaggerating or inventing symptoms to persuade the women that they had breast cancer. Of those receiving awards for the first time in 2015, just 65 new awards went to women. Twenty eight FTs had no private income during this period, and 89 trusts (62%) had a private patient income less than £1m. “Because of the systems we have in place [consultants] cannot influence where patients go to have treatment and they do not have any involvement in the decision-making or management of the contracts. In the NHS, basic pay for consultants is topped up by a system of merit awards, which can be worth almost at least as much. 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