NHS 'trying not to blink'

[LoughriggFell]

NHS is feeling the affects. Lots of articles in Health Service Journal about the immediate problem of keeping the service going, not surprisingly A&E's ( Lincoln County Hospital)

"One NHS finance director told HSJ: “It is akin to a Mexican standoff. Some locums have been asking for between 30 and 50 per cent price uplifts. More than likely we will have to pay this; it is a Hobson’s choice.....

...One consultant at a major A&E department said: “We have gaps in the rota due to locums pulling out. They are taking April and May off, waiting for market forces to increase the rate. They are asking trusts to increase the hourly rate, and they are asking agencies to cut their share of the hourly rate. It will be interesting to see who blinks first.”

"We’ve got a small number of places that are talking to us and saying this is going to be a bit difficult. We are trying to hold our nerve and not blink, but safety will drive the decisions" - Jim Mackey

Jim also said something along the lines of (and I am paraphrasing) "They shouldn't be doctors if they are going to be so naughty"

[TheFaQQer]

The Times picked up this story and talked about how the locum doctors were going on strike.

So every time you turn down an extension, you're not an independent professional exercising your right to choose where and when to work, you're striking

[barrydidit]

No blinking going on here: https://www.jobserve.com/gb/en/searc...716E04FB5F31A/

IT Director - NHS - E-procurement Transformation.OUTSIDE IR35*

My client in Central London are looking to hire a current/former NHS IT Director/CTO/CIO to join them in a leadership role.....

...This role has been determined by the client to be 'outside' IR35.

Good job it's not for an office holder or anything

[Mordac]

No blinking going on here: https://www.jobserve.com/gb/en/searc...716E04FB5F31A/



Good job it's not for an office holder or anything

So much for Mr Mackey's "everyone's inside regardless" dictat. Some people are more equal than others...

[Finance]

No blinking going on here: https://www.jobserve.com/gb/en/searc...716E04FB5F31A/



Good job it's not for an office holder or anything

An IT director is very unlikely to be an 'officer'. In an NHS organisation the officers are going to be the voting board members (not usually the IT director) plus a handful of specific medical statutory posts.

If the organisation is actively using the tool then an IT director could be ruled outside if it was considered advantageous.

Also not all of the NHS reports to MacKey

[malvolio]

An IT director is very unlikely to be an 'officer'. In an NHS organisation the officers are going to be the voting board members (not usually the IT director) plus a handful of specific medical statutory posts.

If the organisation is actively using the tool then an IT director could be ruled outside if it was considered advantageous.

Also not all of the NHS reports to MacKey

I very much doubt it in this case. There is no specific deliverable (i.e. something to be built then delivered to the end client as a fait accompli) and a requirement to work alongside and lead existing staff. May not be a substantive office per se, but it is sufficiently close to a BaU role that it would have to be caught by IR35, even if the hiring organisation is not NHS. It's the end client role that is the determining factor, not any of the intermediary ones.

[LoughriggFell]

The Times picked up this story and talked about how the locum doctors were going on strike.

So every time you turn down an extension, you're not an independent professional exercising your right to choose where and when to work, you're striking

I have just read that, it is madness. I hadn't realised I was on strike, just thought it was bench time.

[DotasScandal]

The hilarious part is the pseudo-outrage about "locums holding the NHS to ransom".

Of course only HMRC have the right to hold anyone to ransom.

[DotasScandal]

Jim also said something along the lines of (and I am paraphrasing) "They shouldn't be doctors if they are going to be so naughty"

Hilarious

When the tables get turned on them, they have no idea what to do or to say. It's like a blue screen of death in their brains.

I'll grab the pop corn and enjoy this show. Think it's gonna be good.

[Andy Hallett]

If they are 'employees' then the NHS should just order them back to work surely.