When unemployment was over 2M and health staff were only a year or so into their pay freeze there was not the pull of alternative employment. It is very different now after three years of pay freeze, two years of a 1% pay cap and prospects of another three years or so of the same pay cap continuing so I think Mr Cumming is playing down the remuneration factor in recruitment and retention. Nobody can be sure of the effect of switching to loans instead of bursary on recruitment. Why health professional health training not be thought of justifying ring fencing is a puzzle. I wonder if Mr Cumming can furnish the service with the figures equivalent to a parallel profession - teaching. According to a Guardian article teaching lost 50,000 in 2014 and there are 100,000 trained teachers who have never worked in a classroom!
The public interest consideration was "very finely balanced" - really? I dont think current and prospective patients would quite see it like that.
They'll be sorry! Just how was Virgin's quality assessed - rigorous collection of evidence - I doubt it. Was no allowance made for the in house service in relation to their real experience of delivery. Just how well did the CCG examine the costs and the potential for virgin to exploit variation orders and other changes. Finally why seven years when there is so much potential for changes in delivery forms including the likely integration between health and social services. CCG's do not have an envious record in contracting - most do not have the expertise and experience.
Do these figures really add up. An additional 16,000 a year against a workforce of 1.3M, a 2% retirement attrition (i.e. everybody works for 50 years) general leavers and a 2-3% growth in demand? Furthermore do they really know what the turnover losses will be with the continuation of the 1% pay cap and what effects on new applicants of the ending of the bursary scheme. Does anyone else need a bucket of salt to take with HEE claims?
Harrow should publish a full impact statement of the effects of these extraordinary cuts on employment, residents, especially the vulnerable and the local economy. There are likely to be diversity issues. Anyone who saw the dangers of transferring this service to local government will uncomfortably feel vindicated. Public Health had to go because had it stayed with commissioners it would make CCG's look too much like Labour's PCT's!