Saturday, January 27, 2007

Asking the deck chairs to rearrange themselves



Maidstone and Tunbridge Wells NHS Trust management are asking staff to work for free so they can pay for a PFI contract. That's right - the poor are being asked to make sacrifices so that the banks can make even more profit.

Let's just compare those figures:
Royal Bank of Scotland - record profit of £6.2 billion last year
D Grade Staff Nurse - makes around £0.000018 billion per year

Thats a profit ratio of 344,444:1.

So, the answer is obvious to any NHS manager. Steal from greedy Nurse Nancy to give it to needy Wanker Banker.


The PFI deals already done (where private companies build and then run and lease back hospitals to the NHS) will cost £53 billion over the next 20-30 years. Yet, the value of the builds is only £8 billion.

Dr Rant went to the RBS Mortgage online calculator. An £8 billion '2 year tracker' mortgage, repaying the capital over 20 years, would cost a total of £13.15 billion. So, that's an extra profit of around £40 billion that the banks are taking.

The governments and the banks claim that this extra money pays for support services and maintenance. Really? That's a hell of a lot of support services.

Let's do the sums.
£2 billion extra profit for the banks per year, every year, for 20 years.

That's the cost of 100,000 full time D grade Staff Nurses (including their pensions etc). Every year. For 20 years.

Or 20,000 GP principals (including their pensions etc). Every year. For 20 years.

Or 20,000 Front Line 999 Ambulances (including kit and crews). Every year. For 20 years.


That would QUADRUPLE the number of front line 999 ambulances in the UK. Or boost the number of GP principals by around 50%. I'm pretty sure an extra 100,000 staff nurses would not go amiss either.


So unless cleaning a few new hospitals costs 4x as much as the entire NHS Ambulance service, clearly this money does NOT pay for 'support services' .

Dr Rant thinks these huge sums of extra money is a way for the Totalitarian Capitalist Bastards at the banks (who are, after all, the last great monopoly) to make a killing by taking money from the poor, the sick, and the weak. Money that they then hand out in huge bonuses so they can eat out in expensive, exclusive restaurants and clubs. While the poor patients lie in their own shit, vomit, and piss while the few nurses that are left work their arses off for little or no pay.

We have had all of these nurses, ambulances, and doctors STOLEN from the front lines by cheating, lying, scum. The evil fucks running the country did this.

Not only is this obscene, but it threatens democracy. If a Labour government can help in the looting of public services and funds by the fat cats in big business (the new 'ruling class'), then something has gone horribly wrong. If this continues, then violent rebellion is increasingly likely as the poor get poorer and the rich get richer. 'Let them eat cake' is as unnacceptable today as it was in 1789.

53 comments:

lost_nurse said...

Absolutely bang on. Up against the wall, Patsy...

"This is not about saving our PFI, but getting our finances right."

What an amazing statement.

Anonymous said...

agree PFI is bollocks

wouldnt blame the private enterprises, to them its just a business deal, rather i would blame the nhs and the structure of the deals they have forced

as ever as ever if the end consumer had any buying power that would force change

and remember in this country even the fat cat bankers end up in the same shit covered A & E when they are in an accident

Dr Sniper said...

follow this link to try and sack Fuckwitt.
It'll do no good, but makes me feel better

lost_nurse said...

"wouldnt blame the private enterprises"

Jesus, no one. Leave it out.

Yes, the DoH procurement process is utterly flawed. But "private enterprises" aren't like little lambs, skipping around and just minding their own affairs. They are actively touting for this kind of shit. DoH is rammed with revolving-door management consultants - steering public policy towards private profit. People moan about the "public sector" - what they should be moaning about is the way inwhich PWC et al have their greasy fingers in all the pies.

I have a suspicion that you might be ex-forces. Bear in mind that these fuckers are screwing over Tommy Atkins in much the same way. This will be NUlab's abiding legacy: hired suits pissing everything away.

Dr Rant said...

"wouldnt blame the private enterprises, to them its just a business deal"

Don't be so fucking stupid, Anon / No-one.

You're such a fucking Totalitarian Capitalist lacky fuckwit.

These 'private enterprises' (ie: Banks like the RBS) are obscene. Huge profits stolen from the poor (PFI, illegal bank charges).

It is amoral. Right and wrong is not something Totalitarian Capitalists talk about much, but when the housing boom ends and the poor realise how bankrupt they really are, and how they have been fucked up by Big Business, I think violence is likely to ensue.

Seriously. For the first time in my life, I think violent revolt/revolution is a real possibility in this country. If the rich keep getting richer and the poor keep getting poorer.

I'm not the only one that thinks the Goldilocks economy might be eaten by the Three Bears.

So, yes, I do blame Big Business.

They lobbied for this.

They pushed for this.

They got it.

The evil fucks.

Dr Pink said...

"wouldnt blame the private enterprises"

Oh dear me.

Yes, the poor, poor corporate giants like the Royal Bank of Scotland. How could we be so cruel?

Have you read NHS Plc?

If not, buy a copy and come back when you have.

Disgusted of Tunbridge Wells said...

Just where has all the money gone? Am I the only person wh thinks trying to find 16.7 million in 5 weeks is pushing it a bit?

HospitalPhoenix said...

Excellent bit of number crunching, Dr Rant! I agree, it's daylight robbery, and the thieves deserve to be locked up.

Dr Pink, I trust you've seen the work Allyson Pollock's department produced on PFI deals...

Some excellent research which was poo-poohed by the Scottish Exec, who seem to think lies and spin carry more weight than hard evidence, solid mathematics, and bare facts.

http://129.215.67.86/pressreleases/FMPro?-DB=MC_PressReleases&-Format=release.htm&-Op=Equals&Release_Number=1335&-Find=Find

http://edinburghnews.scotsman.com/index.cfm?id=1816982006

Anonymous said...

Curse those 'fat cats'. Average money earned by a top 100 hedge fund manager in USA last year: 363 million. And these guys didn't even go to medical school- go figure.

Anonymous said...

Businesses need to be competitive in today's economy in order to survive. This makes tough negociating skills an absolute necessity when making any kind of business deal.

I don't deny that the banking world is full of manipulative, unscrupulous and greedy sharks. However, when dealing with the sharks in negociating any kind of business deal (PFI or otherwise), you need to be both switched on and ruthless yourself.

This government have bumbled their way through PFI with no apparent thought for the longer-term financial outcome, and with a naivity that is staggering. Or maybe it just demonstrates a complete disregard and contempt for the Taxpayer. They have failed to be both switched on and ruthless when dealing with the private sector.

Unfortunately, it all seems to be about meeting short-term annual budget constraints, rather than longer-term value for money.

I want Bliar and Hewitt's heads on spikes.

Anonymous said...

Agree the situation is crap. Agree that PFIs are costing HUGE amounts of money. Agree there is only so much that can be afforded. Disagree its the bank fault for making a profit. The Government signed those contracts. The Government employed the management consultants. The Government failed to properly calculate the forward costs. Any business is just there to make money, it is its raison d'etre. In this case, they successfully negoitated a good deal for them versus a crap "simple shopper". You need to change the Government not the system that has produced cheap food for poor people, cheap clothes to dress them, etc etc

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