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Private consultancy firms paid millions in run-up to commissioning

Exclusive: PCTs have paid millions of pounds to private consultancy firms to prepare CCGs for authorisation and begin commissioning services, a Pulse investigation reveals. 

Managers have spent an estimated £26m so far this year with companies including PricewaterhouseCoopers (PwC) and Capita for CCG projects such as ‘mock authorisation panels’ and training programmes, and to compensate for the lack of experienced managers left at PCT level.

The figures, obtained from 48 PCTs in England under the Freedom of Information Act, show trusts have spent an average of £173,000 on private consultancy support so far this financial year, equating to an estimated spend of £26m across the 152 PCTs in England.

A Pulse investigation in January showed that 40% of CCGs were consulting private firms, but this is the first indication of how much that advice is costing and what it is being used for.

If the spending is extrapolated through to next April, payments to private consultancies appear largely unchanged this year compared with last. Total spending reported by those who responded stood at £8.3m for the first half of 2012/13 and £17.7m for 2011/12, following a big drop from the £24.2m spent in 2010/11, NHS Oxfordshire, NHS Derby City, NHS Buckinghamshire, NHS Peterborough and NHS Portsmouth were among the trusts to report spending more than £2m on external support since April 2010. 

While not all the PCTs were able to specify how much had been spent on CCG preparation, NHS North of Tyne said it had spent £467,000 onmanagement support for just one CCG, Newcastle West, since 2010.

Newcastle West CCG chair Dr Guy Pilkington said support from private firms had been necessary because of a lack of staff at the PCT.

He told Pulse: ‘All were taken on to support specific clinical projects and this was at NHS rates. Will we be requiring consultants in the future? Probably, but far less once we go live.’

Dr Stewart Findlay, interim accountable officer for the Durham Dales, Easington and Sedgefield CCG, said: ‘We used them because everyone in the PCT already had a day job, so we needed the capacity quickly.’

NHS Nottingham City spent £50,700 on advice on collaborating with other CCGs and £15,000 on a ‘mock authorisation panel’.

Dawn Smith, chief officer designate, said the work was ‘helpful in ensuring that this part of the process went smoothly both for us as a CCG and the authorisation panel’.

The extent of spending was far from universal: NHS Devon, Plymouth and Torbay PCT cluster and NHS Calderdale recorded no such spending.GPC deputy chair Dr Richard Vautrey said: ‘We have had a hugely expensive reorganisation seemingly creating a need to spend millions of pounds that could have been spent on care.’

Dr Paul Hobday, a GP in West Kent, said: ‘This was already happening, but the reforms have given licence for this to take off in a bigger way. The easiest route is to farm it out and the taxpayer pays the bill.’ 

Private consultancy spending

  • Newcastle West CCG has spent £467,000 on management support since April 2010
  • Nottingham City CCG paid £115,000 to Capita and £50,700 to PricewaterhouseCoopers 
  • North Lincolnshire PCT spent £122,000 on developing ‘sustainable services’ for CCGs
  • Durham Dales, Easington and Sedgefield CCG spent £108,000 on organisational development and preparation for authorisation

Click here for our interactive map showing spend by PCT

Source: FOI responses from 48 PCTs

Readers' comments (11)

  • Vinci Ho

    Some CCGs would spend a lot more than the others in obtaining support. There is no uniform pattern . You wonder why?
    All comments are welcome........

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  • There always seems to be money for political imperatives - ironic that this government which is floundering in its attempts to reduce the deficit can still spend hard-earned tax-payers money on their pet projects and on unproven over- regulation of health and other industries.

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  • More money for the private sector from the public services at twice of the cost. Why could the PCT not do this. I thought they had paid professionals. no wonder the PCT are being closed i could never work what rhey did. Might as well let the private sector do everything.

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  • Remarkable. Some of this was available free of charge facilitated by pharmacuetical companies as a service to medicine. Often this involved the same facilitators sourced by large compaines like KMPG at a cost of £1000's. Questions to answer?

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  • Is this contributing to the PCT overspends - and deficits inherited by CCGs?

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  • It was the private consultants who said cut £20 billion. It's the private consultants who've put their people in the top jobs. It's private consultants who will now deliver the nhs into their own hands. Where's the surprise?

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  • I think you'll probably find it is the CCGs that are paid to support Private Consultancies in the future!?! (after all what on earth will CSUs be after April 2013)

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  • Don't worry 7.48, we never did anything. We commissioned dental, optometry, specialised services, secondary care, medicines management, continuing care, community services, infection control, estates and facilities management, procurement, dealt with SUIs and child protection, IT, immunisation, child health, school nursing, health visiting, mental health..... I think there's more but I'm just a crap manager. But don't worry, now you've all made us redundant and now you're doing all this. As you say, there's not much, so do enjoy yourselves. KPMG are a little dearer than us but then it's only tax payer's money.

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  • So how many millions does this all add up to? Then don't forget all the redundancy costs and golden handshakes which will all be hidden from scrutiny. So having wasted all this money in these austere times whilst also taking thousands of minds off the NHS efficiencies and savings agenda and forcing them to focus on job vacancies and organisational change. What is so much better that makes it all worth it? Are patients any safer or services any better? How does Andrew Lansley sleep at night?

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  • Dear IMG

    Most of you have failed and sitting at home in tears and anger.

    (1) How many have filled a written complaint to RCGP, and expressed their feeling or ask for investigation. complaint form available on RCGP website.

    (2) Also Has somebody though of asking RCGP that how many IMG have failed in last two years. This information can be obtained under freedom of information act.

    (3) Before some one say examiner / Actors are biased BUT In fact RCGP should have information that which examiner has failed and passed trainee and this can be categorised according to ethnicity and gender. But Have you used freedom of information act to get this information before blaming an organisation .

    If you have suffered -Do something or sit quietly if you think you deserve this.

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