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The main problem is that this additional Managment Costs are at the cost of services provided.
The more management costs in place for world class commissioning means that there are less nursing..... Otherwise known as front line care!
The other question has to be if Barking, Havering and Redbridge Trust are performing so poorly this has to reflect poorly on the Commissioners. Given that each of these has commissioner teams, what's going on? Oh apparently a new commissioning team has been setup to commission on the behalf of these...... Slightly scarey to know how much this costs!
We are probably spending as much on commissioning as what we actually spend to run the hospital. If this money was actually being spent on the hospital perhaps we would not have the problems that they are having.... This feels like the conversation what came first the Chicken or the Egg!!!
If the public ever got wind of how much money is not spent on nursing etc (ie frontline services), compared with everything else. The MPs expenses would look like a drop in the ocean.