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I admire the chutzpah of this group, but think that an objective review of NHS funding would show that this group: a) are already overfunded b) are very inefficient at delivering basic services, and c) have been very succesful at arguing for handouts in a data vacuum, rather than managing their core business effectively.

Any review of Shelford funding should consider:
- SIFT. This is complex and overpays for the true cost of teaching, particularly to dental schools
- MFF. London receives a 20+% top up when the additional cost of salaries is nowhere near this
- Off tariff specialist services. Most teaching hospitals have a lot of these, and under SLR they are generally very profitable
- Charitable contributions. Most of the trusts mentioned get significant bungs from charities.
- Research funding. Any NHS FD worth his salt can use this creatively, but does anyone measure the outcome? The royalties from licensed IPR are c10-20% of the research funding.

Many DGHs have struggled to get efficiences and are still in deficit whilst these fat cats have done little to improve efficiency and are crying for even more