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The Guardian - UK
The Guardian - UK
Politics
Andrew Sparrow

Pay for NHS chiefs to be linked to performance with ‘no more rewards for failure’, Wes Streeting says – as it happened

Wes Streeting.
Wes Streeting. Photograph: Steve Wood/REX/Shutterstock

Afternoon summary

  • Wes Streeting, the health secretary, has said that pay arrangements for NHS trust chief executives will be changed so they are linked to performance. There will be “no more rewards for failure”, he said. (See 5.24pm.)

Streeting says pay rules for NHS chiefs to be changed so they are linked to performance, with 'no more rewards for failure'

Wes Streeting, the health secretary, has announced that pay arrangements for NHS trust chief executives will be changed so they are linked to performance.

Commenting on the announcement, which is due to be confirmed in a speech later this week, Streeting said:

I’m prepared to pay for the best and I will defend financial incentives to attract and keep talented people in the NHS. It’s a big organisation that should be competing with global businesses for the best talent.

But there will be no more rewards for failure. We have got to get a grip on runaway spending and make sure every penny going to the NHS benefits patient – changes will not be popular but it’s a case of reform or die.

The change will affect VSMs (very senior managers), like trust chief executives.

Explaining how pay will be linked to performance, the Department of Health and Social Care said in a news release:

In his review of the NHS, Lord Ara Darzi found the only criteria by which chief executive pay was set is the turnover of the organisation. Neither the timeliness of access, quality of care or effective running of the organisation factored into pay. NHS integrated care systems had built up deficits totalling £2bn in just the first four months of this financial year, leaving the incoming government with a financial blackhole which had to be dealt with at the budget.

A new pay framework for VSMs will therefore be published before April 2025. This will clamp down on poor performance, while rewarding senior leaders who are successfully turning their services around.

Updated

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