Opinion: NHS couple received £1 million payoff before being given new management jobs ex Telegraph – John Gelmini



Royal Free Hospital in London

Royal Free Hospital in London (Photo credit: Wikipedia)


What Dr Alf has identified is a situation in the NHS tantamount to corruption and malfeasance and a flagrant disregard for patients who are frequently told that no money is available for treatment or for particular drugs whilst NHS managers are terminated on Friday, paid off on Saturday and start work again on Monday hundreds of thousands of pounds richer.


We are told by Government Ministers that this is all down to an “inherited situation” from the “last Labour Government ” and that “their hands are tied”.


This is blatantly untrue because if people have manifestly failed in their roles and allowed patients to die needlessly as many NHS managers have, the correct course of action is dismissal for “industrial misconduct “, in which case all you are entitled to is a P45, the words “you are dismissed” and your marching orders.


In the case of Colchester Hospital, where managers fiddled figures and altered computer records to meet targets then instant dismissal and investigation by the Essex Police, trial and (if found guilty), jail is the right approach.


Government Ministers who sanction this sort of gravy train are beyond contempt as is David Cameron the man who is responsible for it all.


The NHS is an expensive basket case in which people who have serious illnesses are either killed off or sent home to die because the money to look after them properly is being wasted on payoffs to useless people.


NHS Consultants are interested in fee paying patients such as the Russian oligarchs and Arab oil Sheiks, who inhabit the upper floor of the Royal Free but not expendable NHS patients who cannot begin to pay.
NHS Managers are interested in themselves, their next “gig” if they are an interim, the size of their payoff and their next role if they are permanent.


Experience and “recency ” of experience rule, “Gordon Gekko” is still alive and for these NHS Managers “Greed is Good“.


John Gelmini



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Moritz Erhardt: Extreme Personal Competition to the Death – John Gelmini

Wall Street Sign. Author: Ramy Majouji

Wall Street Sign. Author: Ramy Majouji (Photo credit: Wikipedia)

Dr Alf has raised difficult issues within this blog about the intense competition for high flyers that prevails in the rarified atmosphere of the investment banking community and the processes it uses to find and reward and develop the so-called “Masters of the Universe”.

These were once depicted as the Gordon Gekko character, played by Michael Douglas in the 2 Wall Street films but because of the failings of the UK education system many of these aspirant investment bankers come from countries within and outside of the EU where the teaching of mathematics is of a much higher standard.

Moritz Erhardt, the 21-year-old,  Bank Of America Merrill Lynch (BOAML) intern, who died after
working for 3 days and nights without sleep in a row, was typical of the sort of employee employed by City/Wall Street investment banks.

He was also like many young people in pressurized environments, who are expected to perform to extraordinary lengths.

The hours worked by Junior hospital doctors used to be not dissimilar to the hours worked by BOAML until they were limited by the EU’s Working Time Directive, airline pilots, lorry drivers and others used to drive until they got what the Americans called “White line fever” and even now, we hear of a Ryanair pilot being dismissed for” industrial misconduct” because he revealed the numbers of hours he was being forced to work, the low margin of error in terms of fuel that he was allowed to complete his flights with.

In Japan many of the so-called “salarymen” have literally died of overwork or been found dead in one of their sleeping pods. The spouse of one tried to sue her late husband’s employer for working her husband to death but the Japanese courts were highly unsympathetic and threw the case out.

At GE and what is now part of Sir Philip Green’s Arcadia Group PLC, I can remember working on pre acquisition due diligence for several days at a stretch without sleep and often at different ends of the country after hours of driving.When I did it, I was considerably older than the youthful Moritz Erhardt but these sorts of time pressures are not untypical when you are locked into a very tight timetable by a CEO who demands 125% and a perfect report or dazzling presentation by 7.00 AM on Monday morning.

Dr Alf asks what can be done to make internships cleaner.

Clearly they will have to be regulated as to:

–Pay (Too many carry no salary of any kind)

–Access (Competition is fierce but the process must be opened up to a wider range of people)

–Hours and intensity of workload

Studies commissioned by the world’s military forces show that without sleep, performance falls, mistakes are made and that eventually madness and death ensue.

That is why commandos on night operations were given amphetamines to enable them to complete their missions but afterwards had to get some sleep.

People have physical, mental, emotional and psychological limits and we cannot push people to those limits and expect no casualties.

Moritz Erhardt was a casualty which may or may not have been avoidable and his relatives may well have a case for breach of an employers duty of care and a massive payout.

Until there are more deaths and successful legal action is brought nothing will change but there is no doubt something needs to be done to break this cult of testosterone fueled lunacy.

John Gelmini


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