Ever wondered why the NHS is running out of​ money?

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Well – here’s your answer.

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You may remember way back when the WW posted on a Turnaround Director’s pay at the Royal Surrey County Hospital in Guildford.

Two years ago he received £60,000 a month – £3,000 per day.

Focus on “financial position?” What’s it all about Alfie?

The Royal Surrey County Hospital’s Tax on the sick gets a top award!

But this poor devil on the Isle of Wight only received £1,920 per day because NHS England is cutting back!

NHS England approved the use of an interim director providing turnaround support for a clinical commissioning group at a cost of £1,920 a day, HSJ has learned.

The total costs – just under £300,000 including VAT, travel and expenses for work between July 2016 and March 2017 – were shared between the Isle of Wight Clinical Commissioning Group and the island’s trust, which also sought support from him.

 The money was paid to Cornwall based Orwin Algeo Management Solutions. Phil Orwin, a director of the company, appears in publicly available documents listed as interim turnaround director at the Isle of Wight CCG.

The appointment was one of 40 requests for approval of interims in CCGs costing more than £900 a day since new procedures were brought in from August 2016.

Since then, their appointments have had to be approved by NHS England’s commercial executive committee.

A total of 31 out of 40 applications have been approved according to information obtained by Health Service Journal under the Freedom of Information Act. The £1,920 daily rate on the Isle of Wight was the highest approved since the controls were brought in.

A spokesman for NHS England said: “NHS England brought in clear and tough controls for CCGs to stop excessive payments, which have resulted in a £33m reduction on spend and as a result people no longer receive these rates of pay.”

Maggie MacIsaac, chief executive for the Hampshire and Isle of Wight CCG Partnership, said: “There are occasions where outside, specialist expertise is needed in the NHS, for a short period of time, and during 2016-17 the NHS on the Isle of Wight was facing severe financial pressure.

“Specialist expertise was contracted to help get the Island’s NHS working together more closely, and more efficiently, and to better support frontline teams to deliver care. All governance arrangements in place at the time were adhered to.”

Needless to say, there was no comment from Orwin Algeo Management Solutions when it was approached for comment as it was busy laughing all the way to the Bank.