A review of clinical commissioning groups discovered that levels of remuneration can be inconsistent across the NHS system.
This has forced NHS England to update its guidance, after it was discovered that the level of pay is significantly high at Liverpool CCG.
Complaints have been made by local MPs in order to instigate the review, and the investigation discovered that remuneration was set at an inappropriate level, and that governance procedures had been disregarded.
Vice-chair, Professor Maureen Williams, resigned as a result of the review, which had discovered that she was paid a salary of over £100,000.
The CCG has now published NHS England’s full report within its July board papers.
“Remuneration of NHS Liverpool CCG’s governing body members, excluding GP members, in financial year 2015-16 was significantly higher than a peer group of 10 other CCGs selected based on allocation,” the report notes.
And the document goes on to outline some of the higher salaries within the organisation.
“The chair, chief finance officer and chief nurse had the highest pay in their peer group; the chief officer had the second highest pay in their peer group; the two lay members were paid significantly more than any of their peer group; the practice nurse and secondary care doctor were paid significantly more than any of their peer group.”
With problems within the CCG quite evident, the report indicates that NHS England will liaise with the Department of Health in order to ensure that payment guidance for clinical commissioning groups includes appropriate population measures.
Katherine Sheerin, chief officer of the CCG, commented on the matter, indicating a tacit acceptance that executive pay has been inappropriate.
“We’ve accepted that we got some of our decision making processes wrong, and we are happy to share that and put things right. We will learn from this and move forward. It would be very helpful if the [NHS England] guidance was clearer, so that it’s clear which population measure should be used and whether there should be a weighting for complexity.”
Guidance in this matter was written five years ago, and suggests that pay should be “in line with non-executive director payments in other NHS organisations”.
The report found that several prominent individuals working within the clinical commissioning groups were paid extortionate salaries.
NHS England’s review was initiated after criticism from West Lancashire MP Rosie Cooper.
“It is not sufficient for the chair of the remuneration board to simply stand down, the governing Body should resign and pay back the monies they’ve grabbed,” Cooper had commented.