Stop Stealing My Golden Eggs
Not happy this matter has been brought to the publics attention - again!!!!
Having made a good living from the NHS (as a consultant) I feel I should add some balance to the arguement for us third parties.
1) Senior management are very upfront and honest - you are informed at the earliest possible stage that your services are being employed so that if a project fails it is because of your incompedence and not the fact the idea was bad in the first place. Ultimately you will be fired and the manager gets browny points for taking decisive action.
2) All the talented staff have left - such as myself as compensation is diabolical for skilled jobs. Why should I work for 25K a year doing my job when I can leave then come back in as a consultant - doing the same work for £25\hour (50K\year) - you know it makes sense.
3) For the inherantly tricky issues I require to pay a third party for these - ultimately they will get the sack if something goes wrong - I have my cut on top of theirs for protecting myself - an ethos the senior staff fully support.
4) I also save the NHS the hassle of writing my contract - I do this for them. This way I am perfectly positioned to find loopholes to allow me to overcharge for time in case things are quiet. For some reason no one in the NHS wants to verify my contract terms and conditions - may imply a level of liability if they did then they would get penalised.
5) Most competent staff who used to be with the NHS either work for me or with others like me. They don't seem to have realised that its the key personnel we're interested in which forces them to employ my services as I now have their key staff with the skills to progress.
6) This leads us to 'The Maintenance Contract'.
All components - hardware\operating system\environment\administration\updating are usually handled by different parties. This allows all parties to stall for time while 'discussing' who is actually to blame. Usual outcome is one of us gets a nice £50-£100\hour (depending on the system) to find and fix the problem - average time to resolve - 1 week. (you would do it too)
7) Latest developments: The Fully Managed Service
Great earnier - the third party providing the service has a license to make money - the NHS are so reliant on the provider they have to go with what they say & don't wish to rock the boat by asking why they are being charged say an extra 100K for a mistake that looked like the third parties - again coming back to liability - we pay you then you take the rap. The key staff skilled enough to have them fix the problem for free now work for the third party - outstanding.
8) The National Framework:
250 laptops costing £1000\unit get a limited £0 (yes zero) discount for the bulk order - even although the exact same model is in PC world for £600 - no oversight and the person from the NHS got a free mousemat and matching mouse for their effort - not bad for a 250K order.
If it was my business - have NHS internal project managers (you tried MS Frame) who are responsible from concept to handover & pay them accordingly. 30K for someone managing a £5,000,000 project of which £2,000,000 is scope creep is pants. Pay them for the job they do & you might keep your staff instead of them going elsewhere.
Think that about covers it.