Embargoed 00.01 Tuesday April 01 2014

NHS wastes £46m on spin doctors, diversity advisors & a Third Sector Environmental Sustainability Lead

The TaxPayers’ Alliance (TPA) can today reveal that the NHS wasted over £46 million last year on 1,129 unnecessary jobs in areas such as public relations, the EU and "green" staff. The money spent on these positions in could have paid for 1,662 full time nurses.

The startling new figures have been exposed by Freedom of Information (FOI) requests to every NHS organisation in the UK. The total cost of NHS non-jobs is likely to be an underestimate given that some trusts failed or were unable to respond. 
Key findings:
  • The NHS employed at least 826 public relations staff at an estimated cost of £34 million.
  • It employed at least 165 equality and diversity staff at a cost of more than £6.8 million.
  • It also employed at least 86 ‘green’ staff costing around £3.5 million.
  • West and South Yorkshire and Bassetlaw CSU employed 36 public relations staff at a cost of over £1.4 million.
  • Guy’s and St Thomas’ NHS Foundation Trust employed 22 public relations staff at a cost of almost £1.1 million.
  • Leicestershire Partnership NHS Trust employed six equality and diversity staff.
  • Barts Health NHS Trust employed an NHS EU Office Director, an EU Office Manager and a Senior EU Policy Manager at a combined cost of more than £210,000 .
  • In 2013, six NHS employees received total remuneration of more than £100,000 for an unnecessary job.
  • Imperial College Healthcare, Northumbria Healthcare and Oxford University Hospitals employ a Trust Energy Manager, an Estates Energy and Sustainability Officer and an Energy Manager respectively. However these trusts were found to have significantly overpaid for their energy in previous TPA research.

Roles identified in this research include:
  • Mersey Care NHS Trust’s Third Sector Environmental Sustainability Lead.
  • South London Healthcare Trust’s Energising for Excellence Delivery Lead.
  • Royal Free London NHS Foundation Trust’s Car Park Sustainability Officer.
  • University Hospitals Bristol NHS Foundation Trust’s Administrator of Green Travel Facilities.
  • Mid Yorkshire Hospitals NHS Trust's Diversity and Inclusion Lead.
  • Black Country Partnership NHS Foundation Trust’s Productive Leadership Facilitator.
  • Homerton University Hospital NHS Foundation Trust’s Art Curator and Programme Manager.
  • Leeds Community Healthcare NHS Trust’s Equality and Diversity and Human Rights Manager.
  • Gateshead Health NHS Foundation Trust's Energy Management Manager.
  • 5 Boroughs Partnership NHS Foundation Trust's E-Communications and Social Media Officer.
Jonathan Isaby, Chief Executive of the Taxpayers' Alliance, said:
"Taxpayers expect the health budget to be spent on real doctors, not spin doctors. The NHS employs far too many people in jobs that do nothing to deliver frontline patient care. It’s time for health chiefs to launch a war on waste and ensure the NHS budget is spent on on patients rather than squandered on bureaucrats."


Media Contact

Robert Oxley
Campaign Director, The TaxPayers' Alliance

24-hour media hotline: 07795 084 113

Notes to editors

1. Founded in 2004 by Matthew Elliott and now with 80,000 supporters, the TaxPayers’ Alliance (TPA) fights to reform taxes, cut spending and protect taxpayers. Find out more about the TaxPayers' Alliance at

2. The full report can be found here:
3. Full data tables can be found here:

4. The number of nurses calculation was based on dividing the total cost of unnecessary jobs by the mid-point of the a Band 5 nurse’s salary between pay points 19 and 20 on the Agenda for Change pay scale plus the cost of 14 per cent employer pension contributions. Details here:

5. The information was gathered through Freedom of Information (FOI) requests to every NHS Foundation Trust, Mental Health Trust, Care Trust, Ambulance Trust, Clinical Commissioning Group, Commissioning Support Unit and Special Health Authority in the UK. Each organisation was asked to provide a list of all of their job titles in 2013 containing any specified “trigger words.” Examples of such words include: media, press, PR, carbon, green, diversity and communications. The employee’s remuneration was also requested.

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