Sean McGrath- gone form HSE – No loss if this is his attitude. THe interest of the Irish people is nopt to have doctors in hospitals with insufficient numbers of beds and ancillary services including outpatients. Another inadequate control freak.

The Irish Times – Monday, March 26, 2012
500 consultants earn above €200,000 public pay ceiling
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MARTIN WALL, Industry Correspondent

ONE HOSPITAL consultant received more than €400,000 from the public
health service, while up to 500 senior doctors are earning more than
€200,000, the former HSE head of human resources has said.

In an interview with The Irish Times, Seán McGrath, who stepped down
last Wednesday, said some hospital consultants were able to complete
their 37-hour commitment to public hospitals by Wednesday lunchtime
and to devote the rest of the week to their private practice, while
receiving additional allowances for being “on call”.

He said he opposed further pay cuts for consultants. He had instead
proposed to the Government that the working week for senior doctors
and senior management should be raised to 43 hours.

He said all other grades should have a 39-hour week.

Mr McGrath also suggested consultants’ private practice could be
restricted to outside of core working hours or to weekends.

The Government last year set a general pay ceiling of €200,000 for
public service staff, although it acknowledged “some” of the country’s
150 academic medical consultants had salaries in excess of €200,000.

However, Mr McGrath’s figures suggest when total earnings are included
(including allowances) the number of senior hospital doctors receiving
more than the €200,000 ceiling is much greater than that set out by
the Government.

He said there were more than 100 salary rates for hospital
consultants, based on various contracts, ranging from €130,000 to
€185,000. On top of salary there were “very generous allowances”.
Clinical directors received €46,000 in allowances and there were also
on-call, call-out and continuing medical education payments.

He said overall up to 500 consultants were earning in excess of €200,000.

He said many of these were earning over €250,000 and some were
receiving more than €300,000 from the public purse.

The programme for government commits to cutting pay for hospital
consultants. However, Minister for Health James Reilly has instead
opted to try to secure a new deal on flexible working practices aimed
at saving more than €100 million.

Mr McGrath also said the HSE had found it “very difficult” to
implement the revised contract for hospital consultants due to
“resistance” on some issues.

Mr McGrath, who is taking up a senior position with the World Bank in
Washington, also signalled the HSE wanted major changes to nursing
rosters. He suggested existing 12-hour shifts for nurses could be
changed to six-hour shifts (meaning the working week would be spread
over more days).

He also indicated split-shifts could be introduced where nurses would
work several hours in the morning and more in the evening.