The Dismissal of over Ten Thousand NHS Staff via ‘Some Other Substantial Reason’

By Dr Minh Alexander NHS whistleblower and former consultant psychiatrist 17 February 2019

The worst organisations in the NHS are managed ineptly, and with an immature intolerance for staff who swim against the current. This may be accompanied by arbitrary, excessively harsh or even manufactured disciplinary process:

Waste Industry: Abuses of the NHS disciplinary process

Public resources are wasted by sacking unwanted individuals, be they whistleblowers, trade union activists or anyone else who does not conform sufficiently, even if they are perfectly capable and have not misconducted themselves. The sacking takes place under the insidious category of dismissals for ‘Some Other Substantial Reason’, (SOSR) such as a purported breakdown of relationships.

Such breakdowns can be easy to engineer, with deliberate employer provocation. For example in whistleblower cases, the original concerns raised soon become buried under a hail of grievances, counter grievances and deliberately unfair procedures that generate more conflict. Such wars are waged with calculated malice by some employers, who may call in the lawyers to steer strategy long before any formal process, and before the employee realises that they are being managed out.  When such cases arrive at the Employment Tribunal, they are complicated, hard to fight and prohibitively expensive for the employee. The courts often find contributory fault by the employee without sufficiently recognising the employer provocation.

An FOI disclosure of 15 February 2019 by NHS Digital revealed that between April 2010 and September 2018, the NHS has sacked 10,604 staff under SOSR:

 

NHS Hospital and Community Health Services (HCHS): Incidents of HCHS staff with a recorded reason for leaving of Dismissal – Some Other Substantial Reason, in NHS Trusts, CCGs, Support Organisations and Central Bodies in England, 30 April 2010 to 30 September 2018, headcount
Year Headcount
April 2010 to March 2011  1,649
April 2011 to March 2012  1,453
April 2012 to March 2013  1,235
April 2013 to March 2014  1,151
April 2014 to March 2015  1,164
April 2015 to March 2016  1,222
April 2016 to March 2017  1,232
April 2017 to March 2018  1,231
April 2018 to September 2018  267
TOTAL  10,604
Source: NHS Digital NHS Hospital & Community Health Service (HCHS) workforce statistics.

 

The number of NHS SOSR sackings over an eight year period, breaks down by region as follows, with the North West, West Midlands and East of England regions topping the pops:

REGION DISMISSALS VIA SOSR
Health Education North West  1,557
Health Education West Midlands  1,152
Health Education East of England  1,117
Health Education Yorkshire and the Humber  894
Health Education North Central and East London  813
Health Education East Midlands  760
Health Education South West  699
Health Education Kent, Surrey and Sussex  650
Health Education South London  631
Health Education Wessex  430
Health Education North West London  378
Health Education North East  366
Health Education Thames Valley  346
TOTAL  9,793

 

The full list of SOSR sackings for each NHS trust is provided in the appendix.

The top twenty NHS trusts who sacked the most staff under SOSR in these eight years is as follows:

 

Organisation name Org code Headcount: Dismissal, Some Other Substantial Reason SIZE OF TRUST
Nottingham University Hospitals NHS Trust RX1  348 Large (more than 10,000 staff)
Leeds Teaching Hospitals NHS Trust RR8  233 Large (more than 10,000 staff)
Barts Health NHS Trust R1H  170 Large (more than 10,000 staff)
St George’s University Hospitals NHS Foundation Trust RJ7  162 Large (more than 10,000 staff)
University College London Hospitals NHS Foundation Trust RRV  155 Medium (between 5,000 and 10,000 staff)
Oxford University Hospitals NHS Foundation Trust RTH  132 Large (more than 10,000 staff)
Pennine Acute Hospitals NHS Trust RW6  132 Medium (between 5,000 and 10,000 staff)
University Hospital Southampton NHS Foundation Trust RHM  129 Large (more than 10,000 staff)
Heart of England NHS Foundation Trust RR1  115 Large (more than 10,000 staff)
East of England Ambulance Service NHS Trust RYC  106 Medium (between 5,000 and 10,000 staff)
York Teaching Hospital NHS Foundation Trust RCB  103 Large (more than 10,000 staff)
Wirral University Teaching Hospital NHS Foundation Trust RBL  100 Medium (between 5,000 and 10,000 staff)
Aintree University Hospital NHS Foundation Trust REM  96 Small (up to 5,000 staff)
Birmingham and Solihull Mental Health NHS Foundation Trust RXT  96 Small (up to 5,000 staff)
Guy’s and St Thomas’ NHS Foundation Trust RJ1  91 Large (more than 10,000 staff)
Princess Alexandra Hospital NHS Trust RQW  81 Small (up to 5,000 staff)
Royal Free London NHS Foundation Trust RAL  81 Large (more than 10,000 staff)
Stockport NHS Foundation Trust RWJ  81 Medium (between 5,000 and 10,000 staff)
South Essex Partnership University NHS Foundation Trust RWN  80 Medium (between 5,000 and 10,000 staff)
Royal Wolverhampton NHS Trust RL4  78 Medium (between 5,000 and 10,000 staff)

 

Some trusts rated as ‘Outstanding’ by the CQC did their bit to push up the SOSR stats. In the clear lead was Birmingham Women’s and Children’s NHS Foundation Trust, whose CEO regularly makes public statements about the importance of staff engagement and positive culture:

Dismissals via SOSR between 1 April 2010 and 31 March 2018 by NHS trusts currently rated as ‘Outstanding’:

NHS TRUST DISMISSALS VIA SOSR SIZE OF TRUST
Birmingham Women’s and Children’s NHS Foundation Trust  129 Large (more than 10,000 staff)
Christie NHS Foundation Trust  64 Small (up to 5,000 staff)
Clatterbridge Cancer Centre NHS Foundation Trust  63 Medium (between 5,000 and 10,000 staff)
East London NHS Foundation Trust  52 Medium (between 5,000 and 10,000 staff)
Frimley Health NHS Foundation Trust  50 Small (up to 5,000 staff)
Lincolnshire Community Health Services NHS Trust  39 Medium (between 5,000 and 10,000 staff)
Newcastle Upon Tyne Hospitals NHS Foundation Trust  34 Medium (between 5,000 and 10,000 staff)
Northamptonshire Healthcare NHS Foundation Trust  29 Small (up to 5,000 staff)
Northumbria Healthcare NHS Foundation Trust  28 Small (up to 5,000 staff)
Northumberland, Tyne and Wear NHS Foundation Trust  28 Small (up to 5,000 staff)
Royal Marsden NHS Foundation Trust  24 Small (up to 5,000 staff)
Salford Royal NHS Foundation Trust  22 Small (up to 5,000 staff)
Surrey and Sussex Healthcare NHS Trust  15 Small (up to 5,000 staff)
Walton Centre NHS Foundation Trust  7 Small (up to 5,000 staff)
Western Sussex Hospitals NHS Foundation Trust  6 Small (up to 5,000 staff)
West Suffolk NHS Foundation Trust  6 Small (up to 5,000 staff)
West Midlands Ambulance Service NHS Foundation Trust  6 Small (up to 5,000 staff)
Source: NHS Digital NHS Hospital & Community Health Service (HCHS) workforce statistics.
Size of trust by number of employees sourced from National Guardian’s published data

 

National NHS bodies also contributed to the SOSR trail of devastation. Notably, NHS Blood and Transplant, the former billet of the new CQC chief executive Ian Trenholm, had its fair share of SOSR sackings:

DISMISSALS VIA SOSR 1 APRIL 2010 to 31 MARCH 2018
NATIONAL NHS BODY DISMISSALS VIA SOSR
NHS Direct NHS Trust  359
NHS Blood and Transplant  59
NHS Business Services Authority  36
NHS Property Services Limited  28
Public Health England  13
NHS England  11
NHS Professionals Ltd  6
NHS Digital  5
NHS South, Central and West Commissioning Support Unit  5
Health Education England  4
NHS North of England Commissioning Support Unit  4
National Institute for Health and Care Excellence  3
NHS Arden and Greater East Midlands Commissioning Support Unit  3
NHS Midlands and Lancashire Commissioning Support Unit  3
NHS Institute For Innovation and Improvement  2
Northern Deanery  2
NHS South East Commissioning Support Unit  1

 

Training and developing NHS staff costs millions. They are a precious resource paid for by the public. It is staggering incompetence and maladministration to discard such resource for petty and or self-serving reasons. Even where there is genuine and insoluble breakdown of the employment relationship, the NHS as a vast employer should be able to manage redeployment to avoid such waste.

 

RELATED ITEMS

The unfair sacking of Andrew Smith, NHS whistleblower and trade union representative. A heady cocktail of tainted ingredients. Or how CQC, NHS Improvement & Mid Essex Hospital Services NHS Trust worked together on FPPR.

Mr Tristan Reuser surgeon & GMC. Update on GMC, whistleblowing and implementation of the Hooper recommendations

Dr Kevin Beatt NHS whistleblower & the negligent GMC

Whistleblowing in the NHS isn’t fixed yet, and this leaves patients exposed. An overview of unfinished policy business.

What could a new whistleblowing law look like? A discussion document

 

APPENDIX

Incidents of NHS trust staff with a recorded reason for leaving of Dismissal – Some Other Substantial Reason by organisation, England 30 April 2010 to 31 March 2018, headcount

Source: NHS Digital NHS Hospital & Community Health Service (HCHS) workforce statistics. Size of trust by number of employees sourced from National Guardian’s published data.

NHS Trusts are listed in descending order, starting with those that have sacked the most staff under SOSR.

Organisation name Org code Headcount: Dismissal, Some Other Substantial Reason SIZE OF TRUST
Nottingham University Hospitals NHS Trust RX1  348 Large (more than 10,000 staff)
Leeds Teaching Hospitals NHS Trust RR8  233 Large (more than 10,000 staff)
Barts Health NHS Trust R1H  170 Large (more than 10,000 staff)
St George’s University Hospitals NHS Foundation Trust RJ7  162 Large (more than 10,000 staff)
University College London Hospitals NHS Foundation Trust RRV  155 Medium (between 5,000 and 10,000 staff)
Oxford University Hospitals NHS Foundation Trust RTH  132 Large (more than 10,000 staff)
Pennine Acute Hospitals NHS Trust RW6  132 Medium (between 5,000 and 10,000 staff)
University Hospital Southampton NHS Foundation Trust RHM  129 Large (more than 10,000 staff)
Heart of England NHS Foundation Trust RR1  115 Large (more than 10,000 staff)
East of England Ambulance Service NHS Trust RYC  106 Medium (between 5,000 and 10,000 staff)
York Teaching Hospital NHS Foundation Trust RCB  103 Large (more than 10,000 staff)
Wirral University Teaching Hospital NHS Foundation Trust RBL  100 Medium (between 5,000 and 10,000 staff)
Aintree University Hospital NHS Foundation Trust REM  96 Small (up to 5,000 staff)
Birmingham and Solihull Mental Health NHS Foundation Trust RXT  96 Small (up to 5,000 staff)
Guy’s and St Thomas’ NHS Foundation Trust RJ1  91 Large (more than 10,000 staff)
Princess Alexandra Hospital NHS Trust RQW  81 Small (up to 5,000 staff)
Royal Free London NHS Foundation Trust RAL  81 Large (more than 10,000 staff)
Stockport NHS Foundation Trust RWJ  81 Medium (between 5,000 and 10,000 staff)
South Essex Partnership University NHS Foundation Trust RWN  80 Medium (between 5,000 and 10,000 staff)
Royal Wolverhampton NHS Trust RL4  78 Medium (between 5,000 and 10,000 staff)
Sandwell and West Birmingham Hospitals NHS Trust RXK  75 Medium (between 5,000 and 10,000 staff)
South Western Ambulance Service NHS Foundation Trust RYF  71 Medium (between 5,000 and 10,000 staff)
Mid Yorkshire Hospitals NHS Trust RXF  70 Medium (between 5,000 and 10,000 staff)
University Hospitals of Leicester NHS Trust RWE  69 Large (more than 10,000 staff)
Gloucestershire Hospitals NHS Foundation Trust RTE  69 Medium (between 5,000 and 10,000 staff)
Imperial College Healthcare NHS Trust RYJ  68 Large (more than 10,000 staff)
Tees, Esk and Wear Valleys NHS Foundation Trust RX3  66 Medium (between 5,000 and 10,000 staff)
South East Coast Ambulance Service NHS Foundation Trust RYD  65 Small (up to 5,000 staff)
South London and Maudsley NHS Foundation Trust RV5  64 Small (up to 5,000 staff)
Central and North West London NHS Foundation Trust RV3  63 Medium (between 5,000 and 10,000 staff)
East London NHS Foundation Trust RWK  63 Medium (between 5,000 and 10,000 staff)
Christie NHS Foundation Trust RBV  63 Small (up to 5,000 staff)
Coventry and Warwickshire Partnership NHS Trust RYG  63 Small (up to 5,000 staff)
University Hospitals Bristol NHS Foundation Trust RA7  63 Large (more than 10,000 staff)
North Middlesex University Hospital NHS Trust RAP  61 Small (up to 5,000 staff)
University Hospitals of North Midlands NHS Trust RJE  61 Large (more than 10,000 staff)
East Sussex Healthcare NHS Trust RXC  60 Medium (between 5,000 and 10,000 staff)
Royal Cornwall Hospitals NHS Trust REF  60 Medium (between 5,000 and 10,000 staff)
King’s College Hospital NHS Foundation Trust RJZ  59 Large (more than 10,000 staff)
Cambridgeshire Community Services NHS Trust RYV  58 Small (up to 5,000 staff)
Southern Health NHS Foundation Trust RW1  58 Medium (between 5,000 and 10,000 staff)
Norfolk and Suffolk NHS Foundation Trust RMY  56 Small (up to 5,000 staff)
Cambridgeshire and Peterborough NHS Foundation Trust RT1  55 Small (up to 5,000 staff)
South Central Ambulance Service NHS Foundation Trust RYE  54 Small (up to 5,000 staff)
County Durham and Darlington NHS Foundation Trust RXP  54 Medium (between 5,000 and 10,000 staff)
Shrewsbury and Telford Hospital NHS Trust RXW  54 Medium (between 5,000 and 10,000 staff)
Taunton and Somerset NHS Foundation Trust RBA  54 Small (up to 5,000 staff)
North Tees and Hartlepool NHS Foundation Trust RVW  53 Medium (between 5,000 and 10,000 staff)
West Midlands Ambulance Service NHS Foundation Trust RYA  53 Medium (between 5,000 and 10,000 staff)
South Tees Hospitals NHS Foundation Trust RTR  52 Medium (between 5,000 and 10,000 staff)
North Bristol NHS Trust RVJ  52 Medium (between 5,000 and 10,000 staff)
Nottinghamshire Healthcare NHS Foundation Trust RHA  51 Medium (between 5,000 and 10,000 staff)
Lewisham and Greenwich NHS Trust RJ2  51 Medium (between 5,000 and 10,000 staff)
Medway NHS Foundation Trust RPA  51 Small (up to 5,000 staff)
Western Sussex Hospitals NHS Foundation Trust RYR  51 Medium (between 5,000 and 10,000 staff)
Lancashire Teaching Hospitals NHS Foundation Trust RXN  51 Medium (between 5,000 and 10,000 staff)
Central Manchester University Hospitals NHS Foundation Trust RW3  50 Large (more than 10,000 staff)
North West Boroughs Healthcare NHS Foundation Trust RTV  50 Small (up to 5,000 staff)
Royal Berkshire NHS Foundation Trust RHW  48 Small (up to 5,000 staff)
Countess of Chester Hospital NHS Foundation Trust RJR  48 Small (up to 5,000 staff)
Yorkshire Ambulance Service NHS Trust RX8  47 Medium (between 5,000 and 10,000 staff)
Dorset Healthcare University NHS Foundation Trust RDY  47 Medium (between 5,000 and 10,000 staff)
Mersey Care NHS Foundation Trust RW4  47 Medium (between 5,000 and 10,000 staff)
Warrington and Halton Hospitals NHS Foundation Trust RWW  47 Small (up to 5,000 staff)
Basildon and Thurrock University Hospitals NHS Foundation Trust RDD  46 Medium (between 5,000 and 10,000 staff)
South West London and St George’s Mental Health NHS Trust RQY  46 Small (up to 5,000 staff)
Greater Manchester Mental Health NHS Foundation Trust RXV  46 Small (up to 5,000 staff)
Mid Cheshire Hospitals NHS Foundation Trust RBT  46 Small (up to 5,000 staff)
Staffordshire and Stoke on Trent Partnership NHS Trust R1E  46 Medium (between 5,000 and 10,000 staff)
Norfolk and Norwich University Hospitals NHS Foundation Trust RM1  45 Medium (between 5,000 and 10,000 staff)
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust RP5  45 Medium (between 5,000 and 10,000 staff)
Brighton and Sussex University Hospitals NHS Trust RXH  45 Medium (between 5,000 and 10,000 staff)
Northern Lincolnshire and Goole NHS Foundation Trust RJL  44 Medium (between 5,000 and 10,000 staff)
London Ambulance Service NHS Trust RRU  44 Medium (between 5,000 and 10,000 staff)
Frimley Health NHS Foundation Trust RDU  44 Medium (between 5,000 and 10,000 staff)
University Hospitals Birmingham NHS Foundation Trust RRK  44 Medium (between 5,000 and 10,000 staff)
Great Western Hospitals NHS Foundation Trust RN3  44 Medium (between 5,000 and 10,000 staff)
North West Anglia NHS Foundation Trust RGN  43 Medium (between 5,000 and 10,000 staff)
Hillingdon Hospitals NHS Foundation Trust RAS  43 Small (up to 5,000 staff)
Cheshire and Wirral Partnership NHS Foundation Trust RXA  43 Small (up to 5,000 staff)
Yeovil District Hospital NHS Foundation Trust RA4  43 Small (up to 5,000 staff)
East Midlands Ambulance Service NHS Trust RX9  42 Small (up to 5,000 staff)
Northampton General Hospital NHS Trust RNS  42 Medium (between 5,000 and 10,000 staff)
Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust RCX  42 Small (up to 5,000 staff)
Buckinghamshire Healthcare NHS Trust RXQ  42 Medium (between 5,000 and 10,000 staff)
Tameside and Glossop Integrated Care NHS Foundation Trust RMP  42 Small (up to 5,000 staff)
Mid Essex Hospital Services NHS Trust RQ8  41 Medium (between 5,000 and 10,000 staff)
West Hertfordshire Hospitals NHS Trust RWG  41 Small (up to 5,000 staff)
St Helens and Knowsley Teaching Hospitals NHS Trust RBN  41 Small (up to 5,000 staff)
Bolton NHS Foundation Trust RMC  40 Small (up to 5,000 staff)
Salford Royal NHS Foundation Trust RM3  40 Medium (between 5,000 and 10,000 staff)
Birmingham Women’s and Children’s NHS Foundation Trust RQ3  40 Medium (between 5,000 and 10,000 staff)
Worcestershire Acute Hospitals NHS Trust RWP  40 Medium (between 5,000 and 10,000 staff)
Barking, Havering and Redbridge University Hospitals NHS Trust RF4  39 Medium (between 5,000 and 10,000 staff)
Barnet, Enfield and Haringey Mental Health NHS Trust RRP  39 Small (up to 5,000 staff)
Burton Hospitals NHS Foundation Trust RJF  39 Small (up to 5,000 staff)
Walsall Healthcare NHS Trust RBK  39 Large (more than 10,000 staff)
East Suffolk and North Essex NHS Foundation Trust RDE  37 Medium (between 5,000 and 10,000 staff)
West London Mental Health NHS Trust RKL  37 Small (up to 5,000 staff)
Croydon Health Services NHS Trust RJ6  37 Small (up to 5,000 staff)
Surrey and Sussex Healthcare NHS Trust RTP  37 Small (up to 5,000 staff)
University Hospitals of Morecambe Bay NHS Foundation Trust RTX  37 Medium (between 5,000 and 10,000 staff)
Midlands Partnership NHS Foundation Trust RRE  37 Medium (between 5,000 and 10,000 staff)
Hinchingbrooke Health Care NHS Trust RQQ  36 Small (up to 5,000 staff)
Homerton University Hospital NHS Foundation Trust RQX  36 Small (up to 5,000 staff)
Kent Community Health NHS Foundation Trust RYY  36 Small (up to 5,000 staff)
East Lancashire Hospitals NHS Trust RXR  36 Medium (between 5,000 and 10,000 staff)
Cambridge University Hospitals NHS Foundation Trust RGT  35 Large (more than 10,000 staff)
Northumbria Healthcare NHS Foundation Trust RTF  35 Large (more than 10,000 staff)
Royal Liverpool and Broadgreen University Hospitals NHS Trust RQ6  35 Medium (between 5,000 and 10,000 staff)
Bedford Hospital NHS Trust RC1  34 Small (up to 5,000 staff)
Sussex Partnership NHS Foundation Trust RX2  34 Small (up to 5,000 staff)
Pennine Care NHS Foundation Trust RT2  34 Medium (between 5,000 and 10,000 staff)
Dudley Group NHS Foundation Trust RNA  34 Medium (between 5,000 and 10,000 staff)
Portsmouth Hospitals NHS Trust RHU  33 Medium (between 5,000 and 10,000 staff)
South London Healthcare NHS Trust RYQ  33 Medium (between 5,000 and 10,000 staff)
North East London NHS Foundation Trust RAT  33 Medium (between 5,000 and 10,000 staff)
University Hospital of South Manchester NHS Foundation Trust RM2  33 Medium (between 5,000 and 10,000 staff)
Avon and Wiltshire Mental Health Partnership NHS Trust RVN  33 Small (up to 5,000 staff)
East and North Hertfordshire NHS Trust RWH  32 Medium (between 5,000 and 10,000 staff)
Rotherham Doncaster and South Humber NHS Foundation Trust RXE  32 Small (up to 5,000 staff)
London North West University Healthcare NHS Trust R1K  32 Medium (between 5,000 and 10,000 staff)
Whittington Health NHS Trust RKE  32 Small (up to 5,000 staff)
Kent and Medway NHS and Social Care Partnership Trust RXY  32 Small (up to 5,000 staff)
Kettering General Hospital NHS Foundation Trust RNQ  31 Small (up to 5,000 staff)
Maidstone and Tunbridge Wells NHS Trust RWF  31 Medium (between 5,000 and 10,000 staff)
United Lincolnshire Hospitals NHS Trust RWD  30 Medium (between 5,000 and 10,000 staff)
Lincolnshire Partnership NHS Foundation Trust RP7  29 Small (up to 5,000 staff)
South West Yorkshire Partnership NHS Foundation Trust RXG  29 Small (up to 5,000 staff)
Chelsea and Westminster Hospital NHS Foundation Trust RQM  29 Small (up to 5,000 staff)
Ipswich Hospital NHS Trust RGQ  28 Small (up to 5,000 staff)
Salisbury NHS Foundation Trust RNZ  28 Small (up to 5,000 staff)
Royal Surrey County Hospital NHS Foundation Trust RA2  28 Small (up to 5,000 staff)
Birmingham Community Healthcare NHS Foundation Trust RYW  28 Small (up to 5,000 staff)
Royal Devon and Exeter NHS Foundation Trust RH8  28 Medium (between 5,000 and 10,000 staff)
Torbay and South Devon NHS Foundation Trust RA9  28 Medium (between 5,000 and 10,000 staff)
Southend University Hospital NHS Foundation Trust RAJ  27 Small (up to 5,000 staff)
Leeds Community Healthcare NHS Trust RY6  27 Small (up to 5,000 staff)
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust RDZ  27 Small (up to 5,000 staff)
Surrey and Borders Partnership NHS Foundation Trust RXX  27 Small (up to 5,000 staff)
Southport and Ormskirk Hospital NHS Trust RVY  27 Small (up to 5,000 staff)
Northern Devon Healthcare NHS Trust RBZ  27 Small (up to 5,000 staff)
Leicestershire Partnership NHS Trust RT5  26 Medium (between 5,000 and 10,000 staff)
Norfolk Community Health and Care NHS Trust RY3  26 Small (up to 5,000 staff)
Epsom and St Helier University Hospitals NHS Trust RVR  26 Small (up to 5,000 staff)
East Kent Hospitals University NHS Foundation Trust RVV  26 Medium (between 5,000 and 10,000 staff)
East Cheshire NHS Trust RJN  26 Small (up to 5,000 staff)
Royal United Hospitals Bath NHS Foundation Trust RD1  26 Medium (between 5,000 and 10,000 staff)
West Suffolk NHS Foundation Trust RGR  25 Small (up to 5,000 staff)
Rotherham NHS Foundation Trust RFR  25 Small (up to 5,000 staff)
Harrogate and District NHS Foundation Trust RCD  24 Small (up to 5,000 staff)
Dartford and Gravesham NHS Trust RN7  24 Small (up to 5,000 staff)
Sussex Community NHS Foundation Trust RDR  24 Medium (between 5,000 and 10,000 staff)
City Hospitals Sunderland NHS Foundation Trust RLN  24 Small (up to 5,000 staff)
North East Ambulance Service NHS Foundation Trust RX6  24 Small (up to 5,000 staff)
North Staffordshire Combined Healthcare NHS Trust RLY  24 Small (up to 5,000 staff)
Worcestershire Health and Care NHS Trust R1A  24 Small (up to 5,000 staff)
University Hospitals of Derby and Burton NHS Foundation Trust RTG  23 Large (more than 10,000 staff)
Sheffield Children’s NHS Foundation Trust RCU  23 Small (up to 5,000 staff)
Hampshire Hospitals NHS Foundation Trust RN5  23 Medium (between 5,000 and 10,000 staff)
Kingston Hospital NHS Foundation Trust RAX  23 Small (up to 5,000 staff)
North West Ambulance Service NHS Trust RX7  23 Medium (between 5,000 and 10,000 staff)
Hertfordshire Partnership University NHS Foundation Trust RWR  22 Small (up to 5,000 staff)
Humber Teaching NHS Foundation Trust RV9  22 Small (up to 5,000 staff)
Berkshire Healthcare NHS Foundation Trust RWX  22 Small (up to 5,000 staff)
Milton Keynes University Hospital NHS Foundation Trust RD8  22 Small (up to 5,000 staff)
Alder Hey Children’s NHS Foundation Trust RBS  22 Small (up to 5,000 staff)
Dorset County Hospital NHS Foundation Trust RBD  21 Small (up to 5,000 staff)
Royal Marsden NHS Foundation Trust RPY  21 Small (up to 5,000 staff)
Blackpool Teaching Hospitals NHS Foundation Trust RXL  21 Medium (between 5,000 and 10,000 staff)
Bridgewater Community Healthcare NHS Foundation Trust RY2  21 Small (up to 5,000 staff)
Wrightington, Wigan and Leigh NHS Foundation Trust RRF  21 Medium (between 5,000 and 10,000 staff)
Somerset Partnership NHS Foundation Trust RH5  21 Small (up to 5,000 staff)
James Paget University Hospitals NHS Foundation Trust RGP  20 Small (up to 5,000 staff)
Sheffield Health and Social Care NHS Foundation Trust TAH  20 Small (up to 5,000 staff)
Camden and Islington NHS Foundation Trust TAF  20 Small (up to 5,000 staff)
Northumberland, Tyne and Wear NHS Foundation Trust RX4  20 Medium (between 5,000 and 10,000 staff)
Lancashire Care NHS Foundation Trust RW5  20 Medium (between 5,000 and 10,000 staff)
Mid Staffordshire NHS Foundation Trust RJD  20 Small (up to 5,000 staff)
Calderdale and Huddersfield NHS Foundation Trust RWY  19 Medium (between 5,000 and 10,000 staff)
Leeds and York Partnership NHS Foundation Trust RGD  19 Small (up to 5,000 staff)
Oxleas NHS Foundation Trust RPG  19 Small (up to 5,000 staff)
Ashford and St. Peter’s Hospitals NHS Foundation Trust RTK  19 Medium (between 5,000 and 10,000 staff)
Solent NHS Trust R1C  18 Medium (between 5,000 and 10,000 staff)
Oxford Health NHS Foundation Trust RNU  18 Medium (between 5,000 and 10,000 staff)
Wye Valley NHS Trust RLQ  18 Small (up to 5,000 staff)
Newcastle Upon Tyne Hospitals NHS Foundation Trust RTD  17 Large (more than 10,000 staff)
Birmingham Women’s NHS Foundation Trust RLU  17 Medium (between 5,000 and 10,000 staff)
Sherwood Forest Hospitals NHS Foundation Trust RK5  16 Small (up to 5,000 staff)
Bradford Teaching Hospitals NHS Foundation Trust RAE  16 Medium (between 5,000 and 10,000 staff)
Central London Community Healthcare NHS Trust RYX  16 Small (up to 5,000 staff)
Royal Brompton and Harefield NHS Foundation Trust RT3  16 Large (more than 10,000 staff)
Hertfordshire Community NHS Trust RY4  15 Small (up to 5,000 staff)
Luton and Dunstable University Hospital NHS Foundation Trust RC9  15 Small (up to 5,000 staff)
North Essex Partnership University NHS Foundation Trust RRD  15 Small (up to 5,000 staff)
Black Country Partnership NHS Foundation Trust TAJ  15 Small (up to 5,000 staff)
Bradford District Care NHS Foundation Trust TAD  14 Small (up to 5,000 staff)
North Cumbria University Hospitals NHS Trust RNL  14 Small (up to 5,000 staff)
Barnsley Hospital NHS Foundation Trust RFF  13 Small (up to 5,000 staff)
Royal National Orthopaedic Hospital NHS Trust RAN  13 Small (up to 5,000 staff)
Cumbria Partnership NHS Foundation Trust RNN  13 Small (up to 5,000 staff)
University Hospitals Coventry and Warwickshire NHS Trust RKB  13 Medium (between 5,000 and 10,000 staff)
Derbyshire Healthcare NHS Foundation Trust RXM  12 Small (up to 5,000 staff)
Sheffield Teaching Hospitals NHS Foundation Trust RHQ  12 Large (more than 10,000 staff)
Great Ormond Street Hospital For Children NHS Foundation Trust RP4  11 Small (up to 5,000 staff)
Manchester Mental Health and Social Care Trust TAE  11 Small (up to 5,000 staff)
South Warwickshire NHS Foundation Trust RJC  11 Small (up to 5,000 staff)
Isle of Wight NHS Trust R1F  10 Small (up to 5,000 staff)
Liverpool Community Health NHS Trust RY1  10 Large (more than 10,000 staff)
Derbyshire Community Health Services NHS Foundation Trust RY8  9 Medium (between 5,000 and 10,000 staff)
Essex Partnership University NHS Foundation Trust R1L  8 Medium (between 5,000 and 10,000 staff)
Manchester University NHS Foundation Trust R0A  8 Large (more than 10,000 staff)
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust RL1  8 Small (up to 5,000 staff)
Cornwall Partnership NHS Foundation Trust RJ8  8 Small (up to 5,000 staff)
University Hospitals Plymouth NHS Trust RK9  8 Medium (between 5,000 and 10,000 staff)
Lincolnshire Community Health Services NHS Trust RY5  7 Small (up to 5,000 staff)
Northamptonshire Healthcare NHS Foundation Trust RP1  7 Small (up to 5,000 staff)
Airedale NHS Foundation Trust RCF  7 Small (up to 5,000 staff)
Royal Orthopaedic Hospital NHS Foundation Trust RRJ  7 Small (up to 5,000 staff)
Devon Partnership NHS Trust RWV  7 Small (up to 5,000 staff)
Gateshead Health NHS Foundation Trust RR7  6 Small (up to 5,000 staff)
Dudley and Walsall Mental Health Partnership NHS Trust RYK  6 Small (up to 5,000 staff)
George Eliot Hospital NHS Trust RLT  6 Small (up to 5,000 staff)
Shropshire Community Health NHS Trust R1D  6 Small (up to 5,000 staff)
2Gether NHS Foundation Trust RTQ  6 Small (up to 5,000 staff)
Poole Hospital NHS Foundation Trust RD3  5 Small (up to 5,000 staff)
Liverpool Women’s NHS Foundation Trust REP  5 Small (up to 5,000 staff)
Walton Centre NHS Foundation Trust RET  5 Small (up to 5,000 staff)
Wirral Community NHS Foundation Trust RY7  5 Small (up to 5,000 staff)
Tavistock and Portman NHS Foundation Trust RNK  4 Small (up to 5,000 staff)
Liverpool Heart and Chest Hospital NHS Foundation Trust RBQ  4 Small (up to 5,000 staff)
Gloucestershire Care Services NHS Trust R1J  4 Small (up to 5,000 staff)
Hull and East Yorkshire Hospitals NHS Trust RWA  3 Medium (between 5,000 and 10,000 staff)
Hounslow and Richmond Community Healthcare NHS Trust RY9  3 Small (up to 5,000 staff)
South Tyneside NHS Foundation Trust RE9  3 Small (up to 5,000 staff)
Clatterbridge Cancer Centre NHS Foundation Trust REN  3 Large (more than 10,000 staff)
Queen Victoria Hospital NHS Foundation Trust RPC  2 Small (up to 5,000 staff)
Weston Area Health NHS Trust RA3  2 Small (up to 5,000 staff)
Royal Papworth Hospital NHS Foundation Trust RGM  1 Small (up to 5,000 staff)

One thought on “The Dismissal of over Ten Thousand NHS Staff via ‘Some Other Substantial Reason’

  1. Thank you for all of the hard work entailed in presenting these figures and the reality of the poor, probably innocent, souls that these figures represent.

    Of course, far easier to accept corrupt work practices, e.g. dispensing with those who can think and have integrity, when it produces better outcomes for the inadequate and corrupt.

    To adopt correct and proper work practices requires effort, some intelligence and honesty – qualities obviously in very short supply in the self-serving, soulless creatures who administer our glorious NHS.

    Thank you very much, Dr. A.

    Like

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