EXCLUSIVE Now Auditor General stands ready to probe NHS Fife chiefs over their handling of trans battle
In an exclusive interview, Stephen Boyle refused to rule out taking a deep-dive into the health board's finances and governance structures.
It comes as Scottish Conservative leader Russell Findlay last night demanded First Minister John Swinney 'sack' NHS Fife's CEO and board if they did not 'do the right thing and quit'.
Sandie Peggie, 51, was suspended from her role at Victoria Hospital, in Kirkcaldy, last year after she objected to 30-year-old male-born Dr Beth Upton using the female facilities.
She is also suing the Royal College of Nursing union, a fact first revealed by MailOnline in May.
Last night, Mr Boyle - who assesses public bodies' value for money as well as their governance structures and accountability - said he would make a decision on whether to probe NHS Fife after his auditors complete their usual reports.
Asked about the use of taxpayer funds to pay for legal costs relating to the tribunal so far, Mr Boyle said he understood why the public might be concerned over the spending.
He said: 'Without commenting on the specifics of the case... I understand across the piece why the public will want to be satisfied absolutely that public money is spent properly consistent with the roles and responsibility of public bodies who are tasked with implementing government policy.'
Probed over whether he had concerns NHS Fife might not be complying with the law on single sex spaces - clarified by a Supreme Court ruling that a woman is defined by her biological sex in April - he said he would await the auditor's usual report of the health board.
He said: 'How I discharge my responsibilities, particularly when it comes to individual public bodies, is through the annual auditors. I appoint auditors for all public bodies, with the exception of local government and they'll conduct an audit of the expenditure.
'In public sector context, we don't just look at the numbers, we also look at governance, accountability and value for money, and I'll await the auditor's report.
'That's something that they will refer to, and it's something that I can then take a decision, as I do in many cases, whether to proceed with a statutory report to the Scottish Parliament on the back of that.'
And pushed on whether he will investigate NHS Fife's handling of the case, he said: 'It's not something I have made a decision on yet. I will await the auditor's report.'
Mr Boyle's comments come after Scottish Tory leader Mr Findlay yesterday said the tribunal was unfolding like an 'ongoing slow-motion car crash'.
He said NHS Fife's chief executive Carol Potter, who earns at least £147,700 a year, and her 'entire board can no longer remain in post'.
And he condemned a media statement released by the health board on Friday evening which took a swipe at human rights organisation Sex Matters, which is supporting Mrs Peggie.
The statement read: 'Sex Matters have been very active, making statements which it would appear are aimed at steering public opinion in a way that NHS Fife as a public body clearly cannot.'
It added: 'There has been significant and very polarised debate on social media regarding the case and associated issues, throughout. In some cases, however, what began as debate has evolved into much more worrying behaviour, including a threat of physical harm and sexual violence, which has required the involvement of Police Scotland.'
NHS Fife later tweaked the release, adding: 'NHS Fife is not seeking to suggest that anyone involved with Sex Matters have contributed to the behaviour or issues mentioned above.'
However the move backfired spectacularly, drawing criticism and ridicule in equal measure.
Last night, Mr Findlay said: 'In their zeal to embrace the SNP's bonkers belief in gender ideology, they were willing to destroy the career of a nurse and waste huge sums of taxpayers' money.
'But instead of taking any responsibility for their own conduct, they've now resorted to smearing Sandie Peggie and the campaigners who have stood with her.'
He added: 'John Swinney, Neil Grey and their SNP colleagues appear to be the only people left in Scotland who think this is okay.
'If the NHS Fife board won't do the right thing and quit, then they should be sacked.'
NHS Fife's statement also made reference to a freedom of information battled between the health board and The Mail.
However that also caused concern, and sparked a warning from the Scottish Information Commissioner David Hamilton who said it had cast doubt on its compliance with FOI legislation.
In May, he ordered NHS Fife to review what information it held about its legal bill for the tribunal after it failed to supply the costs to The Mail.
Earlier this month, NHS Fife published data saying the case had cost £220,500 as of the end of May - although that had soared to £258,831 by the end of June.
Mr Hamilton said: 'The petulant tone of NHS Fife's latest statement is quite remarkable, but it is the contents that concern me most. They have now cast doubt upon the assurances they gave me regarding compliance with my Decision Notice.'
If the authority had not complied, he said he may 'report the matter to the Court of Session as a contempt of court'.
According to the health board's communications policy, Press releases are approved by the 'relevant Executive Director and Chief Executive before release', meaning Mrs Potter was likely aware of the statement.
The tribunal battle between the veteran nurse, the health board and the doctor continues.
A Scottish Government spokesman said: 'Ministers have been clear they have confidence in the board. It would however be inappropriate to comment further while judicial proceedings in an Employment Tribunal are ongoing.'
A spokeswoman for NHS Fife said: 'To date, NHS Fife has had no contact from the Auditor General on this matter.'
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
Daily Mail
16 minutes ago
- Daily Mail
Graham Thorpe asked his wife to help him end his life after his mental health 'spiralled' following Covid lockdowns and being sacked from his England coaching job, inquest hears
England cricket legend Graham Thorpe's mental health was 'spiralling down' after a combination of Covid lockdowns and being sacked from the English Cricket Board (ECB), his heartbroken widow said today. Amanda Thorpe described how the Surrey lefthander begged her to help him to die as he struggled to cope with anxiety and depression. He attempted to take his own life in a hotel in 2022, after losing his coaching job with the ECB after a video involving the England Ashes players on tour in Australia – which Thorpe filmed – was leaked. The former Surrey lefthander, who dazzled with the bat during a glittering career for club and country, was killed when he was struck by a train near his home on August 4 last year. He was 55 years old. Mrs Thorpe told her husband's inquest in Woking: 'He asked me to help him end his life. 'He said he wants to go to Switzerland. I was in turmoil. 'Then we get a letter for an appointment (with the medical team) in a month's time. 'How ill do you have to be?' Thorpe's wife, his father Geoff, and brothers Alan and Ian were all present for the hearing. Addressing them, assistant coroner Jonathan Stevens said: 'I appreciate this is an incredibly difficult time for you as a family.' The coroner, referring to Mrs Thorpe's witness statement, described how 'up until the time of Covid there were no psychological issues'. He said: 'You explain Graham found lockdown and Covid very difficult, very stressful for him.' Mrs Thorpe said: 'Up until 2020, no there wasnt anything in particular. 'Maybe in 2018 he had a bout of depression but he got through that, it didn't affect his job.' Thorpe's father Geoff, 83, agreed, adding: 'Everything was fine until Covid.' He told the inquest: 'What you've got to realise is sometimes us chaps are a little bit macho – we can cope. 'In fact, we can't.' Referring to the Covid restrictions, he said: 'He's not a fella who likes to be couped up.' Mr Thorpe senior described how his son's 'life came crashing down' when he lost his job with the ECB. The coroner described how Thorpe 'had his ups and downs with stress and anxiety' in 2021, but then there was the prospect of the Ashes tour in 2021/2 where the Covid restrictions in Australia were much stricter than in the UK. Referring to Mrs Thorpe's statement, he said: 'You say the environment of Covid was not good for him, would make his psychological condition worse. 'You mention on that Tour there was an incident involving a video that was taken that drew a lot of adverse publicity. 'You make the observation that he shouldn't have been allowed to go to Australia, and it was inevitable there was going to be a deterioration in his mental health.' Mrs Thorpe said: 'Thinking about it, because he went on that Tour, he was dismissed. 'If he hadn't been on that Tour, then he wouldn't be dismissed and that was ultimately what he couldn't deal with.' The coroner said Thorpe tried to take his own life with a cocktail of medication and alcohol in the middle of 2022. He said: 'Things continued to go downhill, he was really struggling, had anxiety and insomnia and it was all really dark.' Thorpe spent three weeks unconscious in hospital after the suicide attempt. He suffered a stroke, and was in intensive care for five weeks. He went to a private hospital, paid for by the ECB, but his mental health did not improve. He was offered a coaching role with the Afghanistan national team but could not go because of his mental health issues. Mrs Thorpe told the inquest: 'He tried to do it but he was spiralling down. 'He signed a contract and I had to tell them he was too unwell to do that job.' Thorpe tried various types of therapy including electro-compulsive therapy, but that 'didn't seem to work', the inquest heard. He made repeated threats to kill himself, including throwing himself in front of a train, his father said. Mrs Thorpe said: 'He told me he was scared, and I told him I was scared too because I didn't know how to help him.' By June 2024, Thorpe 'had no interest in food, he wanted to hide away, totally isolated, in real crisis and despair', the inquest heard. The coroner described how Thorpe left the family home on the morning of August 4 2024 and was not seen alive again. Referring to Mrs Thorpe's witness statement, he said: 'You had been upstairs on the phone and Graham had gone out. 'You thought he had gone to walk the dog but then you saw the dog. 'You tried to locate him using your phone but weren't able to do that. 'Then you got a call from Geoff telling you: he's gone.' Mrs Thorpe said: 'He never really recovered from (his first suicide) attempt. 'He came back from the tour of Australia in a terrible state - lots of things, the video, the environment, the set-up. 'To be sacked after that I think it was foreseeable that it would be really really hard on him. 'The weeks leading up to his death, he told me he doesn't want to be here any more. 'He asked me to help him end his life. 'He said he wants to go to Switzerland. I was in turmoil. 'Then we get a letter for an appointment (with the medical team) in a month's time. 'How ill do you have to be? I just wish he could have been kept safe. If you're not here, there's no hope.' The father-of-four was considered a talisman for England, and was a veteran of 100 Test matches between 1993 and 2005. But he also spent years battling anxiety and depression, and believed his wife Amanda and children Henry, Amelia, Kitty and Emma were better off without him. Thorpe was born in Farnham, Surrey, and showed early promise as a footballer - even being offered trials at Brentford - but was already involved in the under-11s set-up at his home county cricket club. He did not look back. Thorpe would go on to become one of the most revered batsmen of his generation, a rare bright spark in an England team which often failed to deliver. His swashbuckling style and distinctive headband made him popular with fans new and old. And he set records along the way - becoming the first England batter for 20 years to score 100 runs on his Test debut, doing so against a Shane Warne-inspired Australia at Trent Bridge in Nottinghamshire in 1993. He would become only the eight man to reach 100 Test caps for England, scoring 6,744 runs at an average of 44.66. But he was also plagued by demons. In 2002, the year he scored the third fastest double-century in Test history, Thorpe took a 12-month break from cricket as he left a tour of India amid turmoil in his first marriage due to his cheating that led to a bitter divorce and a battle with suicidal depression and alcoholism. Thorpe admitted later after he flew back from touring India to try to save his first marriage: 'There came a time when I would have given back all my Test runs and Test caps just to be happy again.' Mrs Thorpe said in an interview after his death that despite having a wife and children whom he loved and who loved him, 'he did not get better'. His wife said: 'He was so unwell in recent times and he really did believe that we would be better off without him and we are devastated that he acted on that and took his own life.' Thorpe will be honoured during the final Test match against India at The Oval next month to raise awareness of mental health. Day two of the fifth Test will be called 'A Day for Thorpey' in support of charity Mind. It falls on August 1, which would have been Thorpe's 56th birthday. Thorpe's inquest is due to last until Friday.
The Independent
18 minutes ago
- The Independent
How much resident doctors really earn as they plan to strike over NHS pay
Resident doctors will go ahead with a five-day strike this week after talks between the British Medical Association (BMA) and the government broke down. The BMA rejected the government's offer of a 5.4 per cent pay rise this year and is calling for a 29 per cent pay rise, claiming doctors have seen a 20 per cent pay erosion in their salaries since 2008. Wes Streeting, the health secretary, described the strike action as 'completely unjustified'. He added: 'It shows a complete disdain for patients and the wider recovery of the NHS.' The BMA said the health secretary's offer did not go far enough on pay. The walkout will run from Friday, 25 July, until the following Wednesday, with further strikes threatened every month until January unless their pay demands are met. Resident doctors, formerly known as junior doctors, are qualified doctors in their first years of training. A fifth are completing their first two foundation years, while the remainder are in core or speciality registrar training. The newly agreed salary for those on foundation training is between £38,831 and £44,439, with specialist training salaries rising to £73,992. That includes the 5.4 per cent increase awarded earlier this year, but does not include London weighting. The BMA wants pay boosted to between £47,308 and £54,274 for foundation doctors, and up to a maximum of £90,989 for residents in specialist training at the highest end, over a flexible negotiated period. The NHS Confederation estimates that every 0.1 per cent pay rise across the NHS will cost the health service an extra £125 million each year. While the pay rise being requested is only for resident doctors, who account for 75,000 of the workforce, the difference between what the BMA is requesting and what is currently paid could cost millions or even billions. How much are residents paid compared to other doctors? Resident doctors' current salary of between £38,831 and £44,439 a year is for a 40-hour week, and does not include extra pay for working more hours or night shifts, which varies significantly per person. Doctors in core or specialist training can earn £52,656 a year, going on to earn up to £73,992 a year at the highest end. The government has said that this sits at around an average of £54,300 across resident doctors of all stages of training. Meanwhile, consultants, who have specialist knowledge in a particular medical field, earn a basic salary of between £105,504 and £139,882 a year. After two years of foundation training, it generally takes around five to eight more years before doctors can become eligible for consultant roles, though the wait can be longer. Nurses start at a lower salary band, around £31,049 for a newly-qualified nurse, according to the NHS' Agenda for Change. This can go up to £54,710 for ward managers, and £96,0000 for the most senior specialist nurses. Dentists employed by the NHS start at £42,408 a year and progress to £94,000 for the most senior roles and £105,000 for dental consultants. This puts resident doctors in a similar starting range to dentists, and 22 per cent higher than nurses. How far is pay behind inflation? Inflation is central to the BMA's demands, arguing that even after the uplift, pay for resident doctors has been eroded by 20.9 per cent since 2008. With the current 5.4 per cent uplift, the BMA says doctors won't see their pay restored for 12 years, or until 2036. Instead, resident doctors are seeking a 29 per cent pay rise, which Mr Streeting has called 'completely unreasonable'. However, the BMA's figures are calculated using retail prices index (RPI) inflation, which is no longer used as a national statistic. This includes factors such as housing prices, council tax, and mortgage rates. Using the official measure of inflation, consumer prices index (CPI), the Nuffield Trust calculated that doctors' pay has fallen by a more moderate 4.7 per cent in the same period. In cash terms, excluding inflation, foundation-year resident doctors have seen a substantial pay boost in recent years. First year foundation doctors were paid just £29,384 in 2022; which means the new 5.4 per cent uplift amounts to an overall 32 per cent pay rise on that figure. While 2022 saw a four-decade-high rate of inflation, and doctors' salaries had already been falling behind, this is a more sizeable increase than seen by other public sectors. Nurses, for example, have seen starting salaries rise by just 14.8 per cent in the same period, less than half the rate of resident doctors. Doctors' pay compared to other public sectors Doctors and medical staff provide essential public services. So, how does their pay compare to police and firefighters? According to the Firefighters Union (FU), a trainee will earn around £28,265 a year, bumped up to £37,675 once they become a fully 'competent' firefighter in 1-3 years. At this point, overtime is paid at £25.80 per hour. Firefighters generally work a two-day, two-night shift pattern, with four days off in between. The highest salary for 'area manager' firefighters is at £69,283, according to the FU; not including London weighting. Meanwhile, figures from the Police Federation suggest that constables begin on £29,907 a year (without London weighting), rising to £48,000 for the highest pay band. Chief Inspectors can earn as much as £72,700 in London at the highest range. This suggests that resident doctors start at a moderately higher salary range, with more potential for upward movement. But comparing these fields of work is a challenge. Doctors must complete several years of medical school before qualifying. This saddles many doctors with debt before entering the workforce - something which is not a requirement for other emergency services, including firefighters and police. Low doctor pay compared to other countries In France, most doctors are self-employed, except for a minority who are directly employed by hospitals. Starting salaries are already expected to be around £3,400 per month, tallying at £40,800 a year. The average salary for a general practitioner is £84,000, according to data from the public health service. This can go up to as high as £350,000 for radiotherapists. In Canada, low starting salaries for doctors are around £46,000, according to national data. But average salaries sit around £122,000, with peak pay at £236,000 a year. The US has the highest salaries for doctors overall, with significant variation by state. Since private healthcare pay is unstandardised, it is hard to directly compare starting salaries. But resident doctors in the US are paid on average between £51,000 and £86,000, according to Glassdoor, with some surgeons earning upwards of £500,000 a year. It is important to note that the NHS is relatively unique because it is funded by the taxpayer. Canada has a similar system, which covers 70 per cent of healthcare spending, known as Medicare. Most doctors are paid in a fee-for-service model, not a set salary. France has a reimbursement model where patients mostly pay upfront, and may be partially or fully refunded by the state. And the US has some form of free health insurance, known as Medicaid; but this covers a shrinking fraction of the population. Ultimately, doctors are privately paid through forms of insurance, even if the state subsidises some healthcare. In this way, the UK is somewhat unique in how the taxpayer shoulders the burden of public healthcare salaries, excluding private doctors.
The Independent
18 minutes ago
- The Independent
New data lifts lid on agonising wait for mental health treatment
Nearly 1.7 million patients are currently awaiting community mental health care in the UK, with 48,000 people facing delays exceeding two years for treatment to commence. This figure, which rose from 1.3 million in March 2024, is in addition to the 7.4 million people on the NHS physical health waiting list. Dr Lade Smith, president of the Royal College of Psychiatrists, warned that mental health care is being rationed and downgraded, not prioritised by the government. The government's recently launched 10-year NHS plan recommits to expanding mental health teams and specialist A&Es but lacks specific commitments to reduce existing waiting lists. The lack of sufficient community care is forcing more patients into A&E, as highlighted by the NHS's director for mental health and a mother whose autistic daughter was hospitalised due to lack of community support.
