Advert

Updated: Management explains as hospital worker racks up €35,000 in overtime

A nurse and patients in the hyperbaric unit.

A nurse and patients in the hyperbaric unit.

Updated 4.16 p.m.

The management of Mater Dei Hospital said this afternoon that despite a shortage of resources, it had cut down on overtime and other shortcomings, including overpayments, highlighted by the Auditor-General in a report tabled in Parliament yesterday.

The Audit office had reported that a  hospital consultant received €80,000 in allowances, three nurses were paid a mysterious diving allowance and a payroll officer got €35,000 in overtime... all from taxpayers’ money.

In a statement, Mater Dei Hospital said that the issues considered by the auditor were, in most cases, the same ones already under scrutiny by the current management. It said it had cooperated fully with the NAO in order to tackle as many critical issues as necessary.

It was clear, it said, that the  shortage of human resources was a main issue which, in turn gave rise to overtime. 

"Today at MDH there are three officers and seven clerks catering for the salaries of over 4000 employees. Computerisation of this activity is under way but the complexities due to the wide variety of different salary and allowance arrangements in the different professions are making this implementation long and complex.  This is the reason why a high rate of overtime was undertaken in the salaries section," Mater Dei said.

"Manual checking and computation of the variety of allowances of such a huge number of employees and rosters takes time. MDH management has repeatedly attempted to institute a mechanism where all MDH employees punch in and out of work using an electronic attendance validation system but such requests were repeatedly turned down by the unions," it said. With such a system, control and expediency would be easier, resulting in many fewer mistakes.

The management added that in 2011 and 2012 a significant effort to control  overtime was made and this resulted in a significant decrease in overtime compared to previous years. Overtime was carried out only where services need to be delivered to guarantee patient safety.

"All discrepancies discovered in the audit have been corrected and any overpayment or underpayment sorted out. There is also a new system that ensures that such overpayments or underpayments do not occur," the management said.

"Unfortunately an ongoing union directive in the dentistry department advising dentists not to sign the attendance sheets (with times in and out) is not helping to sort the matter. 

"It also pertinent to note that the nursing diving allowance is related to the nurses giving treatment in the hyperbaric unit. This unit, which is one of the most modern in Europe, is not only used to assist divers but also to deliver specialised treatment to, amongst other, diabetic patients. The set up, is said, required both patient and nurses to spend time in the hyperbaric chamber exposed to atmospheric pressure as in diving, and hence, the diving allowance.

AUDITOR'S REMARKS

In his scathing review, the auditor said that a review of Mater Dei Hospital’s wage bill showed the amount budgeted for allowances and overtime was overshot by more than €700,000 in 2011.

The report noted that the consultant who received an €80,000 allowance was overpaid almost €16,000.

Overpayment seemed to be a repeated occurrence among consultants, who then had to pay back the extra money in monthly instalments.

Three nurses received “a diving allowance” that is not mentioned in any of the public service reform agreements signed to date.

The NAO said it was unclear whether the diving allowance was officially approved – the only information available on the subject was email correspondence between the Office of the Prime Minister and Mater Dei Hospital, in which the rate per diving hour is stipulated.

The report also noted the high level of overtime worked by hospital staff, which was not always authorised.

In some cases hospital workers doubled their salary with overtime payments, with the highest overtime earners being employees in the payroll office.

The NAO found that four employees in the payroll office – three of them clerks – earned an average of €28,700 each for overtime in 2011.

The officer in charge of authorising and certifying overtime at Mater Dei Hospital “happened to receive” the highest amount for overtime. She clocked up more than €35,000 in extra payments, according to the NAO.

The NAO questioned the correctness and reliability of dentists’ attendance sheets since there were inadequate controls.

Radiographers were also put in the spotlight because of what appeared to be a tacit agreement for them to work a 35-hour week, with any hours above the limit paid at overtime rates.

The NAO could not find a copy of the international guidelines that were quoted by the hospital administration to justify the radiographers’ working hours.

It seemed to be international practice for radiographers to work fewer hours, thus reducing their exposure to radiation. But in a pointed remark, the NAO said it could not understand why radiographers could not have a basic 40-hour work week, of which only 35 hours could be worked in radiation-exposed areas.

The Gozo general hospital was in a similar situation, with the NAO saying that wage-related payments were “not always backed up with proper records to substantiate the expenditure”.

The situation was particularly bad in the case of consultants, where no records were kept to indicate the number of sessions performed.

“Internal controls in various areas relating to salaries were weak or entirely lacking,” the NAO said, noting there were inadequate budgetary controls on overtime.

But the report covered other areas of public administration, highlighting various shortcomings, including the failure by most entities to reach the Government’s budgetary target of reducing arrears in 2011 by 10 per cent.

An analysis of direct order approvals, granted by the Finance Ministry in 2011, highlighted a number of concerns, including the incidence of “retroactive approvals”.

The full report can be viewed on the NAO website: www.nao.gov.mt.

Good Causes Fund

• The fund, administered by the Finance Ministry, had insufficient documentation to show how funds granted to beneficiaries were used for 2006 to 2010.

• Other shortcomings included funds distributed before the completion of projects and receipt of funds not always backed up by a signed declaration from the respective beneficiaries.

Wasteserv

• An audit of capital and recurrent expenditure incurred by the Government waste management agency revealed long delays and substantial cost variations on capital projects.

• Lack of transparency and non-compliance with procurement regulations were also noted, especially regarding sub-contracted labour.

Education

• Internal Education Ministry controls were not sufficient to ensure efficient administration of public funds.

• Control weaknesses were identified, including inadequate verifications resulting in incorrect payments and lack of proper stock records.

Sapport

• The social welfare agency had shortcomings in various areas, including the management of fixed assets, payroll and inadequate control of fuel consumption by general-use cars.

• Procurement regulations were not always followed.

Local councils

• For the second year, no audit opinion was expressed on the Mosta council financial statements because of various “material shortcomings encountered”.

• 23 local councils and two regional committees registered a deficit.

ksansone@timesofmalta.com

Advert

169 Comments

Post comment

Please see our new Comments Policy

Comments are submitted under the express understanding and condition that the editor may, and is authorised to, disclose any/all of the above personal information to any person or entity requesting the information for the purposes of legal action on grounds that such person or entity is aggrieved by any comment so submitted.

At this time your comment will not be displayed immediately upon posting. Please allow some time for your comment to be moderated before it is displayed.

For more details please see our Comments Policy

Your User Profile is incomplete.
Please click here to complete your profile before posting comments.

GL Calleja

Dec 4th 2012, 20:58

This goes on with most government agencies. Overspending at the TAX PAYER's expense. No wonder everybody wants a job with the government. I wonder how many millions of euros are wasted at Air Malta, Enemalta and at Transport Malta and these are only a few. Malta needs an outside auditor to go over the books of every Government agency with a fine tooth comb. How disgusting?

roger gauci

Dec 4th 2012, 20:32

Woww what a good idea. And the privacy firms are on a voluntary basis and do not get paid ??? I think the cost will be x10 for a privacy firm to cater payrolls for 4,000 employess so better not judge anyone

E. Azzopardi

Dec 4th 2012, 16:06

I have never heard of a civil servant who is providing four times the productivity!

Ray Buhagiar

Dec 4th 2012, 16:09

Perhaps you are right but the auditors did not check either.

K. Vella II

Dec 4th 2012, 16:34

Pity this practice of compensating for shortage of staff is not mirrored in the private sector. I wonder why.

ANTHONY PAVIA

Dec 4th 2012, 16:58

I am sure the auditor did check, and would have commented had these super-workers been classified as such. Thus explaining their gross take of € 50,000 to €60,000 salary/perks/allowances/etc/etc/etc!!!

A Attard

Dec 4th 2012, 17:23

Neither have I heard of one in the private sector.

Ray Buhagiar

Dec 4th 2012, 17:44

How can you be so sure, Mr Pavia? Read the whole report and see whether the auditor had the decency to check staffing levels and productivity. The report is public and I couldn't find any statement about staffing level and productivity. This report is not worth its salt.

RACHEL GATT

Dec 5th 2012, 14:44

I agree with all you said as i know how hard they work as you said before they just say numbers that when they are said i have to admit it looks allot but when you check at least i can talk for few of the payroll officers i know how hard they work and if they check there work and the quantity of work they do they could talk other wise
and regarding Mr Azzopardi then you haven't seen these people

Ray Buhagiar

Dec 4th 2012, 15:57

Job plans should be tied to staffing and productivity levels.

alfred seguna

Dec 4th 2012, 17:05

IN Malta no one is ACCOUNTABLE and RESPONSIBLE .There is no culture of RESIGNATIONS and so what remains is a sort of JUNGLE where those at the top do what they like.Everyone tries to get as much a bigger share from the cake and it is the worker at the lowest strata that always get the blame whenever a workplace gets bankrupt.This happened at the dockyard ,airmalta etc.EXPLANATIONS are needed.

Charles Sammut

Dec 4th 2012, 22:04

BECAUSE THEIR SUPERIORS HAVE TO BE INVOLVED...AND WHO IS THE SUPERIOR TO THE CONSULTANTS??!?!

matin calleya

Dec 5th 2012, 08:51

I Wonder IF you know what it means to work at the payroll office,IF you are able to work with burn outs, able to do the job of 3 people, stay at work till late for several months.In this case forget your family. You will have no time to be bored because you are too busy at work.

matin calleya

Dec 5th 2012, 08:52

AND I wonder IF you are able to cope FEELING tightly strung. I wonder IF you know how to have your life balanced and try to do many things too quickly FOR 4,000 people and be efficient for long hours. And I wonder if you know
What it means, what it means
And I wonder if you know
What it means to find your dreams ………………. KANYE WEST

Brian Gatt

Dec 4th 2012, 16:19

They did not seem to mind to work in a radiation area when they were being paid overtime!!!

M Portelli

Dec 5th 2012, 07:12

B.Gatt its either that or the waiting time at MaterDei grows longer.The price they pay is burnout.They don't have much choice.Look at the implications if that department is short staffed I can just hear the hue and cry should the waiting time in A&E increase/more operations are held up because less radiographers can man the xray machines.That's a department that services alot of other departments.

Alfred Fenech

Dec 4th 2012, 13:18


What does one expect, the PM pays himself and a few talenred ones, 500euros a week extra.

Johann Agius

Dec 4th 2012, 15:32

Mr Paul Schembri,

First of all we're in 2012 not pre-1987 when you couldn't talk in public.

If you have some common sense. Reason the following statement & tell me if am wrong.

How can the minister in charge know what was going on when the payroll officer was the one approving the overtime for all the staff.

Common sense tells me that i need to sack all payroll staff & the manager.

Brian Gatt

Dec 4th 2012, 16:23

@ Johann Agius,

The political repsonsibilty is something the minister has for the dept that fall under him. He should hire real proffesionals to run these entities with good salaries but accountable. Audits hould be carried out on a regular basis and if any irregularities crop up heads should roll. That is how we work in the private sector and that is how the Govt depts should be run.

G Schembri

Dec 5th 2012, 00:04

Mr Johann Agius any person in a managerial position should be held responsible for all his decisions, and for all the workers who fall under his management. A minister is not there to be called Your Honour and attend parties, then when something goes wrong he says he was looking the other way.
You are right this is not pre 1987, Mintoff would never have tolerated such practices.

Joseph Vassallo, (Bugibba)

Dec 4th 2012, 13:34

That's right... the checks weren't there but the cheques were. LoL!

And you are also right in that changing the party in government will not change the civil service.

Joseph Vassallo, (Bugibba)

Dec 4th 2012, 13:35

Well! Only some of the civil service.

Joe Grech

Dec 4th 2012, 14:42

You are just one of the P.B.C. (Politically Blinkered Commentators). How on earth do you know that ''even if the PL is in government this kind of abuse will remain''?

J Martinelli

Dec 4th 2012, 13:45

Francis, 'korruzzjoni bil-pulit', kieku l-NAO ma nhalaqx biex ikun jista jiskopri dawn l-abbuzi!
Issa naraw jekk dawn l-abbuzi jinqatghux jew le. La l-PM, la l-Ministru w lanqas hadd ma ghandu kontroll fuq individwi jekk jiddeciedu li jabbuzaw jew jiksru l-ligi.
Meta l-awdituri isibu dan l-abbuz, min hu hati jsofri l-konsegwenzi. Dan m'hu xejn hdejn is-serq ta propjetajiet li saru fil-passat.

Brian Gatt

Dec 4th 2012, 16:28

Martinelli,

Il-ministru ghandu risponsabilita Politika tad-dekasteru tieghu, barra min Malta politiku jirrezenja ghal-hafna inqas. Accountability is non Existinet within the GonziPn folds, ok so now please check you script to see how you can answer me back.

M Attard

Dec 4th 2012, 12:32

because the managers are usually political appointees silly . . . . you really do think there isn't political affiliations at the root of this of course, and that someone will be sacked . .

Paul Micallef

Dec 4th 2012, 12:38

@Agius

Lets make a bet Mr Agius, you wanna bet that he is a PN supporter?????? Mela minnu fis sakra u min u mejjet ghal qatra. U jiena biex ma hallasnix overtime u danger money jeddli hu gurnata il-MANAGMENT imma ghalijhom hemm ta, iva minnu tal qalba jiekol u ahna insafru LGHAJDA.

W. Cassar

Dec 4th 2012, 12:46

Its the Health minister that is ultimately responsible and management..... they should all go. As a honorable gesture... but there are no such men in Malta now is there? Until we change this culture of its not my fault these things will be allowed to go on.

Eve Axiaq

Dec 4th 2012, 13:11

Allura sur Johann ha naraw min se jigi issospendut jew jirrizenja f'din il-haga. Jien nghidlek lanqas hadd u hemm tinduna li fl OPM hemm it-taghwig biex ma nghidx kelma ohra.

m. borg (slm)

Dec 4th 2012, 13:27

To whom the Hospital management answer to?

The minister, therefore it is political. This is not the first time the AG complained of mismanaged tax money yet it keeps happening year after year

Of course its political, money that could have been spent on medicinals went into greedy pockets, yet people have to endure medicine out of stock like yours truely.

m. borg (slm)

Dec 4th 2012, 13:30

.... and gonzi has the temerity to ask PL where it will be getting the money.

I suggest posters to follow what RCC is making according to a parliamentary reply yesterday. He ain't fairing badly considering he is giving consultations "FREE of CHARGE"

Joseph Vassallo, (Bugibba)

Dec 4th 2012, 13:25

Might they accompany a patient underwater when the decompression chamber is not available? In that case they need to be trained and be kept updated. Just wondering!

Amanda Sciberras

Dec 4th 2012, 14:17

Than why just for three nurses? I think more nurses should need a diving license if it's as you're saying, and why mysterious than?

Joseph Vassallo, (Bugibba)

Dec 4th 2012, 16:51

Ms Amanda, I really don't know why they are surreptitious or discreet. Isn't that what you are suggesting?

Why would they need more than three trained medic-divers? We have a decompression chamber and nurses can be quickly called deployed to an emergency, even from home. What training do they get? Maybe we're both not understanding!

Mr Adrian Zahra

Dec 4th 2012, 12:38

That is they worked more in overtime than the normal hours which without leave, sick leave and public holidays adds up to 40*52=2080 hours. UTTER DISGRACE. THIS IS DEFINITELY FRAUD.

M Attard

Dec 4th 2012, 12:40

Mr Agius that works out to them working 5 days a week, 18 hours a day - no seriously, someone thinks that in 24 hours payroll at MDH work for 18 hours - you wouldn't know of course because the office is only open on certain days until 11:00am as clearly stated on the (usually closed) door - SHAME ON THE MANAGEMENT OF MDH AND SHAME ON THOSE RESPONSIBLE FOR THEIR APPOINTMENT,

Joseph Vassallo, (Bugibba)

Dec 4th 2012, 13:20

That's a total of 91 hours a week spent at their work place. Vacation time doesn't count ergo 48 weeks in the year.

Sundays/holidays are paid at double-time so it wouldn't really be 91 hours weekly. But do they only earn €7.21 hrly rate?

What is needed is a TECHNICAL audit not just a financial audit. And you just scraped the surface with your valid comment. Well done!

josette hili

Dec 4th 2012, 12:38

I agree with you 100 %. Unfortunately that is how this country works.

Joseph Vassallo, (Bugibba)

Dec 4th 2012, 12:46

No Sir... they get performance bonuses.

ANTHONY PAVIA

Dec 4th 2012, 15:00

IN FULL TOO!!

M Attard

Dec 4th 2012, 14:47

yours if you don't pay taxes of course!

Joseph Vassallo, (Bugibba)

Dec 4th 2012, 12:42

A Vella, theft is too harsh. It could be opportunism, if they actually attended those hours.

WSC generally turn up after hours too, for example. So they get paid overtime [yes?]. But could the repair have been done in the course of the day's work?

Payroll is different; computers take no time whereas input does. Hospital mismanagement perhaps or do these clerks have additional duties?

Godfrey James Cassar Simmonds

Dec 4th 2012, 12:58

Yes diving for the money. Can I get a transfer to MDH as from tomorrow please?

C Chircop

Dec 4th 2012, 12:02

I will ask you a clear question. Have these things ever happened whenever PL was in power? Were there any irregularities in the public service pre-1987? My stance is not to point fingers at PL but to indicate that these things have been happening irrespective of which party is in power. It is time to draw a line and for any current and future government to curb such abuse.

Alfred Vassallo

Dec 4th 2012, 15:49

@C Chircop

I will give you a clear and equivocal answer. I won't say these things never happened during PL BUT these things are the true hallmarks of ever PN Legislature leaving huge deficits to the detriment of the honest taxpayer.

Mr Richard Bonello

Dec 5th 2012, 08:36

Name them and shame them! Why are names never supplied (at least in the press I normally read) when these sort of things are reported? 80,000 euros is no joke except to the person pocketing them.

Angelo Baldacchino

Dec 4th 2012, 11:51

off with their heads!

A. Borg

Dec 4th 2012, 11:19

Like the majority of ex-Police officers I will never forget this when a few weeks more I will cast my vote !

Russell Fenech

Dec 4th 2012, 11:21

Who told you that they didnt work those hours?

L. Chircop

Dec 4th 2012, 13:02

Iddahkx nies bik Russell ''Who told you that they didnt work those hours?'' qed tistaqsi ghidli inti min u fejn ittela 30 elf euro f'overtime??? hallina trid

M. Agius

Dec 4th 2012, 11:14


"The officer in charge of authorising and certifying overtime at Mater Dei Hospital “happened to receive” the highest amount for overtime. She clocked up more than €35,000 in extra payments, according to the NAO."

Thats who approves overtime, including her own at Mater Dei. The Times could easily find out who she is.

ANTHONY PAVIA

Dec 4th 2012, 12:29

There must have been some other superior officer.

Esmerelda Azzopardi

Dec 4th 2012, 12:18

i agree with you i wonder our payroll is always with mistakes...

Keith Davis

Dec 4th 2012, 17:41

So true, we complain about resources but its the government that throws our resources into the drain!
Why do we have 65 members of parliament, and not less?
That means we've got 1 for every 6,200 residents, when our neighbouring country like Italy has 1 for each 63,000 residents..
Why don't we have just 5 regional councils with more staff in using the same resources instead of local councils?

I Bugeja

Dec 4th 2012, 14:01

I am serious but the one i am refering to does the wages for the theatre nurses. Sometimes they get more and sometimes they get less!

I don't know if she is the same person who got the thousands in overtime but she surely makes plenty of mistakes on her job!

D. Zammit

Dec 4th 2012, 13:36

That's equal to 5 Billion... How is that the tip of the iceberg? What do you mean?

Steven Brockwell

Dec 4th 2012, 10:04

yes dam right and all we got was a 4 euro a week wage rise, cause it is a responsible budget ???????????????

Mark Demicoli

Dec 4th 2012, 10:13

well said!

I Bugeja

Dec 4th 2012, 09:34

Because the people doing the wages have no clue on how to do them - apparently the woman doing the wages for nurses still collects all the information on papers and does not know how to use a computer!!!!

This is 100% true.

Ahseb u ara.

Advert
Advert