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claims group Express Star

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The Taxpayers' Alliance claims the NHS nationally spends almost 46 million a year across the country on 1,129 jobs which it says have little impact on frontline service.

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staff, at an estimated cost of 34m.

of the Alliance, said the money spent on needless jobs could pay the salaries of 1,662 full time nurses.

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Among them, the Alliance listed the Black Country Partnership NHS Foundation Trust's productive leadership facilitator, at a salary of 35,536. Jonathan Isaby, chief executive Y3 Adidas Trainers Cheapest

In a breakdown of areas across the country, the West Midlands is listed as having 109 jobs deemed Y 3 Adidas unnecessary by the Alliance, with salaries adding up to more than 3m.

the West Midlands highlighted was the regional head of communications for West Midlands Ambulance Service, on a salary of 60,398 a year, plus pension contributions of 8,456.

A senior official at West Midlands Ambulance Service said non operational staff accounted for less than seven per cent of the workforce, and freed up frontline workers to care for patients.

The Heart of England NHS Foundation Trust employs five public relations staff, earning a total of 155,938 a year while the scandal hit Mid Staffordshire NHS Trust employed a head of communications on 50,854 a year, and a communications manager on 29,759.

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Director of workforce and organisational development Kim Nurse said that the number of calls to the ambulance service increased every year.

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However, Sally Lavender one of two communications officers employed by the Black Country Partnership trust said: "Each and every role within the trust impacts upon patient care and makes a vital contribution to delivering our services. "

Data obtained under the Freedom of Information Act revealed the NHS employed at least 826 public relations Adidas Tech Super All White

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