Nanny State Rich List 2020

TaxPayers' Alliance reveals nanny state mandarins' massive pay packets

Embargoed: 00:01 Sunday 05 January

The TaxPayers' Alliance today releases the Nanny State Rich List, which reveals the remarkable scale of the rewards enjoyed by public health officials in the United Kingdom. 

The extent of nanny state interference in day-to-day life has risen substantially in recent years, with the sugar tax one of the major fiscal implements used to punish taxpayers and consumers. Public health quango bosses are still keen to meddle further.

None of this comes cheap - public health mandarins' salaries are booming. Over 350 employees enjoyed remuneration of more than £100,000 in 2018-19, and 21 received more than the Prime Minister.

No one would begrudge paying doctors or nurses well for the tough jobs that they do, but telephone-number salaries for nanny state bosses to come up with new ways to interfere in the lives of typical taxpayers should be curbed.

Click here to read the research paper

Key findings

  • 356 public health staff earned in excess of £100,000 in the 2018-19 tax year, including 242 at Public Health England.
  • 45 public health staff earned over £150,000, of which 21 recieved a higher salary than the prime minister’s current salary of £154,908 in 2019-20.

  • The UK’s 10 top paid public health employees earned an average of £242,650, with 2 individuals receiving over £250,000, including 1 receiving over £300,000.

  • UK local authorities’ directors of public health receiving over £150,000 have increased from 17 in 2017-18 to 22 in 2018-19, an increase of over 29 per cent.

  • In 2018-19, the public health director for NHS Forth Valley, Graham Foster, saw his total remuneration rise  by a huge £98,000 from the previous year – over 62 per cent – to £255,500, for the same position.

Click here to read the research paper

TaxPayers' Alliance resarcher, Scott Simmonds said:

"Brain surgeons, consultants, nurses and carers deserve their salaries but it's hard to justify such sky-high pay bills for the high priests of the nanny state. Typical taxpayers are subject to a deluge of media stories criticising them for their lifestyles, with many sick to the back teeth of being judged and lectured by well-heeled quangocrats. Where someone is earning huge amounts at taxpayers’ expense they must be accountable to the people who pay the bill and who rely on the services they run."


TPA spokesmen are available for live and pre-recorded broadcast interviews via 07795 084 113 (no texts)

Media contact:

Sam Packer
Media Campaign Manager, TaxPayers' Alliance
[email protected]
24-hour media hotline: 07795 084 113 (no texts)

  1. Founded in 2004 by Matthew Elliott and Andrew Allum, and now with 80,000 supporters, the TaxPayers’ Alliance (TPA) fights to reform taxes, reduce spending and protect taxpayers. Find out more about the TaxPayers' Alliance at
  2. TaxPayers' Alliance's advisory council.
  3. The Nanny State Rich List was complied principally from the 2018-19 annual reports published by Public Health England, Public Health Wales, the Public Health Agency Northern Ireland and Scottish trusts  


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