Nice work if you can get it

Health is of a major interest to many, and represents a considerable cost to society. The large national health charities have an overwhelming monopoly influence at government level and throughout the media.  Given that the major part of voluntary charity work across the UK is undertaken entirely by volunteers and small charity groups how are the voices of smaller health charities to be heard or their contributions be evaluated?
 
It doesn’t happen.  It is no surprise that people are ignored.
 
The monopoly enjoyed by the large health charities has become very problematic for the smaller charity groups, making it very difficult for them to raise their profile and concerns in the face of the financial muscle and political position of the large charities. This situation means that the small, yet important, health charities do not have an opportunity to be noticed or heard.
 
The large health charities not only receive donations and gifts from the public and elsewhere they also receive money from the pharmaceutical industry and commercial interests, this can have a tendency to create bias especially where the sums involved are considerable.
 
A health charity in a monopoly position is able to influence government policy as well as garner media attention without being held to task or to be forensically examined. Can this be right?
 
The level of dislike and suspicion at being approached in the street by people attempting to cajole them into donating to a charitable cause (chuggers), has risen sharply.

Main line health charities are increasing being seen as corporate entities, influenced by the pharmaceutical industry and other commercial interests.
 
The CEO’s of large charity movement receive three figure salaries plus expenses. It may be seen that for some charities there is more money spent on salaries and expenses out of the money they receive in donations than on the work they do?
 
Nice work if you can get it – So many people run, jump, shake tins all in a good cause, and they are to be admired for their efforts but should we not be told exactly what the money is used for? How it is distributed? Who is paid what? What expenses are paid out, how and why?