The Mudcat Café TM
Thread #134265   Message #3053275
Posted By: GUEST,Steamin' Willie
14-Dec-10 - 10:14 AM
Thread Name: BS: Tory liars attack youth education
Subject: RE: BS: Tory liars attack youth education
The past government, and eventually this one, expect the NHS to have targets and attain them. This requires data collecting etc., something which the trusts would rather not do. it costs money, it costs salaries.

However, two things; whilst there are too many people with manager or equivalent in their title still, (and it has dropped drastically in the last five years,) there are not enough managers. or to put it a less provocative way, there is not enough efficient management.

Expanding the role of clinicians to undertake management responsibility has been a very good recent development. However, please don't fall into the Daily M*il trap... If you wish a doctor to go from full time clinical duties to 50% management time, you not only lose 50% of a doctor but gain 50% of a manager. Half his or her salary is then a management overhead. On the basis that over 80% of consultants employed by NHS trusts have non clinical duties of a management / leadership type, with varying degrees of time commitment, you are increasing management budget by over 30%. And you haven't employed a single manager. More over, you are "letting the doctors and nurses run the service."


And hence the need for good strategic management, which as somebody parachuted in years ago to look at it, I can say it is getting better, but still has a long way to go.

Just to agree with the armchair socialists for once; I too am (and I use the word genuinely) afraid of the NHS reforms that are in the white paper. GPs partners are private businessmen with (quite legitimately) business interests. To hand over commissioning of almost £90Billion of tax payers money to independent contractors to manage is the point where many will say "Bring back the managers!"

Funny old world......