Quote:
Originally Posted by Studio25
The NHS is like any organisation - you have a bunch of people at the top telling the ones on the front line to work harder/faster/cheaper.
I've said before, the easy solution for the NHS is to wipe out 80% of the administrative layer and put much of the control back in the hands of the people giving the care. With all the savings from axed executive salaries, you can afford to allow wards to operate with more than the minimum safe staffing levels, and operate with sufficient slack that if there is a sudden need for extra care, there's the capacity on hand to deal with it.
If you bring in managers from business to run the NHS, you bring in a "just in time" mindset where any underutilised capacity is a bad thing. The NHS isn't there to make a profit, it's there to either cure people or to make the final hours or days of those who are at the end of their life as comfortable and dignified as possible. That can't be done with a spreadsheet.
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At a hospital like Blackburn how many actual jobs do you think you could wipe out in administration without causing problems to the running of the hospital? It's ok saying such things but you probably have no idea how many administrators and managers there actually are that you want to sack because you assume they are not contributing anything.