Tuesday, 21 April 2020

WE NEED TO TALK ABOUT NHS MANAGEMENT



How can we reward our amazing NHS frontline staff....the doctors, nurses, technicians, porters and the key staff who have worked so tirelessly through the Covid crisis?

The Dame was once a member of a Hospital Trust. 
All she ever heard from doctors and frontline staff were complaints about the sheer bungling ineptitude of most NHS managers.

So the best present we can give the frontline staff is to root out these incompetent and overpaid managers and send them packing: it won't be easy but it can be done and must be done.



18 comments:

  1. absolutely, bureaucracy at its worst; rbkc same same.

    ReplyDelete
  2. A Doctor comments21 April 2020 at 19:49

    The idiot NHS managers blame the government for not have PPE for staff. Dimwits? It's your job to ensure your frontline staff are protected not the government.

    ReplyDelete
  3. Now let's get this straight22 April 2020 at 08:41

    In 2016, the Tory Government tested the ability of the NHS to cope in the event of a flu pandemic. The Tory Government found that the NHS would not be able to cope with the surge of a virus and would not have enough money to provide Personal Protective Equipment. Boris Johnson was a member of the Cabinet that decided to do nothing about the possibility of a pandemic. They concluded that Government could neglect its strategic responsibility for the NHS because a pandemic was unlikely. They just wanted to save money in a climate of financial stringency and austerity. Raising taxes was of course out of the question. Penny pinching and playing god with people's lives became the order of the day.

    Don't make NHS managers the scapegoat. Boris Johnson was a member of the Cabinet that was so reckless with the lives of our countrymen. He must go.

    ReplyDelete
  4. They are not being made scapegoats: they are being id'd as being totally hopeless and if you don't believe that talk to nurses and doctors

    ReplyDelete
  5. NHS managers are not to blame for the lack of PPE.22 April 2020 at 10:04

    How could NHS managers purchase PPE for Nurses and Doctors if Government refuses to allow NHS managers to plan for a pandemic and refuses to provide the necessary funds?

    NHS managers in disparate Hospitals cannot devise policy or implement it for the whole of the United Kingdom without a Government lead or Government backing. I am just a midwife, what would I know?

    ReplyDelete
    Replies
    1. One of the comments from the mumsnet link I provided below, a nurse who goes around several London hospitals said that there is no shortage of PPE and we are meant to be one of the hotspots.

      Delete
  6. A GP WRITES.....22 April 2020 at 10:39

    We are discussing the general low quality of NHS management: not the specifics of PPE. NHS management has been a byword for incompetence for decades. Check it out. If you actually are a midwife then discuss with obstetricians you work with and they will confirm the paucity of NHS management skills. But, hey, how would I know....I am just a GP!

    ReplyDelete
    Replies
    1. When you are losing an argument widen it.22 April 2020 at 10:47

      If you are a General Medical Practitioner, then I take it you can read. A Doctor at 19.49 BLAMED NHS managers for not providing PPE. If you want to blame NHS managers do so, but some of us think differently.

      Delete
    2. Dear Dame,
      Hear,hear! You forgot one important category associated with the NHS ; Patients.
      Unfortunately Public services ,mainly the NHS , have procedures made by Civil Servants for their own benefit and continuous employment through compliance. They have little to do with delivery in a timely and cost effective manner to those needing their services most. It is not the NHS as an organisation that we should be clapping but those who despite the bureaucracy use their common sense and decency to counter the bureaucracy.

      Delete
    3. This is incredibly crass. This comment comes from the pen of the same sort of person who would not donate to a charity because they mistakenly believe that all charitable donations are spent on administration. You cannot provide healthcare to 98% of the UK population without administration. It is just not possible.

      Where would the PATIENTS be with no Appointments' Clerks, Waiting List Clerks, (who are hard pressed to arrange operations because of Tory underfunding) Medical Records' Clerks, Ward Clerks, Cost Accountants, Financial Administrators, including Accounts' Payable staff.

      Delete
    4. Not crass at all. We are discussing here mid-senior level NHS managers, We are not discussing admin staff. Stick to the point

      Delete
    5. Has anyone questioned why hospitals across the country are left a half-empty? 111 & 999 have been instructed to be gatekeepers while nurses twiddle their thumbs. Media is broadcasting FAKE news.

      @Chelsea & Westminster
      https://youtu.be/eb1il6EPd2o?t=733

      Have you seen these comments from the staff?

      https://www.mumsnet.com/Talk/coronavirus/3886452-The-hospital-I-work-in-is-so-quiet

      It's a scamdemic!

      Delete
    6. It won't be popular to say so here but the culture of NHS bureacratic management was introduced under Thatcher - while Ken Clarke was Health Secretary and Edwina Currie was a Junior Minister. I believe the rationale was to introduce "private sector discipline".

      My mother was a Sister on one of the largest wards in the South-West at the time and found herself being overseen by an individual drafted in from a large firm that operated Taxis in various places. It was the time of the Clinical Grading scam, which these new managers were deployed to implement.

      Believe it or not nurses were once considerably more poorly paid than they are today. The Tory government of the time tried to dodge criticism of this scandalpus state of affairs by announcing a supposed large pay rise. Trouble is, this rise was linked to a new method of grading nurses.

      Instead of three of four grades -Auxiliary Nurse, State Enrolled Nurse (SEN), State Registered Nurse (SRN), Sister, Matron and whatnot, Clarke/Currie introduced a far larger number of alphabetical grades - as I recall these were "A" at the bottom to "H" at the top.

      The confidence trick they tried was to announce that say, a Sister like my mother was in line for a large pay rise - what they tried to hide was that this large rise would only be awarded if a nurse was graded at the highest possible grade (e.g "H" for a sister) by the new managers.

      Of course these managers hardly ever graded anyone at the higher levels that would entitle nurses to the publicised rises. My mother was actually originally awarded a top-staff nurse grade of "E", despite as I say being in charge of one of the largest wards in her region - presumably because she frequently clashed with the former Taxi-firm manager over his complete cluelessness, mainly his insistence on applying private sector business practices to all aspects of patient care.

      Anyway this caused a tsunami of complaints from outraged nurses and an unusual militancy from the RCN. Eventually the government capitulated and many nurses were regraded. My mother received a back-dated award amounting to over £4'000 (a considerable sum at the time) which she used to purchase the new car she had never previously dreamt of owning on the nurses salary of the seventies and early eighties.

      Delete
    7. At last we have someone who knows what they are talking about at 20.00hrs. A credible historian who is nor being reactionary.

      Delete
  7. So glad this is being discussed. There is never any mention of the NHS Procurement Dpt (surely there is one?!). What is their Procurement Dpt doing? Ok, we know much of the planet is looking for PPE. Relevant NHS management should be moving heaven and earth looking to source PPE and, if and when they find some outside some daft regimented purchasing procedure, they then go to government to organise and finance.

    ReplyDelete
  8. 7-Step path from Pandemic to Totalitarianism.

    Will you accept the Mark of the Beast (Rev. 13:16-17) nano microchips in vaccine or not?

    https://off-guardian.org/2020/04/23/the-seven-step-path-from-pandemic-to-totalitarianism/

    ReplyDelete
  9. The NHS needs to overhaul itself, we need our NHS but it needs fixing. Lets see the reintroduction of SEN's State Enrolled Nurses the greenies were the NHS backbone, insetad of underpaid HCA's train them up as SEN's . Have a senior Doctir and a Matorn in chrage of the Hoitla with Manger for admin backup not t orun the place on a massive salary. A hospital needs adnmin and receptionist to free up medical staff but the admin should not be pulling the strings the medical staff should be calling the shots .

    ReplyDelete
  10. NHS frontline doctor "What are the Government hiding about their response to Covid-19?

    https://www.crowdjustice.com/case/jrcovid19/"

    ReplyDelete

Comments are your responsibility. Anyone posting inappropriate comments shall have their comment removed and will be banned from posting in future. Your IP address may also be recorded and reported. Persistent abuse shall mean comments will be severely restricted in future.