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Nhs Managers Are Squealing

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all the below strikes me as concern about cuts to staffing and staff benefits, particularly management not clinical, and what is a salami slice but a culling of management layers?

also the implication that cuts (in bloated areas) do not count as modernisation is absurd - in other sectors modernisation is ALL ABOUT efficiency, what a bunch of spoilt bloaters

NHS cuts: Managers urge government honesty

By Adam Brimelow Health Correspondent, BBC News

Hospital waiting room Managers have told the BBC that cuts are being presented as modernisation

Health service managers have called on the government to be more honest about the financial challenges facing the NHS in England.

The NHS Confederation says a lack of candour over funding is damaging as the public may resist a service being cut.

This, say managers, can lead to potentially dangerous "salami slice" cuts across the board.

But the coalition government says health spending is growing and the NHS is becoming more efficient.

Compared with other departments, health did well in the coalition's spending review.

The government promised to increase funding in England in real terms, year on year, throughout this parliament.

But a lot of chief executives are pessimistic. They feel they are grappling with a spending squeeze, facing unpopular decisions involving cuts and closures without political cover.

Mike Farrar, chief executive of the NHS Confederation, says there is no public understanding of why changes are needed.

"It's very difficult for NHS managers and clinicians to make those necessary changes, and the alternative to getting public support for that is that they make unplanned cuts which are frankly in some cases rather dangerous to care that people need."

'Parallel universe'

A lot of this pressure comes from a plan called QIPP - Quality, Innovation, Productivity and Prevention.

This scheme, first announced under Labour, aims to save £20bn over four years through improved efficiency, with the money going back into front-line services.

But some trust chief executives - speaking anonymously - have told the BBC that the true agenda is about cuts.

One trust chief executive said ministers were not being straight with the public: "What people cannot tolerate is the lack of honesty about some of the tough choices that we're having to make.

"Wrapping it up in a language of modernisation and patient choice is simply unacceptable."

Another said: "Many chief executives - just about all that I speak to, believe that we're living in a parallel universe."

Continue reading the main story

“Start Quote

I worry most about the most vulnerable”

NHS community and mental health trust chief executive

The bulk of the NHS budget still goes through primary care trusts.

Anita Charlesworth, former director of public spending at the Treasury who is now with the health research group the Nuffield Trust, says their real-terms funding increase has become a real-terms cut.

"The government has increased the money available to local health authorities to buy care by 3%.

"But when you take into account inflation and the fact of those health authorities being asked to hold back some money to prepare for contingencies and pay for one-off investments, the money that they've got available to spend with hospitals is 3% lower in real terms on average."

On top of this comes productivity savings - averaging 4-5% a year.

'No reinvestment'

The outlook for hospitals is even tougher.

In some places the strain is starting to show, with restrictions on access to services and a rise in the number of patients waiting more than 18 weeks for hospital treatment.

The chief executive of the Royal College of Nursing, Peter Carter - who ran a mental health trust for 12 years - says he hears this from managers all the time.

"They feel that they're being duplicitous for having to sell it to their staff, the public, their stakeholders by saying all of this money is coming back in. It is not coming back in. There is no evidence of any re-investment."

In a statement the Department of Health insisted that the service was becoming more efficient.

"Despite protecting the NHS budget, we know that the NHS will have to do more clinical work in the face of a flatter settlement - but that settlement is one of the best in Whitehall and we will keep our promise on increasing it in real terms."

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"The chief executive of the Royal College of Nursing, Peter Carter - who ran a mental health trust for 12 years - says he hears this from managers all the time.

"They feel that they're being duplicitous

jeeeez

they're managers ffs, they should learn how to manage a complicated situation

previous management practices in the NHS appear to have been:

throw money at it

and give me some too

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What are they moaning about?

Everyone knows that most of these PCT/SHA staff will be rehired when the GPs decide they can't be ar$ed to do everything themselves.

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all the below strikes me as concern about cuts to staffing and staff benefits, particularly management not clinical, and what is a salami slice but a culling of management layers?

also the implication that cuts (in bloated areas) do not count as modernisation is absurd - in other sectors modernisation is ALL ABOUT efficiency, what a bunch of spoilt bloaters

I believe NHS budget is going up at 1% faster than CPI (or is it RPI ?). The problem is that NHS cost is rising even faster (partly due to demographic) and that the old debt are coming back to haunt them.

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Theyre not doing a very good job at cutting NHS admin. My partners office were told this time last year that they would need to re apply for fewer positions and my partners department specifically would be outsourced. Well one year on and nothing has happened. All has been forgotten about amongst the staff and the management have no information about when or if it's still going ahead.

And the worsed thing is some departments they are stupidly over staffed as it is and some departments are not needed at all! They don't need to cut doctors or nurses. Cut the back office waste!

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Problems arise when businesses are used to getting more money each year. They budget for increases including salaries and pensions. When the purse strings are cut the 'managers' struggle to adapt because they made all the promises and people got used to it.

I get the feeling this is where we are. And they are trying to cut front line services as a way of causing public outrage in the hope that the good times will return.

Labour are to blame for allowing the culture of endless flows of cash to become a mindset.

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Problems arise when businesses are used to getting more money each year. They budget for increases including salaries and pensions. When the purse strings are cut the 'managers' struggle to adapt because they made all the promises and people got used to it.

I get the feeling this is where we are. And they are trying to cut front line services as a way of causing public outrage in the hope that the good times will return.

Labour are to blame for allowing the culture of endless flows of cash to become a mindset.

I do sense the same mindset in banks and building societies, also encouraged by previous regime

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I do sense the same mindset in banks and building societies, also encouraged by previous regime

It's a mindset that exists in businesses up and down the country and in homes too. Everyone has gotten used to not having to think or plan or be efficient because there was always more wealth. The pain has hardly started and already people are squeeling...

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Problems arise when businesses are used to getting more money each year. They budget for increases including salaries and pensions. When the purse strings are cut the 'managers' struggle to adapt because they made all the promises and people got used to it.

Any idiot can manage when there's an unlimited budget and no responsibility; now that money is tighter all the overpaid, overpromoted halfwits don't know where to start.

they are trying to cut front line services as a way of causing public outrage in the hope that the good times will return.

Sometimes known as the Washington Monument syndrome, when budgets are threatened cut the most profile thing you can find.

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Any idiot can manage when there's an unlimited budget and no responsibility; now that money is tighter all the overpaid, overpromoted halfwits don't know where to start.

Very true, i'll have to give you that one.

It's quite amusing watching them squirm though...........

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Any idiot can manage when there's an unlimited budget and no responsibility; now that money is tighter all the overpaid, overpromoted halfwits don't know where to start.

Sometimes known as the Washington Monument syndrome, when budgets are threatened cut the most profile thing you can find.

Woah, don't hold back with your views there tiger.

(Personally I think you are spot on)

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Theyre not doing a very good job at cutting NHS admin. My partners office were told this time last year that they would need to re apply for fewer positions and my partners department specifically would be outsourced. Well one year on and nothing has happened. All has been forgotten about amongst the staff and the management have no information about when or if it's still going ahead.

And the worsed thing is some departments they are stupidly over staffed as it is and some departments are not needed at all! They don't need to cut doctors or nurses. Cut the back office waste!

Someone I know has done many NHS contracts as a private construction contractor in technical areas like hermetically sealed suites/specialist surgery suites. All the spending has stopped and despite doing other private building works they have almost stopped too. Over 50 staff about to face redundancy and the business owner will likely be bankrupt. That's the sort of mess we are getting into now and unavoidably sadly, since the debt boom years have come home to roost. For Companies like that we can only have sympathy. There is so little alternative work out there that perfectly good enterprises will be forced to the wall.

It is hard times ahead and NEITHER the B of E or the Govt will be able to halt this. It is beyond govt scope and a result of policy failure throughout the western world in some sort of crazed debt fuelled unison over the last 15 years. QE2 will have little effect except to pay off some old debt without issuing new treasuries. The scheme for helping SME's borrow with bonds will have very low take up I expect - interesting to see how it develops. It appears to Mr Kings idea, not Osborne's following yesterday's announcement by King.

Meanwhile the NHS, which has been alowed to balloon in the administrative parts beyond all rationality, is finding it difficult. No surprise there.

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Theyre not doing a very good job at cutting NHS admin. My partners office were told this time last year that they would need to re apply for fewer positions and my partners department specifically would be outsourced. Well one year on and nothing has happened. All has been forgotten about amongst the staff and the management have no information about when or if it's still going ahead.

And the worsed thing is some departments they are stupidly over staffed as it is and some departments are not needed at all! They don't need to cut doctors or nurses. Cut the back office waste!

I would love for some TV investigator to put a few choice secret cameras into these management depts and see what really goes on for a week. Go on someone, do it!

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I was on a train recently and there were 3 NHS staff complaining they had to work in cramped conditions at 4-seat table, "now that the NHS has stopped paying for First Class tickets".. I don't think anyone in earshot had much sympathy for their plight.

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  • 284 Brexit, House prices and Summer 2020

    1. 1. Including the effects Brexit, where do you think average UK house prices will be relative to now in June 2020?


      • down 5% +
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      • Even
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      • up 5%



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