« Your Council Tax at work | Main | An Experiment for Men »

NHS - Top Heavy Pruning

NHS may need to lose 137,000 staff to meet £20 billion savings target - Times Online

The study said £2.4 billion could be saved if hospitals with the lowest levels of staff productivity improved to become nearer the average levels. It added that almost 40 per cent of patients in a typical hospital did not need to be there....

Andrew Lansley, the Shadow Health Secretary, said...“Clearly, we need to get better value for money from the NHS, so we applaud any drive for greater efficiency, but it is extraordinary that Labour plan to take an axe to the hospital budget rather than to the bloated health bureaucracy.
“Only a fifth of job cuts would be within the bureaucracy, meaning the vast majority to go would be frontline NHS staff.
“After years of declining productivity, this report shows that Labour still doesn’t get it...."

Management consultants tend to believe in the value of managers, strange that, where as the clients tend to put their money towards the people who get their hands dirty and who they meet. As long as the money trickles down from the top then it will be captured on the way down. If the customer directs where the money enters the system by using real choice then it is reversed. I wonder how much the Doctors and Nurses would decide to spend on the managers.

Comments

"It added that almost 40 per cent of patients in a typical hospital did not need to be there..."

I wonder how they got that bit.

Unless what happened to me, here in the US, is typical everywhere. Blood clot, needed one injection [into abdominal area - no need to find vein, just jab within four inches of the bellybutton] of medicine per day - so the default position was that I should stay for the four additional days of treatment. I had to argue for over an hour that I was quite capable of doing the required, certainly since it came in disposable-syringe pre-loaded packaging...

Oh, and for those following the "uninsured in the US not treated" asinity, the hospital (and staff, doctor, etc.) were quite aware that I had been brought by ambulance from... a shelter for the homeless! Heck, the doctor had to supply me with a chit to pay busfare back to the shelter!

I wish they'd get on with putting incentives in place for small and medium business to reestablish itself rather than going on with this guff. How far will services be reduced if the country is not producing and selling anything? Priorities, priorities.

THIS is our enormous Libertarian problem here in America too, how to abate the pretensions of The Non-productive Gatekeeper Personalities! Their natural realm, or Petri dish, seems to be the large-order human aggregation, be it Big Government or Big Corporations. No one is a greater fan of property rights than I am, but in defense of the constitutional and judicial individual, we probably need a top limit on how large a capital entity is. It is all well and good to own stuff, I'm all for it. But all alike must be returned to the equal possibility in law of maybe being sued for their back teeth!

THAT would give plenty of possibility for some thought and calm down the organized raids from every direction on ordinary people's incomes nicely!

it is extraordinary that Labour plan to take an axe to the hospital budget rather than to the bloated health bureaucracy

It's not extraordinay at all - that's how socialists think. If they actually understood the concept of value for money they wouldn't be socialists.

"I wonder how much the Doctors and Nurses would decide to spend on the managers."

That's easy. As little as they needed to spend to get the job done. Just look at any small practice in the U.S. They will have someone do the books and insurance part-time. If they are a little bigger, they may have a full-time office manager. But no more than needed--the money comes out of the pockets of the practitioners.

Instead of the NHS, you would be better off with private firms run by doctors and/or nurses who hired (and dismissed) their business managers as needed.

Post a comment