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Andrew Lansley rap - warning includes rap and swearing

Having just read this article I am as bewildered as ever. If the Scottish Govt is asking for a reduction of 25% in Snr. Management posts then surely there are too many managers?

Redundancies, longer working hours for front line staff, £1,million cuts in some departments and a measly £500 cut on travel expenses for two Snr. Managers, (The Chief Executive and the Medical Director), must mean that they are invaluable or does it?
http://www.pressandjournal.co.uk/Articl ... /?UserKey=

I work for the NHS and see first hand the ridiculous waste of money being justified by people with job titles that bear no resemblance to improving the NHS.
 
This is from a 2007 report regarding NHS Management and Resources........

As shown in the diagram below, managers account for 2.7 per cent (36,751) of the total NHS workforce, compared with nurses who make up more than a quarter (398,335) and doctors who make up around 10 per cent (125,612).5 The number of managers in the NHS is much lower than in the economy as a whole – 15 per cent of the UK workforce are in managerial or senior managerial positions and, according to the Department of Health, the NHS also has lower numbers of managers than the private sector and many public sector organisations. There is approximately one manager for every 36 staff or one manager for every £2.4 million of expenditure, with chief executives responsible for budgets between £70 million and £650 million.

A claim frequently heard is that there are more managers than beds.This is not true.There are 36,751 managers and senior managers in the NHS, compared to 183,826 beds. This also compares to 398,335 nurses and 125,612 doctors. There are five beds to each manager and ten nurses to each manager.The figures used to support this inaccurate claim actually include essential non-clinical staff like porters, cleaners and receptionists.

How many NHS managers are there?

There is approximately one manager for every 36 staff or one manager for every £2.4 million of
expenditure.There are 36,751 managers and senior managers in the NHS, compared to 183,826 beds.

Source: NHS hospital and community health services non-medical staff in England: 1996–2006. DH,April 2007
Click to expand...

Scroll down in this link for a Pie Chart which shows the figures back then........

http://www.scor-managers.org.uk/pdf/iss ... _pdf13.pdf
 
catherinecherub said:
Having just read this article I am as bewildered as ever. If the Scottish Govt is asking for a reduction of 25% in Snr. Management posts then surely there are too many managers?
Click to expand...

Why does it mean that? How many is too many? I've seen a lot of anecdotal statements about huge amounts of waste in my time, but the plural of anecdote isn't data.

I've spent much of the last decade working with chief execs, directors of public health etc. and these jobs are not easy. That doesn't mean everyone doing them is brilliant, and everybody in the organisation needs to share the pain given the financial situation, but anyone with any credibility in understanding how organisations deal with change would tell you that slashing the leadership is not the way to do it.

With all due respect, what the NHS needs is more and better management (not necessarily more managers, per se, but more management). When an organisation is going through massive upheaval, you don't cut the people who should be leading the organisation through it.

One example of unintended consequences: the government cuts have meant forces are reducing numbers of back office civilian police staff - result: more front line police officers ending up doing administrative duties instead of front line policing.
 
Further to my previous post this is the results from a 2010 Census of NHS Staff. Too much information to list here so if you are interested have a read..........

http://www.ic.nhs.uk/webfiles/publicati ... _Final.pdf

Basically the Manager's and Senior Manager's have actually gone down since 2009.

Managers & Senior managers
• There were 41,962 managers & senior managers, a decrease of 2,770 (6.2%) since 2009 and an increase of 16,706 (66.1%) since 2000 (an average annual increase of 5.2%)
• There were 40,094 FTE managers & senior managers, a decrease of 2,416 (5.7%) since 2009 and an increase of 15,841 (65.3%) since 2000 (an average annual increase of 5.2%).

The decrease is across both manager types;
• There were 29,601 managers, a decrease of 1,663 (5.3%) since 2009.
• There were 12,390 senior managers, a decrease of 1,127 (8.3%) since 2009.
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For a FULL breakdown see pages 29-30.
 
In some areas they claim there are not enough nurses.

There are plenty of nurses but no one is employing them !

Staff Development courses have been stopped and the newly trained nurses are told not to bother applying in their own NHS training area because there are no jobs available. This leads to new, inexperienced nurses ending up in the private sector with no mentoring and extra training to help them and left to fend for themselves often in charge of the old and vulnerable.

There should be a cap put on how much a senior manager can earn and the emphasis put back on those at the front line, those that really 'work' for the NHS !
 
OK, OK, I may have exaggerated slightly when I said there were more managers than doctors but it seems like that when you are stuck in a hospital bed waiting to see a doctor, of that I can assure you. :(

I must have been told a million times not to exaggerate :D
 
rglennon said:
catherinecherub said:
Having just read this article I am as bewildered as ever. If the Scottish Govt is asking for a reduction of 25% in Snr. Management posts then surely there are too many managers?
Click to expand...

Why does it mean that? How many is too many? I've seen a lot of anecdotal statements about huge amounts of waste in my time, but the plural of anecdote isn't data.

I've spent much of the last decade working with chief execs, directors of public health etc. and these jobs are not easy. That doesn't mean everyone doing them is brilliant, and everybody in the organisation needs to share the pain given the financial situation, but anyone with any credibility in understanding how organisations deal with change would tell you that slashing the leadership is not the way to do it.

With all due respect, what the NHS needs is more and better management (not necessarily more managers, per se, but more management). When an organisation is going through massive upheaval, you don't cut the people who should be leading the organisation through it.

One example of unintended consequences: the government cuts have meant forces are reducing numbers of back office civilian police staff - result: more front line police officers ending up doing administrative duties instead of front line policing.
Click to expand...

We see the NHS from different angles. I am a nurse and am often disheartened that I cannot give a high level of basic care because of things like poor equipment, not enough linen, a shortage of nurses, a limited domestic service. These used to be priorities.

If all Managers earned their money and made things better for the patients then I would not have an issue with Managers. Lest we forget, the Sister/Charge Nurse on a ward is now classed as a Ward Manager and also has a Deputy. Much of their time is taken up with meetings and although they are rostered to work on the ward, they create a staff shortage when they attend meetings. On paper they are working on the ward but there are some days when they are not seen throughout the shift.

I hope all the proposed changes bring a better outcome for the patients, time will tell.
 
Politics aside for a moment and not endorsing the swearing in the video (but Admin did forewarn) but I thought the Andrew Lansley Rap was superb! :D

The Tories given the oppertunity would dismantle the NHS brick by brick, they rubbed staff up and devalued their work whilst closing hospital wards in the 80's under Thatcher, Ken Clarke was the Health Secretary at the time and made some horrible comments about the staff working in the NHS.

This Lansley character is totally out of touch with reality much like the rest of the cabinet, there is little we can do now to change direction so a bit of light relief in the way this video has been made can only bring a smile to the faces of those who disagree with the current regime and their changes and cuts to the welfare state.

Nigel
 
We'll have to pay him to do a rap on George Osborne! :lol: :lol: :lol: :lol:

Nigel
 
Meh it isn't affecting us up here in Scotland. You folks down there got to fight to stop this lansley guy ruining the nhs
 
Are the Scots not debating whether to reintroduce prescription charges?
 
There is a DiabetesUK blog on this subject - I think it's quite interesting.

(LInk to Blog removed-Google)

I'm broadly not in favour of the whole GP commissioning approach, which is not to say that there aren't improvements to be had, but I feel the whole thing is poorly thought out and very risky, especially for people with long term, chronic conditions.

I do take CatherineCherub's point that she and I (and doubtless plenty of other people) see the NHS through different viewpoints and that doesn't invalidate each of our opinions. I do feel, however, that Cameron's view that 'things will be better for patients when doctors are in charge and not managers' is either duplicitous or stupid. Managers are not doctors and vice versa. Each has different skills and there are good ones and bad ones of each category.
 
Disabled are receiving the first Salvo :?

I have already been re assessed for Care needs to see if can be lowered :evil:
So far I am OK , as 95% my care needs classed as substantial 5%critical
could do with out all the trouble and worry
Moderate care has been cut in my area
Respite care is also being cut in amount available


Personal health budgets ???????????
T2 will you spend it on BG drugs or test strips odds on your personal budget will not pay for both?
Smell a RAT ? privatisation
http://healthandcare.dh.gov.uk/resources-pathfinyders/personal-health-budgets/
 
The phrase that should send a chill is 'any willing provider'. This is simply about the wholescale privatisation of the NHS, in my opinion. If you have uncomplicated, simple healthcare needs you will probably be fine and may well see some improvement (although I wouldn't bet my house on it, as at a minimum things will get quite a bit worse as they reorganise before they improve) but if you've got any sort of complex care requirements (for which you can read 'expensive') things look quite risky to me.
 
A two-month "listening exercise" in which medical professionals will be asked to contribute to a review of changes to the NHS has been thrown into doubt by a confidential memo highlighting a series of government red lines that must be maintained.
Click to expand...

http://www.guardian.co.uk/society/2011/ ... rown-doubt

So they are listening, however, it seems more likely they will 'listen' and then 'give us our opinions. The ones they want to hear. :(

Some things are not for changing it seems. In the paper (i) today a little snippet regarding Mr Lansley and his 'promise' to 'listen' : He has turned down an invitation to the Nurses Annual Conference. He is the first Sec. of State or Prime Minister in eight years NOT to address the Royal College of Nursing Congress next week in Liverpool.

Is this because he knows he will more than likely get 'flack' from the delegates because of the proposed up to 50,000 job losses in the NHS.......many of which will be RCN Members ??? They are looking into sending a Junior Minister Ms Milton (a former Nurse)......... Sidestep the issue perhaps.

Now wouldn't you have thought that Mr Lansley would have been prepared to step into 'The Lion's Den' and justify his stance or at least 'listen' to those who are at the 'sharp end'........ :(
 
cugila said:
Now wouldn't you have thought that Mr Lansley would have been prepared to step into 'The Lion's Den' and justify his stance or at least 'listen' to those who are at the 'sharp end'........ :(
Click to expand...

You'd expect so given what he has promised :o.... perhaps Nick Glegg could take the place of the Health Secretary and the Prime Minister! :lol:

Nigel
 
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