I agree with what Chris is saying. Unfortunately the cuts always take place on the shop floor, where they get rid of a lot of the important people. These people cleaners, nurses etc are the backbone of the NHS, perhaps if they got rid of one of the top knobs they could save 9 or 10 nurses. It was only a couple of days ago that MPs were complaining that Cameron was going to stop their £1000 rise. This is a sore subject to me so I will stop here so I don't wind myself up.
I know where Chris is coming from on this one! I used to work for the NHS and when savings were rquired it was always at the ground level that the money was to be saved from. The managers still had their offices and perks. Would you believe that a manager had an assistant manager.....and there was actually an assitant managers assistant!! That was where i worked, and the same applied to the Chief exectutives secretary. She had an assistant secretary and yes, there was an assistant secretary below her!!! At the same time, the staff on the wards were cut to the bone. There were often only TWO qualified nurses running a ward of 26 patients! I was working as a humble porter at the time and was often shocked at the standard of care provided. We were ran ragged trying to cope with the demands placed on us (part of the reaso n i left) and the cleaners (domestic staff) were the same. The nurses felt exactly the same as i did and did, and still do the best they can under the circumstances. My wife is a nurse and says that morale is at an all time low. They ask for cut backs and savings, yet the managers still live in a different world with assistants and assistant asistants...crazy!
They reckon that the management of the NHS accounts for about 3% of the work force. Given that its such a large organisation that sort of figure for management numbers does not see particularly out of line. OK you can look at any organisation and find a bit of fat in staff numbers but the way some people talk you would think that the NHS does not need managing ;D
The NHS does need to be managed, there is no argument about that. It is the way it is managed that is the problem. Throwing administrative bods at a problem then reducing the front line staff to cover the cost is not the way to go but try telling that to the board of a hospital and see how far you get. I know! I sit on committees at the local hospital group as a lay, volunteer, "critical friend". Sometimes, I wonder why I bother. The private sector would fall apart if it was run in a similar manner.
I am, without wishing to 'blow my own trumpet' a fully qualified, UK trained nurse, with qualifications in intensive care nursing, gained in probably the hardest of environments -a specialist centre which not only does transplantation, but the needs of the patients means I can care for the type of patients your average District General Hospital could never in a million years deal with - I can't get a job because of my health record, so I am self employed, trying to make sure the people who have care in their own homes, or care homes get the best care they can - yes, the elderly in their home benefit, BUT, District General Hospitals are scared of employing the likes of me because I was involved in the clinical trials of equipment they are only, in the last couple of years, integrating into their care - I am / was a potential asset - but- heck - I'll crack on, trying to raise standards out of hospital, & one day, someone will say, heck, she knew what she was doing!!!
P.S - the Conservatives, historically do not want an NHS - well, if you voted for them, knowing you have a long term health problem, I hope you feel satisfied - the likelihood is you are over 65 - I am not even 40 - voting for Cameron & Clegg means I have a lower life expectancy - Many thanks from my 2 1/2 year old daughter for the death sentence you passed - I am sure she will be comforted by your condolences.