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Our bloated NHS - it’s beyond ridiculous now.

(521 Posts)

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Urmstongran Mon 16-May-22 10:07:56

At the moment, only about one third of NHS staff are doctors or nurses (roughly 450,000 out of 1.4million employees).

The new analysis shows that the number of officials working in the Department of Health and NHS England has more than doubled in two years, with even sharper rises seen at the most senior levels. Meanwhile the number of nurses rose by just seven per cent, thinktank the Policy Exchange found.

Its experts said the trends showed an “astonishing” explosion in central bureaucracy, calling for an urgent review and action to slim down and streamline its workings.

The findings come ahead of a review of leadership in the NHS by a former army general.

Sir Gordon Messenger has been sent in by Sajid Javid, the Health Secretary, amid concern over the quality of management in the NHS as the service faces the biggest backlogs in its history.

growstuff Mon 16-May-22 17:41:37

Lido

"How can a diversity manager in a hospital Trust on £90k p.a. help poorly people?"

By ensuring that, in a hard recruitment and retention market all people across the board are attracted to work in the organisation and remain in post effectively. Also by ensuring that the systems and processes in the organisation allow all employees to identify with the organisation and contribute fully to achieving its aims. By ensuring that nobody who could help achieve these aims is excluded.

The last time anyone looked at how much the NHS spend on translation services seems to be in about 2011 and then it was 0.02% of its budget.

Incidentally, I Googled some NHS Diversity Manager roles. The standard pay is about £45,000 not £90,000. The role is a senior HR job and usually includes equality, diversity and inclusion. It's about ensuring that nobody is unfairly treated for any characteristic or condition they have. It's a big job. That's my daughter's job title in a private company and she's paid more than £45,000. hmm

GrannyGravy13 Mon 16-May-22 17:41:26

Urmstongran posted upthread that she had worked in a hospital for 30 years.

That surely has given her an insight and first hand knowledge?

kittylester Mon 16-May-22 17:41:05

growstuff, MaizieD, volver. and others

Your rudeness to urmston is appalling.

Gossamerbeynon1945 Mon 16-May-22 17:38:06

Strangely enough I was talking to my daughter, who is a frontline nurse, about this today. Her opinion is they are just throwing money at the problem, i.e. an agency nurse earns something like £80 an hour. Where she is they employ lots of agency nurses!

growstuff Mon 16-May-22 17:37:22

Pantglas Two wrongs don't make a right. My sister has been told it will be at least two years before she has a knee replacement in England. She's already been waiting since before the pandemic started.

Lido Mon 16-May-22 17:36:54

"How can a diversity manager in a hospital Trust on £90k p.a. help poorly people?"

By ensuring that, in a hard recruitment and retention market all people across the board are attracted to work in the organisation and remain in post effectively. Also by ensuring that the systems and processes in the organisation allow all employees to identify with the organisation and contribute fully to achieving its aims. By ensuring that nobody who could help achieve these aims is excluded.

The last time anyone looked at how much the NHS spend on translation services seems to be in about 2011 and then it was 0.02% of its budget.

GrannyGravy13 Mon 16-May-22 17:36:11

The NHS is a behemoth, throwing more money at it without any plan is not in my opinion the solution.

It needs a radical reorganisation, since it’s inception medicine has advanced enormously, people are living with diseases and medical conditions which a few years ago would have killed them.

A cross party solution is needed.

Pantglas2 Mon 16-May-22 17:33:47

You make me laugh ? rubbishing The tories for their mis management of the NHS in England with your 18 month waiting lists! Try 3 years for a hip replacement in north Wales...before the pandemic under a two decade Labour mis administration!

We’re now up to a five year wait for most things here which Darling Drakeford is blaming on Boris and his handling of COVID so don’t be retiring to our lovely coastline unless you’re in damn good health!

kittylester Mon 16-May-22 17:33:24

Urmstongran

The NHS isn't underfunded. The people on the front line are not well paid. The management are very well paid , some earn more than Boris as the PM. Several levels of NHS management need to be removed .

This exactly, urms.

Callistemon21 Mon 16-May-22 17:30:40

growstuff

Callistemon21

I might not agree with Urmstongran but the amount of abuse she is receiving on this thread is despicable.

No-one has come up with any ideas so far apart from throwing money at it and hoping for the best.
The NHS is not beyond reproach and it is worth saving.

How?

Sorry if you're offended, but I find the utter tripe she comes out with despicable.

But Urmstongran still remains polite.

Even if none of you agree with her can you not all try to do the same?

At least she opened up an important discussion.

Fennel Mon 16-May-22 17:30:23

Silverlining

"I am aware the nhs and its staff are struggling to cope these are difficult times but it’s been deliberately broken, Sell it off, run it down. Get business in. Apparently Richard Branson /Virgin runs our local hospital. Who would believe that. "
Most of the public just don't want to believe that our great BJ and Co would do this to us.

MaizieD Mon 16-May-22 17:30:08

growstuff

Callistemon21

I might not agree with Urmstongran but the amount of abuse she is receiving on this thread is despicable.

No-one has come up with any ideas so far apart from throwing money at it and hoping for the best.
The NHS is not beyond reproach and it is worth saving.

How?

Sorry if you're offended, but I find the utter tripe she comes out with despicable.

And so do I.

I worked in hospitals, lots of posters have worked in hospitals, but we're not coming out with such utter nonsense.

Urmstongran Mon 16-May-22 17:29:06

Apologies to all who are annoyed at my utter tripe.

Callistemon21 Mon 16-May-22 17:27:31

growstuff

Urmstongran

Conliblab - none have sorted out the NHS.
Perhaps it needs a Royal Commission or something? I don’t know.

It needs funding at the same level as countries such as France and Germany. It's not rocket science.

Yes but - exactly how?

Start from the beginning.

growstuff Mon 16-May-22 17:27:10

Message deleted by Gransnet. Here's a link to our Talk guidelines.

Urmstongran Mon 16-May-22 17:26:53

I do get your point MaizieD. I’m not being awkward. I realise Covid has had a huge impact on staffing levels and therefore waiting times. It’s just really sad to hear friends & family who have distressing tales to tell, sharing their frightening experiences. Yes it’s just anecdotal. But that’s what most of us go off. We aren’t all academics or intellectuals. We would just like decent health care at the time of need. It’s so sad really.

How can a diversity manager in a hospital Trust on £90k p.a. help poorly people? We spend money on the wrong things in my opinion. Other opinions are available.

growstuff Mon 16-May-22 17:26:25

Healthcare spending in OECD countries:

www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/articles/howdoesukhealthcarespendingcomparewithothercountries/2019-08-29#how-much-does-the-uk-spend-on-healthcare-compared-with-its-international-peers

How can you justify a claim that the NHS isn't underfunded?

Callistemon21 Mon 16-May-22 17:25:44

I might not agree with Urmstongran but the amount of abuse she is receiving on this thread is despicable.

No-one has come up with any ideas so far apart from throwing money at it and hoping for the best.
The NHS is not beyond reproach and it is worth saving.

How?

growstuff Mon 16-May-22 17:24:37

Urmstongran

Conliblab - none have sorted out the NHS.
Perhaps it needs a Royal Commission or something? I don’t know.

It needs funding at the same level as countries such as France and Germany. It's not rocket science.

Callistemon21 Mon 16-May-22 17:22:47

I did ask the staff at one clinic who out of them spoke Welsh and none did (they thought it was a complete waste of money which could be better spent). I suppose there might be an occasional patient who prefers to read the notices in Welsh.

MaizieD Mon 16-May-22 17:22:25

Urmstongran

Conliblab - none have sorted out the NHS.
Perhaps it needs a Royal Commission or something? I don’t know.

I think the last three words of your post just about sums it up, Ug. Though I'd add 'anything'

Urmstongran Mon 16-May-22 17:20:41

Conliblab - none have sorted out the NHS.
Perhaps it needs a Royal Commission or something? I don’t know.

Urmstongran Mon 16-May-22 17:18:50

Every notice etc here is translated into Welsh even though Welsh speakers are bilingual

Wow Calli that must cost the Welsh Assembly a fortune! Or their NHS budget. I don’t know how it works. It’s still throwing money around though whichever pot it comes from.

MaizieD Mon 16-May-22 17:16:45

I will, if provoked much further, give you all (apart from the few who already know this) my spiel about taxation not funding spending ; that the government issues its only money and can never run out of money, how the NHS is not a big black hole into which money just disappears, but in fact sustains huge amounts of private businesses directly because it doesn't make any of the supplies it needs, from drugs to dishcloths and at second hand by paying its staff, who then spend their money into the local economy.

The NHS helps to grow the economy... All nationalised industries do.

But I won't, because you've heard it all before and think it's totally uninteresting when you can have a good moan about an NHS that has been deliberately run down and has gone is going through a global pandemic with exhausted, overstretched staff and high sickness levels because of a highly infectious disease that is doing the rounds; and is doing the rounds over and over again ...

It's been said before, but I'll remind you that the NHS was in pretty good shape in 2010 when it was handed over to the tories.

silverlining48 Mon 16-May-22 17:15:05

Translators ...going off subject aren’t we?

I checked recently online and we, the UK, , came second to bottom in the european league of countries health spending. and staff, It’s all there if you look, so underfunded and understaffed is correct.