NHS strikes in Scotland called off .

Mollygo

^It was supposed to improve efficiency through competition, but has resulted in each one having its own layer of admin, including commissioning^
And each layer of admin means less money for nursing staff?

A lot of the managers are nurses, I’m not sure if people realise that the vast majority of managers in the NHS, wherever you are, are clinicians?
The structure much simpler in Wales, we have 7 geographically based Health Boards covering virtually all NHS services, and three Trusts, including the Welsh Ambulance Service.

Oreo

Yeah but houses are cheap in Scotland.

Only in some places - mainly in the back of beyond. Services are no cheaper than in England either. Scotland isn't some third world country with rock bottom prices and therefore people prepared to work for pennies.

growstuff

Mollygo

It was supposed to improve efficiency through competition, but has resulted in each one having its own layer of admin, including commissioning
And each layer of admin means less money for nursing staff?

And all imposed by the government to "improve" efficiency. The additional admin isn't even at hospital level; it's at trust level.

So when people bleat on about too much management in the NHS, they need to look at the people who introduced it all in the first place.

Created by a conservative governement in 1991 and extended by a labour government in 2004 with the implementation of foundation trusts.

Latest update on strikes in the NHS in Scotland.

www.bbc.co.uk/news/uk-scotland-64076644

Not quite the latest. 3 days ago.

The word "impose" is being used to try to suggest that the Scottish Government is walking all over the NHS Unions. But 2 of the 3 nurses' unions have accepted the offer, so it makes sense for the government to make the offer reality. Otherwise they would be withholding an agreed payrise from a large section of the workforce.

prestbury

growstuff

Mollygo

It was supposed to improve efficiency through competition, but has resulted in each one having its own layer of admin, including commissioning
And each layer of admin means less money for nursing staff?

And all imposed by the government to "improve" efficiency. The additional admin isn't even at hospital level; it's at trust level.

So when people bleat on about too much management in the NHS, they need to look at the people who introduced it all in the first place.

Created by a conservative governement in 1991 and extended by a labour government in 2004 with the implementation of foundation trusts.

Indeed! However, commissioning was introduced in 2011/12 and resulted in an increase in the number of staff required to administer the new system.

volver I didn’t notice how old that article was, I last looked at the BBC site on the day before Christmas Eve. Part of my Christmas gift to myself was to not look at the news and most social media whilst I was at my daughters, knew she’d tell me of anything major. I got home tonight so thought I’d catch up.

growstuff

prestbury

growstuff

Mollygo

It was supposed to improve efficiency through competition, but has resulted in each one having its own layer of admin, including commissioning
And each layer of admin means less money for nursing staff?

And all imposed by the government to "improve" efficiency. The additional admin isn't even at hospital level; it's at trust level.

So when people bleat on about too much management in the NHS, they need to look at the people who introduced it all in the first place.

Created by a conservative governement in 1991 and extended by a labour government in 2004 with the implementation of foundation trusts.

Indeed! However, commissioning was introduced in 2011/12 and resulted in an increase in the number of staff required to administer the new system.

Is there commissioning in NHS Scotland? I thought there was a similar structure to Wales, where the Health Boards serve defined geographical populations, and there is no competition for resources.

The Chairman of the BMA, an Inverness GP says “no way” Scottish NHS can survive.

www.bbc.co.uk/news/uk-scotland-64101348