I usually keep away from threads about the NHS but delurking to comment on this.
As someone who has been an NHS manager in various acute trusts, CCGs and now NHS England I can now easily spot the posters on those threads who know fuck all about the NHS and they spout the usual nonsense about nurses and doctors and too many managers.
We do need more nurses and doctors, that is correct. However, we also need more AHPs - allied health professionals like physios and occupational therapists who are invaluable in helping many many people needing rehab.
We also need more social prescribers and patient navigators - either clinical or non clinical to help patients self manage their conditions.
Those professions actually free up the nurses and the doctors to do their own jobs.
As for managers...well, how do you think these services get started? Identify and implement improvements that are needed? How do you think huge acute trusts are managed? Who do you think holds providers to account for how they are using public money? Who do you think gets services up and running at short notice when the govt says here's a few £million quid to set up a service for respiratory infections on 7th Dec ...and we want these services to be ready to see patients tomorrow (I'm not exaggerating).
Yes, that's right. Us managers.
Our NHS is underfunded - I've had multi million £ budgets for the last few years, but because we haven't been able to spend it all because we couldn't recruit....the money disappears at the end of that financial year. You might want to hazard a guess where it goes. Hint - it doesn't stay in the NHS and we are not allowed to carry it over.
The NHS is understaffed in all professionals at all levels.
I have now left the NHS btw, after receiving an offer from a private company for three times the salary I was receiving in the NHS. I moved because I was sick of being treated like shit by the public, by the govt and by my own colleagues who don't seem to understand that they need managers to allow them to do their jobs.....until we are no longer there...
Sorry for derailing. I'll fuck off back to lurking on this thread now.