I’ll start from a position that we are a clinically led trust, but operationally responsible for performance.
As an example. A clinical lead decides that seeing 12 patients in clinic isn’t optimum and decides to reduce the clinics across their department to 10 patients across a 4hr clinic. Operationally, we are then held to account for a drop in performance, efficiency, throughput. We are accountable to the execs who are accountable to NHSE for the waiting lists and utilisation of clinic time and theatre lists.
I seem to be the point of contact for everyone’s frustrations. If you are clinical it’s the managers who are the face of the NHS and to blame for your low wages, pressure and lack of resources. I act as therapist and mentor to the 11 non clinical people I line manage. Nobody ever, and I mean ever, says thank you. Within the first 30 mins of everyday I’ve dealt with missing/broken equipment, staff sickness, no beds. On any given day I receive an average of 250 emails - that’s on top of the teams messages and our EPR inbox.
We’re constantly told there’s too many mangers; there are literally memes about it. I seem to spend my days corralling people into doing anything they don’t want to do or explaining to my line manager why we can’t deliver what they want us to do.
god I’m tired and burn out today