As an ex-NHS manager in both secondary and primary care, I fully support ALL NHS staff striking. As a Divisional Manager I had my budget cut 3 times in a year, had to deal with experienced staff demoralised, angry and demanding more resources that I couldn't give them. I had medical secretaries and ward clerks (some of the least valued and most overworked people in a hospital) resigning because they actually couldn't afford to work anymore and, once fuel/transport, childcare and other costs were taken into account they were spending more each month than they were getting. I had to constantly use my meagre budget on hiring agency staff because my nurses were so tired, stressed and overworked that the sickness levels were stratospheric. I lost 50% of staff in a year. As a fairly senior manager I can honestly say that yes, the senior management in the hospital know the problems, know how to provide solutions to those problems - but can't because they just have no money available.
It makes me so angry to read some of the comments in the media today about increments and pay rises - the top of the pay band is the numeration for the job, not the bottom. NHS staff spend years just getting to the point where they are paid the supposed going rate for the job.
It also makes me angry that people still think that the NHS is paid well. It's not. When I first joined the public sector about 20 years ago, it was a well known fact that the salary was way below what the private sector offered. For example, when I got my first junior management job in the NHS I was on less than £15K - I had just finished my PhD so certainly wasn't underqualified. People that I went to Uni with and who went into the private sector were on at least £25K starting salary. Nurses and midwives, paramedics, NHS administrators and (surprise, surprise) a good deal of NHS managers don't get this amount of money today.
Whilst I'm sorry for ranting and hijacking this thread, I think that it is important that as a nation we start to appreciate what we have in our NHS. If we don't now, then the chances are that by the time we do, it will be too late.
Oh, and as for my gold plated pension - well I'll only get one of those if I get a £1 for everytime I see/hear a comment about sacking managers!