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Share your dilemmas and get honest opinions from other Mumsnetters.

To think the NHS Significant job losses are a good thing to get rid of management pushing paper around all day and increase the number of hands on staff

195 replies

Husbandrippedmeoff · 16/03/2025 11:56

What does this mean, will they be slashing the number of people who work in management?

Do you work for the NHS are you worried?

OP posts:
Tanfastic · 11/04/2025 20:27

Thunderingfanjo · 10/04/2025 07:43

Our Trust has just announced a 'mutually agreed resignation' scheme for admin (bands 2-9) I'm not sure what plan B is if they don't get enough volunteers but I do know that the clinical staff cannot do their jobs and the trust will grind to a halt without the admin team.
Hospitals need a whole army to run and cutting admin roles will have a direct effect on patient care.

Ours did this last year and didn't have much of an uptake. So nine months later they e announced it again but opened it up to clinical staff too this time. After that it will probably be voluntary redundancy.

Husbandrippedmeoff · 14/04/2025 21:32

Tanfastic · 11/04/2025 20:27

Ours did this last year and didn't have much of an uptake. So nine months later they e announced it again but opened it up to clinical staff too this time. After that it will probably be voluntary redundancy.

I suspect the pen or paper pushers will be holding out for a bigger pay out.

OP posts:
marmaladeandpeanutbutter · 14/04/2025 21:35

Just dont moan when clinical staff are doing even more of their own admin, and have less time for you.

OFHelp · 15/04/2025 14:57

My neighbour was saying today that she's been looking for other NHS admin jobs since her ICB announced the mass redundancies. She's band 4 currently but there are no band 4 vacancies coming up at all so she's been applying for band 3 admin roles in her local hospital however she's getting rejected from them all as there are so many people applying for each job (apparently over 50 applicants for one receptionist role and they had to close the vacancy after just 3 days of it being live). As she's approaching retirement age she's keen to stay with the NHS for her pension but she seemed very dejected about it all when we spoke.

QuirkInTheMatrix · 15/04/2025 15:04

Scenicgirl · 10/04/2025 23:43

Sorry to hear that but interested to know how a "mutually agreed resignation " scheme differs from VR or is it one and the same?

With a MAR scheme they don’t have to consult the unions. We’re in the middle of MAR at work, next step is VR then compulsory.

OohRains · 15/04/2025 15:13

Same @QuirkInTheMatrix but nobody to my knowledge anyway is going for the MAR scheme, as it's a pretty poor payout compared to what a redundancy package will be or indeed actually keeping your job!

Pussycat22 · 16/04/2025 08:59

SErunner · 04/04/2025 16:58

The NHS is one of the most undermanaged healthcare systems in the world. Arguably it possibly needs more management than less. Effective management leads to effective systems and services. Managers can’t be effective when they are under-resources, in the same way clinicians can’t. The axing managers narrative is popular with the public though, hence why it gets fed by politicians and the press.

UNDERMANAGED!???? It ran a whole lot better when the doctors and nurses were in charge and no 'Management 'tiers to fund !!!!

Theeyeballsinthesky · 16/04/2025 09:18

Pussycat22 · 16/04/2025 08:59

UNDERMANAGED!???? It ran a whole lot better when the doctors and nurses were in charge and no 'Management 'tiers to fund !!!!

Ah right you want doctors and nurses ordering stationery, managing commissioning relationships with hospitals, checking the finances, hiring and firing people, managing the catering and cleaning contracts, and ensuring the clinical waste is collected rather than doing clinical work?

planthelpadvice · 16/04/2025 09:21

Pussycat22 · 16/04/2025 08:59

UNDERMANAGED!???? It ran a whole lot better when the doctors and nurses were in charge and no 'Management 'tiers to fund !!!!

😂😂😂 when was this magical time?

pointythings · 16/04/2025 09:34

Pussycat22 · 16/04/2025 08:59

UNDERMANAGED!???? It ran a whole lot better when the doctors and nurses were in charge and no 'Management 'tiers to fund !!!!

When was that then? I have been the NHS for 25 years and it wasn't like that even when I first started.

Also the world is a very different place right now. And it makes zero sense for clinicians to do their own admin.

RafaistheKingofClay · 16/04/2025 09:38

We’re experimenting with not replacing non patient facing staff as they leave as a cost cutting measure. I can promise you it is not exactly going to go unnoticed by patients.

endofthelinefinally · 16/04/2025 16:11

RafaistheKingofClay · 16/04/2025 09:38

We’re experimenting with not replacing non patient facing staff as they leave as a cost cutting measure. I can promise you it is not exactly going to go unnoticed by patients.

The chaos of appointments for the wrong clinic, duplicate appointments, erroneous cancellations seems to be increasing, if the experience of friends and neighbours is anything to go by. My urgent referral for a tissue biopsy is going to be a telephone appointment in 3 months time. Not sure how that is going to work. Probably as well as the telephone appointment to discuss the blood results that don't exist because nobody sent me a lab form.

Pussycat22 · 19/04/2025 08:35

pointythings · 16/04/2025 09:34

When was that then? I have been the NHS for 25 years and it wasn't like that even when I first started.

Also the world is a very different place right now. And it makes zero sense for clinicians to do their own admin.

You're a novice, I've just finished after 50 years and trust me it hasn't changed for the better. Our clinicians never had to do their own admin, they had/have secretaries for that.

pointythings · 19/04/2025 08:38

Pussycat22 · 19/04/2025 08:35

You're a novice, I've just finished after 50 years and trust me it hasn't changed for the better. Our clinicians never had to do their own admin, they had/have secretaries for that.

And if you start hack and slashing at admin staff, clinicians will have to do admin. My Trust is already very short on admin staff. Officially I'm PA to 3 people. In practice I support 11.

Pussycat22 · 19/04/2025 08:49

pointythings · 19/04/2025 08:38

And if you start hack and slashing at admin staff, clinicians will have to do admin. My Trust is already very short on admin staff. Officially I'm PA to 3 people. In practice I support 11.

The op was talking about Management not admin as was I.

Pussycat22 · 19/04/2025 08:52

Tanfastic · 11/04/2025 20:27

Ours did this last year and didn't have much of an uptake. So nine months later they e announced it again but opened it up to clinical staff too this time. After that it will probably be voluntary redundancy.

Bet it wont apply to Band 5 to Band 1 . There would be no one left to do the caring and the clinical roles which is what the NHS is all about!! Seen this 10 years ago to get rid of unnecessary management roles.

BalloonSlayer · 19/04/2025 08:53

The Trust I worked at had a lot of staff who spent most of their time compiling reports/ statistics at the demand of the ICB/NHS England/FOI requests/Other department-specific regulatory bodies.

Clearly Trusts have got to be accountable but it seemed exhausting. The head of one department took weeks producing a report for one official body (taking them away from their actual work), then almost immediately had another one to do for another, which was almost the same, but not similar enough that they could re-use the same data, they had to start again from scratch.

There are people whose job it is to monitor - and analyse and document the reasons for - the 52 week waiters, the 62 week waiters, the 100 week waiters etc etc. And of course this needs monitoring! But having more people to do the procedures would be a far better way of reducing the waiting list than having someone who can show that Mrs Smith was on 72 weeks when she was referred to us so it's not our fault she is now at 85 weeks.

Feliciacat · 19/04/2025 08:53

It wasn’t good for me! I work in HR and they decided to not renew my contract at the end of March. I’m still jobless (there have been lots of redundancies from all kinds of companies so the job market is flooded) and I’m pregnant.

I agree with some others that I don’t think these cuts will make a difference on the frontline. There is so little money :(

Pussycat22 · 19/04/2025 09:09

In reality, nothing will help until people start taking responsibility for their own health and stop making lousy lifestyle choices and then expecting NHS to cure them.

Marshtit · 19/04/2025 10:23

so many doctors and nurses are now managers, a dream, or more likely a nightmare

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