The Tories now want to cut NHS management to afford to build more GP practices

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Where are the doctors going to come from? Who is going to run the surgeries? I've seen it said many times that for the size of the NHS it's woefully UNDER managed and UNDER administrated. So who is going to provide those services if they cut the management tier?

If they are going to sort out the management cadre they could could start by reforming NHS procurement which is beyond badly managed and illogical. Then they could move on to nonsensical departments like OD (organisational development) which is less use than actual HR and seems to be yet another made up American corporate way of mostly employing pretty young things in kitten heels.

It's all a smokescreen and academic anyway though, Palantir is almost certainly working on ways to use NHS patient data to work out how to target the chronically ill who are beyond economically viable. If you have no idea what I'm on about, look up Palantir and NHS patient records for an insight or two...

I agree the NHS and Social Care need to been taken out of party politics and for there to be a cross party committee

The NHS desperately needs reform its poorly managed, constant changes, lack of coordinated information, money wasted, and shortfall of staff it’s a real mess and we have come to expect a lesser service than what we are getting

I would prefer to look at France/Germany and follow their lead in how they manage their healthcare but I didn’t think any party is brave enough to push that agenda

Labour have been in charge of the Welsh NHS for years and it has totally gone to shit.

The NHS needs a total overhaul. It just doesn't work in its current form unless you actually need urgent and immediate, life threatening attention.

The problem with the nhs is that every administration has an opinion that must be herded, and they change constantly.

Also they do not value doctors.

They keep coming up with more and more absurd hare brained schemes to try and win votes. First national service now this nonsense.
My NHS department is woefully under managed already and the senior band 6's are having to pick up management tasks on top of our normal work like triaging training, audits. We are all exhausted.

Married to a GP (I know how that sounds but just saying how I know this) and it’s actually getting difficult for GPs to find jobs as the push from the NHS and GP partners is to fill the gaps with slightly cheaper paramedics/ANPs/Physicians Associates so the shortage of GPs isn’t the bottle neck it once was! (There is NO shortage of Tory greed/incompetence!)

None of those posts exist in my Trust, and I would bet good money that they don 't exist elsewhere either.

Everyone in my Trust who is involved with equality does it on their own time and has a main clinical role.

Don't let the real world hit you on the way out.

Exactly! You can't have good quality healthcare services on the cheap. You can't get it in the middle aisle of Aldi! It's hugely expensive but worth it surely?? The sooner our Government (whoever is in power) acknowledges that, and the public accept that, the better!! Time to tell the cold hard truth and prioritise the health of the population.

They have had 14 years to address GP shortage and did nothing about it.

This is just another similar promise to the many new hospitals that Brexit was supposed to give us...

Everything got worse under their 'leadership': longer waiting lists and waiting times at A&E, no NHS dentist, increasingly difficult to get a GP appointment.

The Tories just don't understand or support the NHS and have no interest in doing anything to improve healthcare provision for regular people beyond trying to privatise it and making money out of it.

A major bottle-neck to any expansion of services is the huge lack of staff.

The UK doesn't train enough doctors or nurses. Half of the new nurses in the UK in recent years have come from abroad rather than being home-trained. And paying doctors more means that the NHS can afford fewer of them. Frustratingly, a lot of good candidates at A level never get the chance to train to be doctors in the UK because the admission rate to study medicine at university is low, but the NHS then recruits vast numbers of doctors from countries abroad where it is much easier to enter the medical profession - this does not increase quality, but restricting supply can be seen as a method of keeping salaries high. Doctors' pay is a huge red herring in the UK as regards shortages and just training more is what works in other countries. Funnily enough, the BMA and GP association are usually against increasing training places.

And in terms of nursing management, there are huge problems because the pay for nursing managers can actually end up being less than the staff they manage because the payscales between band 7 and 8 is too flat and clinical staff have to do shift work which increases their pay above office-based staff. This does not lead to the best people being in nursing management roles. It is not the lack of managers in some cases, but very poor candidates getting jobs because better candidates can't actually afford to apply for management roles.

The last time Labour were in power they reduced inpatient waiting lists by 500,000 people.
Employed 85,000 more nurses and 32,000 more doctors.
Set up NHS Direct.
Introduced free breast cancer screening for all women aged between 50-70.
Reduced heart disease deaths by 150,000 and cancer deaths by 50,000

And they achieved A&E waiting times under 4 hours consistently as well.

The removal of the waiting times targets was one of the first thing the incoming Tories did in 2010, undoing all of the achievements of the preceding labour governments.

They could start by cutting all the fucking EDI management and rainbow-washed shite. My Trust is millions in deficit, no money for clinical staff, but they'll splurge the cash for their buddies in EDI and more fecking rainbow lanyards.

I loved BHS. Their restaurant was always a favourite with my mum too :)