Mr Brown,
Do you really believe that the NHS managers have any skills in efficiency? Having worked in 5 trusts in last 8 years I personally have seen 'efficiency savings' taking the form of never covering maternity or sick leave, increasing demands on highly motivated staff, asking people to do impossible jobs, charging for photocopying, coffee, parking and spending a fortune sending staff on mandatory training.
In contrast I have been sent on many, many meetings to discuss new agendas and strategies, some of which have never seen the light of day, despite years of planning, but were obviously fun ideas for the chief executive of the day.
If these efficiency savings approaches mean anything could someone please explain what they will actually entail, or whether its just more pressure on managers in the NHS to cut corners (again).
Also, the use of private sector accountancy firms to advise the NHS is a joke, given the state of the banking sector and the incidents over the recent years with Arthur Andersen etc. I know many people working in these big companies and have heard shocking tales of people being paid twice, employees stealing whatever perks they can, and very inefficient use of temporary staff merely to pump up egos. Please can you reassure us that the NHS won't suffer further from advice from people who really don't have any appreciation of our work.
Thanks.