I currently work in the NHS. My role is quite new, it was funded by the CCG to streamline a very lengthy clinical process.
I started six months ago. It’s VERY easy to spot how to make efficiencies, but I’m prevented from making them.
Several reasons, but mainly around two themes, admin and clinical hierarchy. All of the issues seem to stem from people.
So for example, it took me a little while to work out what everyone in the admin team does. Basically they seem to pass things between themselves. They complain a lot about workload, so I tried to simplify their workload by suggesting various changes, however all changes were resisted and in fact I was threatened that ‘the unions’ would become involved because they perceive that any change means a change for the worse, or that they might be made redundant.
Caveat - our trust has a ‘no redundancy’ policy.
Some highly paid clinical staff are carrying out tests that they have not been trained adequately for. They are making errors. Other staff who have been trained to do the work are unable to do it, because patients perceive that it’s better to see the higher ranking clinician. This is absolutely not true at all.
So the situation continues. The waiting times are long and I cannot improve this, despite being commissioned and paid to do so.
I was not asked to feedback or review the role, but I made an appointment to see the lead commissioner. He was not interested in anything I had to say, because CCGs are undergoing changes and he may not be in the same job six months from now. When I spoke to my manager, she announced she was leaving. We have an interim manager now who has been given a vast array of services to manage, and who has realised that she doesn’t want the ‘permanent’ role due to pressures from above her. The people above her are not clinicians, they are ‘professional’ managers.
Nobody wants that management job.
Ultimately, there are many ‘highly paid’ roles in the NHS that attract people without the right skill. This includes at CCG level. These people are attracted to nhs manage to roles because they aren’t actually qualified or skilled or talented in anything, so they never stand a chance of a properly ‘highly paid’ management role.
None of them stay in post. They take on new roles, look interested and keen, do very little and move on. The add nothing at all to patient care, they frustrate clinicians, they sit in individual air conditioned offices whilst clinical staff are squeezed together in ‘hot desk’ rooms where they cannot hold a confidential conversations and are forced to make calls in stairwells or cupboards.
It is utterly shocking, and it ought to be exposed. I would not know where to begin.