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Unsure whose instructions to follow in chaotic NHS admin role!!

5 replies

Sloneranger97 · 06/08/2026 19:45

I’ve been working as a bank member of staff in an NHS admin role for the past few months. There seems to be a power struggle between the manager and various other team members, some of whom are senior and some of whom aren’t. I don’t know the history well enough to say who is right, but everybody appears to be pulling in different directions.

This isn’t simply people having slightly different working styles or occasionally adapting a process. People are following completely different processes and pathways, and some seem to be going entirely off-piste and doing whatever they think is right. Depending on who I ask, I receive a completely different answer.

As bank staff, I genuinely don’t know whose instructions I’m supposed to follow. I feel as though I’m contributing to the mess despite trying hard to do everything correctly. Whichever direction I take, somebody will apparently think it’s wrong.

There is already a huge backlog, with some of the work going back nearly six months. The conflicting processes are also causing problems when work is passed to external teams, because information is being handled or sent in different ways and nothing ever seems to go smoothly.

We work in quite a crucial area. I won’t say exactly what the role is, but patients need to feel that their voices are being heard, and when things go wrong their frustration can understandably escalate!

Emotions are naturally high, but that makes the lack of consistency even more concerning. Ultimately, it is the patients who feel the impact.
It feels as though people are rebelling against one another rather than working together under one agreed process. I find it genuinely disturbing and incredibly uncomfortable, because I know that whatever I do may later be challenged.

Other bank staff have left in the past and, after my experience over the last few months, I’m now planning to leave as well. I’ve never encountered anything like this before.

Has anyone experienced this while working in the NHS, whether in admin or another role? How did you know whose direction to follow, and how did you avoid being blamed when there wasn’t one agreed process?

OP posts:
EmeraldRoulette · 06/08/2026 20:10

If it's that chaotic, could you just do what's in the best interest of the patient?

I genuinely don't understand how the NHS ended up such a mess

Sloneranger97 · 06/08/2026 20:22

EmeraldRoulette · 06/08/2026 20:10

If it's that chaotic, could you just do what's in the best interest of the patient?

I genuinely don't understand how the NHS ended up such a mess

Yes, that’s the ultimate goal. But whichever route you take, the work gets queried or sent back because somebody follows a different process. I can’t tell whether people are avoiding work or whether it comes from resentment within the team, but when nobody is on the same page, everything stalls.

You go through all those interview questions about NHS values, then experience this and it honestly feels like bollocks. It’s horrible, and seeing what happens behind the scenes can seriously damage your confidence in using that particular Trust as a patient.

OP posts:
similarminimer · 06/08/2026 20:24

If your manager cant help you then you should go to the next layer above. Or the layer above that. If you’re planning to leave anyway then do well by the patients and the
department before you go.

EmeraldRoulette · 06/08/2026 20:28

@Sloneranger97 i'm sorry you're having this experience

Being honest, my own and my family's experience of the NHS has been so dreadful over the last few years, it's quite an insight. Because I can't help thinking if a lot of the functions between patient and HCP were stripped out, we would be doing better.

I'm old enough to remember when it was relatively easy to speak to a secretary.

Would you say that admin you're doing directly benefits the patient? And why are you having to send it to someone else? That's not a facetious question - it's a genuine one.

if you only had one person who had to approve it or something, that would be one thing. But this sounds like the whole pile of crazy that I pick up from the NHS as a patient/carer for patient

editing to add - my impression is there's a whole bunch of internal functions that are there to service the admin machine, which in turn is there to provide a bunch of figures for politicians. And the patient basically gets forgotten. Literally the patient is the last priority in the NHS as it functions now.

Octavia64 · 06/08/2026 20:30

I have been in a situation like this when working at a school.

you can’t fix senior staff disagreeing like this
get out as soon as you can and don’t go back.

eventually it will blow up in someone’s face and they’ll be looking for a scapegoat

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