NHS productivity has plunged 18.5% in five years. That’s despite or because of five years of record increases in money going in, and large increases in staffing, taking it to over 2 million employees. This is a national disaster.
The sackings should begin at the top. There are too many six figure salary managers who manage to lower productivity by over recruitment and by diverting attention away from getting people better to a whole series of woke issues about the staff and the organisation. I was blocked in the past trying to find out how many chief executives there are in the NHS in the alphabet soup of quangos and Trusts. Chief Executives who cannot meet budgets or cut waiting lists with all the extra staff and money they have should be told to go.
Good medical teams need building and supporting. Managers need to be good at organising work flow and ensuring a good patient experience. Wes Streeting needs to start at the top, appraising his reports and expecting a much better performance. They in turn need to expect more from the hospitals and GP surgeries that do the work.