tag:blogger.com,1999:blog-1008122447979675819.post7505656395715430722..comments2024-03-15T10:51:18.486+00:00Comments on The Voluptuous Manifesto: The NHS needs a whole team – and that has to include administratorsAmanda Kendalhttp://www.blogger.com/profile/13753421608510794753noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-1008122447979675819.post-2918492658662732652018-01-16T09:16:01.213+00:002018-01-16T09:16:01.213+00:00CKD means regular contact with NHS, my sister is a...CKD means regular contact with NHS, my sister is a nurse, my sister-in-law a midwife, until she retired my Mum worked in adult social care. I find the NHS a mix of the heroic and inept. I get excellent treatment from hard working staff, but close attention reveals plenty of staff busy doing nothing during my visits. The resourcing of NHS is lumpy, some parts are stretched to breaking point e.g. A&E and those parts overlapping broken adult social care (as you’re finding), but other parts are clearly inefficient with wide variation between good and bad.<br /> <br />I don't think there is any shortage of administration, it's just poorly managed. Systems used in NHS and care authorities are poor, this not due to underfunding, but poor management has wasted vast sums. Professionally I've worked on many major systems programmes in private and public sector, seen good and bad in both, one is not always better than other, but overall find public sector has a weaker culture when it comes to inefficiency e.g. the level of resistance to doing stuff more efficiently 'because it's somebody's job' even if it adds little value and there are much better ways of using the resource.<br /><br />Two things are needed, both will have opposition. Firstly, National Audit Office does wide ranging audit of NHS spending. Secondly, cross-political Royal Commission on long-term funding for both NHS and social care. I don't object to tax going up to pay for health and care, but I think some people who reasonably want more funding avoid existing issues of inefficiency and waste because they think it undermines getting more money, but there will never be a way forward without doing this.Mhttps://www.blogger.com/profile/08204174267833645562noreply@blogger.com