Mike on Nostr: I worked in the NHS for 40 years and retired 15 years ago. I saw it go from mediocre ...
I worked in the NHS for 40 years and retired 15 years ago. I saw it go from mediocre to excellent and back again.
The move to Foundation Trusts brought in some dreadful Chief execs, and their ilk still linger in places - but the vast majority of senior managers (& board members) are good people working with their hands bound.
The estate is in a dreadful condition generally but we are wedded to the Big Hospital ideas of Enoch Powell's time - different ideas are needed for a different century.
Here's the rub though - to radically improve the NHS needs to think, act and believe differently. It won't because there are too many vested interests particularly in the professions and associated academia.
Yes a Fuckton of cash is needed, but here I agree with the government - the systems need fixing before vast sums of money are thrown away on something that is irreparable.
The move to Foundation Trusts brought in some dreadful Chief execs, and their ilk still linger in places - but the vast majority of senior managers (& board members) are good people working with their hands bound.
The estate is in a dreadful condition generally but we are wedded to the Big Hospital ideas of Enoch Powell's time - different ideas are needed for a different century.
Here's the rub though - to radically improve the NHS needs to think, act and believe differently. It won't because there are too many vested interests particularly in the professions and associated academia.
Yes a Fuckton of cash is needed, but here I agree with the government - the systems need fixing before vast sums of money are thrown away on something that is irreparable.