Mike on Nostr: League tables in the NHS will be gamed in the same way as CQC inspections were. A ...
League tables in the NHS will be gamed in the same way as CQC inspections were.
A vast amount of middle management time will be spent in massaging the figures and scoring imaginary points.
The time and energy that senior managers will spend coercing those further down the heap will be wasted when all of them want to get on with enabling the clinical staff to provide better healthcare.
I cannot see how areas of health deprivation can be compared with areas of health excellence; how to compare areas where staffing costs & supply are challenging; or how to compare units in 'state of the art' facilities with those struggling in Victorian buildings (or worse - 1980s schemes!).
No fiddling with algorithms will compare them.
It's a bonkers idea that (I hope) will be quietly dropped afte a few years.
A vast amount of middle management time will be spent in massaging the figures and scoring imaginary points.
The time and energy that senior managers will spend coercing those further down the heap will be wasted when all of them want to get on with enabling the clinical staff to provide better healthcare.
I cannot see how areas of health deprivation can be compared with areas of health excellence; how to compare areas where staffing costs & supply are challenging; or how to compare units in 'state of the art' facilities with those struggling in Victorian buildings (or worse - 1980s schemes!).
No fiddling with algorithms will compare them.
It's a bonkers idea that (I hope) will be quietly dropped afte a few years.