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I voted Brexit for the NHS – now show us the money


Dr Chand is correct that we do need a significant injection of cash in order to maintain a safe service in the short term, and we have been squeezing the pips for too long. Yes demand goes up and we can do more. However this is not the only answer and it is a fact that the NHS is completely mismanaged. So much money is wasted and there are huge numbers of people who are not contributing to productivity at all. We need to get back to basics. The greatest expenditure in the NHS is on staff. Management costs as a percentage have increased more than clinical costs. The NHS needs 1) to reduce management costs 2) to make clinical staff feel valued and empowered to do their jobs to the best of their ability and management should exist to support clinical staff not to control them. 3) We should aim to get to a point where we do not have to contract with as many bank staff or locums and we should try and staff to excess capacity allowing for the fact that there will be maternity leave, sickness etc. It is a false economy relying on expensive contracted staff 4) properly staffed departments will lead to less errors and complaints and therefore less indemnity payouts. A huge amount is put aside from the annual budget 5) There are far too many processes and tick boxes and dare I say it audit for audits sake. We have become process driven and so much data is collected that is never used. When I first started s a doctor spreadsheets were not in existence and we managed without them 6) We waste so much and we are also having to pay far too much for much of what we use. If you are practising in the NHS you should be made to buy from a central procurement agency which sources from companies and uses economies of scale for the benefit of all NHS providers 7) We should be paying reduced rents for NHS properties which are being used by NHS providers - not market rents I could go on! I am an ex GP partner who is about to retire from locuming etc. We can't just keep asking for more money without dealing with these problems as well.

Posted date

08 Nov 2017

Posted time