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The NHS - An Example of How Not to Manage
A vote of no confidence in Jeremy Hunt by the BMA, representing around 50% of UK doctors, indicates significant dissatisfaction with his handling of NHS reforms, blaming frontline staff for resulting chaos. The document critiques the bureaucracy and systemic failures within the NHS, highlighting concerns over management waste and loss of focus on patient care due to excessive oversight. It also reflects on the need for accountability and the failure of current reforms to create a sustainable public healthcare system.
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The NHS - An Example of How Not to Manage
- 1. Ninian Peckitt FRCSFFD RCS FDS RCS FACCS
- 2. Vote of NoConfidence in Jeremy Hunt • BMA Vote represents 152,000 doctors circa 50% of UK doctors • “huge wave of anger” against Mr Hunt • The motion was passed with an “ overwhelming majority” • “He is at the forefront of a new political blame game, blaming frontline NHS staff for the predictable chaos resulting from his government's reforms and cuts,” (BMA council member Dr Jacky Davis) • “We are watching a good service being deliberately brought to its knees by vandals in Westminster.” 24th June 2013
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- 21. Death by Beaurocracy http://www.dailymail.co.uk/debate/article-2661970/Death-bureaucracy-As-learn-NHS-bankrupt-read-excoriating-attack-managers-senior-consultant.html Deathby bureaucracy: As we learn the NHS is bankrupt, read this excoriating attack on its managers by a senior consultant By Nick Boyle Nhs Consultant Surgeon Published: 01:12, 19 June 2014 | Updated: 08:22, 19 June 2014
- 22. System Failure The systemhas become more important than the patient (Ninian Peckitt)
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- 25. Fat Cat Payoffsand Re-employment
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- 30. A Lesson fora Sick Patient
- 31. Every day, asmall ant arrives at work very early and starts work immediately.
- 32. She produces alot and she was happy.
- 33. The Chief, alion, was surprised to see that the ant was working without supervision.
- 34. He thought ifthe ant can produce so much without supervision, wouldn’t she produce even more if she had a supervisor!
- 35. So he recruiteda cockroach who had extensive experience as supervisor and who was famous for writing excellent reports.
- 36. The cockroach’s firstdecision was to set up a clocking in attendance system.
- 37. He also neededa secretary to help him write and type his reports and …
- 38. ... he recruiteda spider, who managed the archives and monitored all phone calls.
- 39. The lion wasdelighted with the cockroach's reports and asked him to produce graphs to describe production rates and to analyse trends, so that he could use them for presentations at Board‘s meetings.
- 40. So the cockroachhad to buy a new computer and a laser printer and ...
- 41. ... recruited afly to manage the IT department.
- 42. The ant, whohad once been so productive and relaxed, hated this new plethora of paperwork and meetings which used up most of her time…!
- 43. The lion cameto the conclusion that it was high time to nominate a person in charge of the department where the ant worked.
- 44. The position wasgiven to the cicada, whose first decision was to buy a carpet and an ergonomic chair for his office.
- 45. The new personin charge, the cicada, also needed a computer and a personal assistant ,who he brought from his previous department, to help him prepare a Work and Budget Control Strategic Optimisation Plan …
- 46. The Department wherethe ant works is now a sad place, where nobody laughs anymore and everybody has become upset...
- 47. It was atthat time that the cicada convinced the boss , the lion, of the absolute necessity to start a climatic study of the environment .
- 48. Having reviewed thecharges for running the ant’s department , the lion found out that the production was much less than before.
- 49. So he recruitedthe owl , a prestigious and renowned consultant to carry out an audit and suggest solutions.
- 50. The owl spentthree months in the department and came up with an enormous report , in several volumes, that concluded : “ The department is overstaffed ...”
- 51. Guess who thelion fires first?
- 52. The ant ,of course, because she “showed lack of motivation and had a negative attitude".
- 53. The Success ofNHS Reforms
- 54. The Options forPrivatisation
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- 57. Managing Change • Themost basic errors have been made • Business Model is flawed • Errors are repeated • No Responsibility / No accountability • Failure is Rewarded
- 58. Business Model • FreeMarket has failed to create a viable Public Healthcare System • Private Healthcare cannot deliver a viable Public Healthcare System • The Original NHS Model delivered a viable Public Healthcare System
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- 60. • Mandatory • CurrentSystem will be dismantled
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- 65. What happens whenInterest Rates Take Off
- 67. Thank you foryour attention