The Labour Government

City64! said:
I see all your posts are the same on here. "Anyone that says...... is......."

What a weird person you are. People are allowed to have different views to you mate. Hope you get help.
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Play the post fella, if you don't think 70k is a good salary then well you know..........
 
meltonblue said:
They mentioned cutting non patient facing nurses in certain areas, what’s your wife’s friend doing currently?
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Clinical nurse specialist. Whatever they government have said or hoped for the reality is it is being offered to front line staff. Now obviously being offered and accepted are two different things but it is being offered to qualified nurses and that is simply unthinkable.

The government need to get on top of this because this will look like their doing. I don’t dislike Streeting like many others do and think he does a decent job but this is surely a case of unintended consequences with the budget issues (partly due to needing pay for JD pay rises).
 
Blackley_Blue said:
Very strong rumours of my NHS trust re-starting the MARS scheme imminently. Massively in the shit financially. I oversee a 24/7 department of 25 staff, currently have 4 vacancies but can't recruit as there's a complete block on recruitment. Morale at an all time low.

With 18 years service, I'll be first in the queue for MARS if offered. Can't wait to get out.
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It’s insane. Morale on its arse like you say.
 
meltonblue said:
It does but also has some managerial roles that aren’t patient facing, that’s why I asked what role his wife’s friend was doing. I work for a private company that works a lot with the NHS and as much as I have a problem with what we do, the mid to senior level management in there is terrible in places.

Some of it is down to wrong shape and wrong hole though, so I was genuinely interested what role they were doing.
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They are certainly giving matrons (B8+) larger portfolios (ie where a matron retires an existing matron takes over that department as well rather than promoting someone else) - I suspect they, if close to retirement, will happily take redundancy.

You’re right about senior management being a bit hit and miss. Plenty get to a senior role with no management ability.

If you and I tell our boss to fuck off when asked to do something we’d get fired, in the NHS said boss is likely to just fuck off. That’s partly why change is so hard in the NHS - you only need 1 telling management to fuck off to seemingly put a spanner in the works.
 
I'm With Stupid said:
Why are we offering someone who's worked for 17 years redundancy though? Might not even be 40 yet.
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Spot on. She’s very early 40s. Years of NHS service left in her and a very skilled nurse. But this is open to everyone.

Get a pay out and fuck off to somewhere like Australia to nurse who will be grateful for those skills.
 
Vic said:
It sounds a bit like NHS administrators might be trying to get rid of nurses rather than administrators.
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The devil’s always in the detail. Unsure of it here, seems weird that you’d lose a nursing job unless it’s tied to one of the NHS England roles.
 
metalblue said:
Spot on. She’s very early 40s. Years of NHS service left in her and a very skilled nurse. But this is open to everyone.

Get a pay out and fuck off to somewhere like Australia to nurse who will be grateful for those skills.
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It’s even better than that. You’re not allowed to work for the NHS for a year, if you’ve been ‘paid off’ so she can just get her pay out and go and work for the private sector, who are desperate for staff, because of all the extra NHS work they’re doing!
She might end up seeing most of the same patients as she is now, in a much nicer setting…..

They say hospitals are ‘in debt’ when, in reality, they’re just over trading. If you’re being paid enough to see 365 people a year at £1000 each, say, and then you’re suddenly seeing 1200 a year, your costs have also gone up, and you’re still being paid for 1000, you’re ’in debt’ and then on the naughty step.

It’s stupidity of the first order and stems from, like most things wrong with this country, having ‘economists’ from Oxford university in charge…..
 
The Light Was Yellow Sir said:
It’s even better than that. You’re not allowed to work for the NHS for a year, if you’ve been ‘paid off’ so she can just get her pay out and go and work for the private sector, who are desperate for staff, because of all the extra NHS work they’re doing!
She might end up seeing most of the same patients as she is now, in a much nicer setting…..

They say hospitals are ‘in debt’ when, in reality, they’re just over trading. If you’re being paid enough to see 365 people a year at £1000 each, say, and then you’re suddenly seeing 1200 a year, your costs have also gone up, and you’re still being paid for 1000, you’re ’in debt’ and then on the naughty step.

It’s stupidity of the first order and stems from, like most things wrong with this country, having ‘economists’ from Oxford university in charge…..
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Very good point
 
Vic said:
It sounds a bit like NHS administrators might be trying to get rid of nurses rather than administrators.
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The problem is the NHS budget is in a mess. You can’t get rid of the corporate roles at the click of fingers but they have to balance the books now.

If they could get a year or two wiggle room on budgets they could amalgamate the corporate functions across local hospitals and get savings that way. This is why I think nurses being offered redundancy is surely not what the government/ Streeting expected and are the unintended consequences of telling the trusts they need to get their budgets in order. Or maybe it’s the trusts playing silly buggers and trying to force the government in to a change of heart on budgets but they (the trusts) are 100% going through with this. The optics are dreadful.

ICBs are having to make over 50% redundancies by the autumn. The government certainly want to remove the devolved elements of the NHS and centralise it. I’m not sure if this is the right path or not but I do get the logic of wanting more direct control over how the NHS budget is spent when they are on the hook for outcomes rather than outsourcing it to another layer of bureaucracy.
 
The Future’s Blue! said:
The devil’s always in the detail. Unsure of it here, seems weird that you’d lose a nursing job unless it’s tied to one of the NHS England roles.
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It’s all about trusts having to balance the books - they are less concerned how.

You need someone in HR but you can lose a B5 nurse and still function. Appreciate that’s a microscopic example but you get the sort of challenges these trusts are facing.
 
metalblue said:
They are certainly giving matrons (B8+) larger portfolios (ie where a matron retires an existing matron takes over that department as well rather than promoting someone else) - I suspect they, if close to retirement, will happily take redundancy.

You’re right about senior management being a bit hit and miss. Plenty get to a senior role with no management ability.

If you and I tell our boss to fuck off when asked to do something we’d get fired, in the NHS said boss is likely to just fuck off. That’s partly why change is so hard in the NHS - you only need 1 telling management to fuck off to seemingly put a spanner in the works.
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My sister recently took a pay off from her company ( acrimoniously as is so often the way in the private sector as you approach 60) after a good, well paid career . She is a very able senior manager. She is financially secure and could retire but didn't feel ready so looked for some part-time work. Took a part time fixed contract position with her local NHS trust in a team looking to improve service delivery, job is talking to stakeholders etc, formulating plans etc .
She imagined the culture would be different from what she is used to and in that regard she hasn't been disappointed....
A few weeks in she was invited to a Team event held a nice local hotel. Spent the day on A " Bridgerton" themed day, making period costumes and then had the opportunity to spend time with a therapy dog to relieve her stress.Now its fair to say these sort of things also happen in the private sector , however what my sister has already learnt was that there was no need for a therapy dog - because there is no stress !
She says there is no jeopardy of losing your job , you would have to kill someone. What for her are the usual rules of do what your paid to do or be fired just doesn't exist.
The ethos apparently is to " Be kind" to one another and it seems that takes precedence over everything else.
No one on her team works full time, all are part time, those who started as full time reduced their hours. Add in to that almost total freedom to work from home as you see fit and the result is that nobody is hardly ever available when you need to speak to them, so everything proceeds at a sclerotic pace .Nothing is done within timeframes, deadlines come and go, every excuse is accepted.Everyone looks busy because everything is a priority, there is no focus.
Her boss recognises her experience and keeps asking for her to give feedback on the efficiency of the team. my sister just avoids it as she says there would be no way of telling her without breaking the relationship because she says the truth is the whole set up actually just functions to provide comfortable employment for its participants and if the whole thing was wound up tomorrow and the team made redundant , it would make no meaningful difference whatsoever. Sadly , she says that they simply would not recognise that fact, they don't get it.
They are not facing any cuts it would seem.
To hear that frontline staff are facing redundancy when this is going on ... shocking.
 
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