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That piece is just an emotional appeal, so again we fall back onto ethos-pathos arguments. The whole population is in the same boat, earnings frozen and cost of living eating into their economic value, so individuals and private companies come up with strategies to deal with this situation.
The NHS, like surgeon said to my wife the other day, just doesn't have any on the fly strategies for solving problems, so they just cancel lists, appointments, they don't react. The whole entity is anaesthetised with bureaucracy, time served managers have no ideas, they have no other experience to draw from, and anyone with any ideas is ostracised by staff members who just want to moan about missed break times, finishing late etc. Have any of these staff ever looked and reflected on their own behaviour, how can I be conscientious and become more efficient. People literally stand around for hrs on end, waiting for the big cog to turn, to make decisions. For example, a call was made to my wife from a local NHS trust for a piece of equipment, so she dealt with the situation immediately the equipment was waiting to be picked up. Same piece of equipment is still sat at the desk 3 hrs later because transport on the NHS side had to process the order, no prioritising, the transport chap just saunters in.
Despite those situations happening day in day out, (those brief examples are just the non serious tip of the iceberg), suggestions are brushed off with atypical entitled excuses, just like this thread, the negative responses are identical. Nevertheless, the staff have to bring something to the table to open negotiations, at the moment pretending to be the paragon of virtue and pleading poverty just isn't going to cut it, major, major image problems.
People have seen the damage done by equality and diversity training, the lack of accountability, the academic nonsense of organisations like the Kings fund. The removal of bursaries has two effects, saves money and gives the profession more value, the type of person attracted to the NHS previously has been found not to be suitable, but they're stuck with them now. A major public complaint is the lack of care, the two are linked. So only those people that are willing to sacrifice and be conscientious will apply, because they really want to work in the NHS.
Mrs Neilios, after an admonishment from me has left the NHS for good, the difference between private care is night/ day, everything is just quicker, problems have to be solved because every patient, piece of equipment, timesheets, relationship with the consultants, is shown on the balance sheets. Revenues are assigned and accounted for, she has targets to meet and so do the staff, the whole process is quantifiable, with a carrot and stick approach for all staff.
However for that, she receives a reward, wow a bonus, this is what I was talking about when I mentioned NHS management are clueless and commercially naïve, my wife can now make suggestion on how to slow down staff churn/motivate, keep an eye on stock without being looked at either blankly or with a "We can't do that".
I could write a book on the NHS and I have friends who's partners work in various NHS departments and we have similar tales to tell, it's a real shame, it has nothing to do 'Tory' Machiavellian plans. |
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Author: ghrh
26-11-2019 02:24:28
Leave the teacher bashing for General Chat please.
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