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Readers' letters

Letters to Health Service Journal's editor.
  • Bid to curb parking fees will be ignored, ministers told

    2-Sep-2014 7:42 pm

    I do wish that politicians could desist from sweeping generalisations. As with most things in life there are Trusts which have reasonable charges. If this were not the case in some instances the car parks would become "park and ride". So please give credit where it is due and be more specific when laying the blame.

  • Government seeks round the clock cover for 'no additional pay'

    2-Sep-2014 7:14 pm

    Government seeks round the clock cover for 'no additional pay' How could this ever be achieved? Addition staff will be required to cover the additional hours. Nursing is provided around the clock, but if diagnostic and interventional services are to be provided 24 hours a day additional staff, including nurses, will inevitably be needed. And that means more cash in the salary pot.

  • DH hires new director to NHS oversight role

    2-Sep-2014 5:14 pm

    Good to see Ben has survived his involvement in creating the chaotic NHS pay system

  • East Kent placed in special measures

    2-Sep-2014 5:10 pm

    The next thing will be the Monitor inspired appointment of a Board Adviser on £3,500 per day and a Turnaround Director on £2,100 per day. These former Deloitte employees will wreck further havoc and be the spies in the camp for Monitor.

  • Without motivated people, no new model can change the NHS

    2-Sep-2014 4:15 pm

    This is the killer line: "healthcare is a complex adaptive system – a factory that makes cars is not" If everyone in NHS management understood this, the slurry of half-baked change initiatives would dry up overnight. A horde of chancers and charlatans would find themselves without income, but overall nothing of value would be lost.

  • Happy staff mean a healthy business

    2-Sep-2014 3:50 pm

    In the long term particularly in the carding business then happy staff may well lead to a healthier business but in the short term in a climate of budget cuts, redundancies and proposed mergers fear seems to be effective. Of course that is assuming you regard health care as a business.

  • NHS England withdraws involvement from baby death probe

    2-Sep-2014 3:07 pm

    My reflection is that after all of the time spent reorganising the NHS the essential issue of which agency should lead on investigations has not been worked through. A great deal of time has been spent on establishing NHS England investigation frameworks which have taken nearly two years to become embedded (and are still someway off this being achieved). It is unsettling to observe that despite all of this work and upheaval little appears to have been resolved regarding the practical issues 'who' leads 'what'. Currently NHS England does commission independent investigations into individual patient cases. If things are to change, then change must be sure footed and swift.

  • We need a sustainable solution to care failure investigations

    2-Sep-2014 2:56 pm

    Yes, the Ombudsman could accept cases of even greater maturity than two years if there were special circumstances - e.g. where the delay was down to the NHS or the complainant was unwell!

  • Calibre of senior management talent in decline, survey suggests

    2-Sep-2014 2:55 pm

    The findings of the survey should come as no surprise to anyone (clinical or non-clinical) who has served in the NHS for longer than 10 years ; the macho, bullying,responsibility with no accountability culture was nurtured from the top and supported by various governments who were happy to use such individuals to push through ill-judged, illogical and unworkable policies through - step forward pleas David Nicholson as exhibit A... And then on top of that, senior managers were employed under increasingly bizarre titles with eye-watering salaries and despite being unproductive and often obstructive to proper progress, often got promoted at a dizzying rate. those who were occasionally brought to account were usually shipped off elsewhere rather than being brought to proper account. By the way, this applies to clinical as well as non-clinical senior managers. Finally, the many good, dedicated, principled managers with integrity that exist in all organisations were simply bypassed and pressured into submission. We have got the system we deserve because not enough people who witnessed unacceptable practice were prepared to raise their heads above the parapet, quite rightly because they knew the snipers would get them.

  • Getting along: Managers and doctors connect through paired learning

    2-Sep-2014 1:57 pm

    Was the input of medical colleagues equal to that of management? If so, I would say there is a desperate need to share learning here as it's a rare collaborative success story. I think all managers across the country ask the question about how to motivate clinicians to engage with them rather than use them as scapegoats for decisions they don't like but refuse to assist with.

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