Former UNISON Lead Negotiator on NHS Terms & Conditions and TU Lead on Social Partnership Forum. Former member of Health Authority and Community Health Council. Works in NHS as HR Consultant.
It's very clear now that Mid Staff's derailed David Nicholson and that he is now a lame duck CEO avoiding the media and with the media having little interest in him recognising the smell of impending 'death'. Add to that the obvious lesson that Secretaries of State will never give up micro managing the NHS. and cannot avoid political accountability for a publicly funded service, we will continue to see Jeremy Hunt on our screens regularly - at least until 2015
Dangerous dog bites it's owner?
Comment on: Capital’s trusts 'need urgent change'
The need to restructure and reconfigure London's acute services was difficult enough before Lansley's dumping of the Darzi plan and the abolition of the SHA. The lack of any body with the authority and remit to drive these changes does not bode well for the capital. Maybe the government has decided that it is all too difficut to plan given that every MP and every local politician will fight to protect local acute services, and that change will be driven by financial constraints and Trusts/FTs going bust.
This is great news that HEE is to give some priority and encourage targetting funding to the development of this pre-professional group. Yes there have been previous initiatives and Agenda for Change was designed to provide for such pathways and development of new and flexible roles. But many employers have yet to realise the potential of staff in Bands 1-4 and spend too little of their training monies on this significant section of the NHS workforce. Employer engagement in LETBs provides a new opportunity to embed this straegy. Trade unions should also be engaged to ensure they become partners not obstacles to such developments.
Yes the purchaser/provider split has been around since Ken Clarke was SoS - or in other words in some form or other for the past 2-0 years. It is how it is used that matters. The current government appear hell-bent on using it a a tool for fragmenting and outsourcing the provider side but as DN has often said - there is not a queue of private sector providers for all services. Some will always continue to be publicly provided or not be provided at all. So perhaps a welcome reality check is taking place. It would seem so as DN is now admitting what many have said privately for years that not all Trusts can ever be FTs, and trying to make them so is not the best way of moving resources from the acute sector to community based settings.