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It would be interesting to know how much we have spent with McKinsey and other such consultants. Are there not people within the DOH and SHA's who can do this sort of work (now that would be efficient)?
I think all NHS people should get an input into where these savings can be made.
Being Finance person the places to save are really quite easy:-
Consolidate London PCTs Commissioners / Public Health / Boards. After consolidation you would be able to do away with the SHA(who are basically are glorified bankers who hold the money and not very well!). Probably by the end of this we actually might be able to keep front line services, instead of CEO's in their comfy chairs.
Here's another:-
Why do we need different HR policies and procedures for each PCT / Trust across the country. Can't we have one set for the NHS with appendix's for Local agreements. How much time / man power would that save.
I think the problem with the NHS is that no one is prepared to make the big decision of this swathe management within the DOH and SHA.
I am becoming tired of Politics and tick boxes within the NHS, can't we just get this NHS re-centered to patients.
If there is an MP reading this, I can show you how to save £20b across the Public sector. I would stake my life on it but not sure I would go to acute hospital in the near future!
I think it maybe time to fill my private health forms in. Now how funny is that!