‘Imagine if you are in your umpteenth meeting in a hospital or PCT or SHA somewhere, with a McKinseyite costing your directorate’s annual savings plan being taught the McKinsey way of saving the world. You are going to be feeling a little dubious about it all’

To: Don Wise, chief executive

From: Paul Servant, assistant

chief executive

RE: McJected

So… the Department of Health contracts McKinsey to tell it how to run the NHS. When the Department of Health already spends a huge amount of money on lots of civil servants to do the same thing. What can one conclude?

Well the DH, run by civil servants, obviously didn’t think that it had anybody on payroll who could work out what to do with the NHS. So in come the boys and girls with stopwatches and slide rules who get paid even more than the sidelined civil servants whose job it is.

Then once the little McKinseyites have consumed and cogitated their data, repackaged it, and sent it to ministers, it gets rejected.

So if civil servants aren’t trusted to run the NHS and McKinsey isn’t believed, who’s left?

Perhaps the first cost-saving could come from abolishing the DH, whose leadership looks outside it for expert advice when surely it exists to provide expert advice to ministers on how health should be run. In fact with the Care Quality Commission, Monitor, National Patient Safety Agency and the Audit Commission all keeping tabs on the NHS and reporting directly to ministers, surely we can do without a Department of Health that ministers don’t trust to either provide policy or evidently now commission it.

And what is everyone out there to make of McKinsey now. Imagine if you are in your umpteenth meeting in a hospital or PCT or SHA somewhere, with a McKinseyite costing your directorate’s annual savings plan being taught the McKinsey way of saving the world. You are going to be feeling a little dubious about it all. You might bravely put your hand up, in a very collaborative, supportive and constructive way and say: “If the minister thinks it’s bollocks, why shouldn’t I?”