Obviously, I'm not saying wasting money is okay. I am saying that no organisation works at perfect efficiency and the larger the organisation, the more examples of waste you are likely to find. Big corporations are not particularly nimble and therefore change can be slow and difficult. As the NHS is one of the largest organisations in Europe, there will be no shortage of cases you can cite where processes could be improved but you lack the context. Changes that appear obvious to you will also be obvious to staff but there will be a reason they haven't been implemented.What I'm trying to make you understand is that the people who are telling you that this means there is sufficient resource within the NHS to provide us with an adequate service without further funding are misleading you. NHS Managers have become a particular target of this line of argument but the NHS actually has a thin layer of management. 'Efficiency' measures in which non-clinical roles have been reduced at some health trusts in which managerial and admin posts have been cut are starting to deliver the outcome those working in the NHS predicted. The productivity of clinical staff has plummeted as they are required to take on tasks previously done by staff that have been made redundant.If you want waiting lists to fall, doctors and nurses to stay and health outcomes to improve, you need to increase funding in line with the increase in demand. There is no alternative.
Francis Rowe ● 1078d