According to SKS NHS waiting lists have fallen for the 5th month in a row. Which is important I think. The one reason the tories and of course reform need to be kept from power is the relentless privatisation of the NHS. To reduce waiting list times 5 months in a row is significant. Especially given they were all winter Months
From April there are activity caps so Trusts won't get paid for doing additional work to bring waiting lists down. Any reduction of the waiting lists will have to be done privately.
It was easy to reduce waiting lists though because the previous years have had strikes causing reduction in activity (and increases to the waiting lists). Trusts have been incentivised via the "Elective Recovery Fund" to do additional activity.
From April the caps in place means there will be no waiting list reductions and cost savings are going into overdrive instead. Anyone that leaves their job will not be replaced unless it is critical. It is a shrinking of the NHS. It's very similar to the coalition days.
Cynically I think they will be allowing the waiting lists to increase so that in the run up to the next General Election they can switch targets to waiting list reduction again and show them coming down again.
Not an expert on this matter but was reading that these arms length organisations spend about 350 billion of our money. Surely it must be better to get rid of unnecessary duplication and have the state in charge. Get the political point but the waste must be staggering in that 350 billion. I support Starmer's drive to reduce quangos.
NHS England is made up of multiple organisations. NHS Digital is part of that and so is Health Education England. I don't think there will be any duplication there with the DHSC and both organisations will still be needed. The rest will have some crossover but not enough that it will mean getting rid of everyone.
As someone who has to deal with NHS England regularly the problem is usually that they do not understand our job so they ask for things that can't be delivered and they are too understaffed to handle the information that we provide to them. I don't imagine that DHSC will be any different and if anything will be less knowledgeable about our day to day operations and fewer people means they are less able to do what needs to be done.
During the last wave of austerity the coalition thought they could improve efficiency by getting rid of all the managers and admin. It obviously didn't work because a lot of it still needs doing so you end up with doctors, nurses, AHPs etc not seeing patients because they are spending their time doing admin and attending meetings. It is not more efficient to have a doctor do their own notes. It is cheaper. There is a big difference between cheaper and efficient and I fear that once again we're going to be focusing on cheaper. It might be cheaper but we get worse value from it.
Effective leadership and management is important and the NHS already has a much smaller management to staff ratio than a private organisation has. I've seen first hand that managers that are already overstretched spend all of their time on operationally making sure that shifts are covered and clinics/lists aren't cancelled and not enough time on managing people and performance.