Laughing
Well-known member
I didn't intend to be patronising, I just get frustrated on here with the level of thinking applied, not neccesarilly you. However, You think a newly minted labour government can fix the nhs quickly. And, probably more pertinent to the point you made that I replied to, labour can spend their way out of the nhs crises. They simply cannot even with an unlimited budget. You can't buy fully trained staff and even if you could, putting some of the suggestions you read on here in to action would exacerbate the problem not fix it. It requires a well thought out, coherent plan.Oh dear, how patronising. It matters 100% how they are contracted because the more we spend on one thing the less we can spend on others. Having to cancel theatre lists because there are no agency staff available doesn't happen when staff are permanent because they are on a rota and the gaps wouldn't exist.
Instead of paying a premium for agency or locum we could spend the money on admin which frees up the clinical staff time so they can see patients instead of wasting it doing paperwork.
Increasing morale improves productivity and reduces sickness. Increased salaries and conditions can pay for itself via productivity improvements.
Permanent staff get involved in things like service improvement/development and can help to improve services. Temporary staff don't do that.
Retaining staff instead of losing them abroad or to early retirement means the numbers coming in via training or immigration is higher than the number leaving so vacancies stop increasing.
If we had more permanent staff, better productivity and reduced sickness then managers could actually manage instead of just fire fighting trying to fill shifts.
This isn't "simplistic solutions", this is reality. It is literally my job so don't pretend you are some expert on this.
The nhs wasnt planned on a fag packet and it won't be fixed like that either.
My initial point stands. The basic misunderstanding of the problem that will face an incoming government are demonstrated on this thread and are going to take decades to fix. Money is only a small part of the overall solution. It isn't just lack of funding that got us here. It's a calculated, deliberate attack on the nhs driving staff numbers down. Cash doesn't fix that.
Finally to your point. I don't think I am an expert. I know very little about how the nhs is run at grass roots and I didn't pretend to know. I didn't suggest solutions I explained why throwing money at it won't solve the current crisis.