The experience I've had working with the NHS has been that the managers are generally not competent.
The experience I've had working with in the private sector has been that the managers are generally not competent.
part of the issue is people like me don't get trained to manage
Same in the private sector.
I suppose the biggest difference though is if a business (banks excepted of course) are babdly managed they go bust - the ultimate sanction. Seems to me that poor management in the NHS just leads to more poor management.
The biggest problem with NHS is quality, not quantity. If the emphasis was on better quality care on the front line it would ultimately save money in the long run. I'm speaking from experience here as well, both my son and wife have ended up with multiple trips to hospital because initial diagnosis or treatment was somehow lacking.
There are a lot of nurses in the NHS that are as institutionalised as the managers and about as effective. Until we get over the ridiculous taboo about of we're dealing with people not tins of bins, there will always be an handy get out of jail argument for the ineffiecient and wasteful.
Interresting 50 years after manufacturing industry cottoned on to the lean management concepts (cost reduction, not cost cutting, big difference) health around the world is the latest sector to start using some of the principles.
