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The NHS - An Example of How Not to Manage

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Page 1: The NHS - An Example of How Not to Manage

Ninian Peckitt FRCS FFD RCS FDS RCS FACCS

Page 2: The NHS - An Example of How Not to Manage

Vote of No Confidence in Jeremy Hunt• BMA Vote represents 152,000 doctors circa 50% of UK doctors

• “huge wave of anger” against Mr Hunt

• The motion was passed with an “ overwhelming majority”

• “He is at the forefront of a new political blame game,

blaming frontline NHS staff for the predictable chaos

resulting from his government's reforms and cuts,”

(BMA council member Dr Jacky Davis)

• “We are watching a good service being deliberately brought to its knees by vandals in Westminster.”

24th June 2013

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History

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http://www.nhshistory.net/shorthistory.htm

History – Geoffrey Rivett

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Chaos

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Conflict of Interests?

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Conflict of Interests?

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Whistle blowers

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Whistle blowers

https://www.gov.uk/government/speeches/jeremy-hunt-message-to-nhs-staff-about-whistleblowing

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Is corruption Inevitable?

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Complaints

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System Failure

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Death by Beaurocracy

http://www.dailymail.co.uk/debate/article-2661970/Death-bureaucracy-As-learn-NHS-bankrupt-read-excoriating-attack-managers-senior-consultant.html

Death by bureaucracy: As we learn the NHS is bankrupt, read this excoriating attack on its managers by a senior consultant

By Nick Boyle Nhs Consultant Surgeon

Published: 01:12, 19 June 2014 | Updated: 08:22, 19 June 2014

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System Failure

The system has become more important than the patient (Ninian Peckitt)

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System Failure

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Fat Cat Payoffs and Re-employment

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Wastage

http://www.telegraph.co.uk/news/health/news/8303433/Nursing-chief-5bn-savings-possible-of-scandalous-NHS-waste.html

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A Lesson for a Sick Patient

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Every day, a small ant arrives at work very early and starts work

immediately.

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She produces a lot and she was happy.

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The Chief, a lion, was surprised to see that the ant was working without supervision.

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He thought if the ant can produce so much without supervision, wouldn’t she

produce even more if she had a supervisor!

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So he recruited a cockroach who had extensive experience as

supervisor and who was famous for writing excellent reports.

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The cockroach’s first decision was to set up a clocking in attendance system.

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He also needed a secretary to help him write and type his reports and …

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... he recruited a spider, who managed the archives and monitored all phone

calls.

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The lion was delighted with the cockroach's reports

and asked him to produce graphs to describe production rates and to analyse trends, so that he could use them for presentations at

Board‘s meetings.

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So the cockroach had to buy a new computer and a laser printer and ...

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... recruited a fly to manage the IT department.

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The ant, who had once been so productive and relaxed, hated this new plethora of paperwork and meetings which used up

most of her time…!

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The lion came to the conclusion that it was high time to nominate a person in charge of the department where the

ant worked.

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The position was given to the cicada, whose first decision was to buy a carpet and an ergonomic

chair for his office.

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The new person in charge, the cicada, also needed a computer and a personal assistant ,who he

brought from his previous department, to help him prepare a Work and Budget Control Strategic

Optimisation Plan …

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It was at that time that the cicada convinced the boss , the lion, of the absolute necessity to start a climatic study of the environment .

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Having reviewed the charges for running the ant’s department , the lion found out that the production was

much less than before.

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So he recruited the owl , a prestigious and renowned consultant to carry out an audit and suggest solutions.

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The owl spent three months in the department and came up with an enormous report , in several volumes, that concluded : “ The department is overstaffed ...”

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Guess who the lion fires first?

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The ant , of course, because she “showed lack of motivation and had a negative attitude".

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The Success of NHS Reforms

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The Options for Privatisation

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Denial

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Admit Errors

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Managing Change

• The most basic errors have been made• Business Model is flawed• Errors are repeated• No Responsibility / No accountability• Failure is Rewarded

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Business Model

• Free Market has failed to create a viable Public Healthcare System

• Private Healthcare cannot deliver a viable Public Healthcare System

• The Original NHS Model delivered a viable Public Healthcare System

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Resistance to Change

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• Mandatory

• Current System will be dismantled

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http://moneyweek.com/endofbritain/

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What happens when Interest Rates Take Off

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Thank you for your attention