Dr Michelle Drage, joint chief executive of Londonwide LMCs, said it would be a 'positive' opportunity if the DoH drastically cut NHS managers, and could help with chronic shortages of frontline staff.
'Wouldn't it be a positive thing to offer to retrain those in management to offer frontline services?' she said.
Retrained managers could work in social care, psychological care or nursing and could alleviate the need for agency staff, said Dr Drage.
'Historically, retraining has been offered on many occasions when services are cut and a good employer offers those opportunities. A bold NHS London might want to pick that up and run with it,' she said. The idea is not official Londonwide LMCs policy, she added. Dr Drage said NHS London's split into six geographic 'sectors' had created 'a third tier' of management in the capital and was unsustainable.
She urged the government to cut the number of PCTs in London. 'The areas I'd like cut are in those unnecessary management cost areas and areas where they are acting as a go-between. The profession could do as good a job at commissioning services.'