Top managers quitting NHS ahead of reforms

NHS chief executive Sir David Nicholson has admitted that managers who 'we don't want to leave' are quitting the health service ahead of the White Paper reforms.

Sir David: change is enormous (Photograph: UNP)
Sir David: change is enormous (Photograph: UNP)

Giving evidence to the House of Commons health select committee, Sir David discussed the challenge of reforming the NHS while trying to find £15-20 billion in efficiency savings.

'There is a difficult set of issues,' he told MPs. 'The scale of change is enormous - beyond anything anyone from the public or private sector has witnessed.' He added: 'People are leaving PCTs and SHAs already, and very often they are the ones we don't want to leave.'

The NHS is offering managers voluntary redundancy in a bid to cut management costs by 45 per cent. The BMA fears talented managers will leave and GP consortia will have to pay more to hire them back from the private sector.

Sir David said those who were resistant to the reforms should leave the NHS. But MP Nadine Dorries (Conservative, Mid Bedfordshire) said the redundancy scheme was a waste of money. She said: 'If it was me I'd take the money and go for a cruise because I know there will be opportunities for me when I get back.'

Sir David told the committee GP consortia would have 'rigorous' limits on how much they can spend on management.

'In the past we have let organisations decide how much they spend on administration and management. We will be very clear to them about how much they have,' he said.

He urged GPs not to discuss 'governance and organisation' of consortia, but to begin managing demand for NHS services.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Split staff to handle patients with and without COVID-19 symptoms, GPs told

Split staff to handle patients with and without COVID-19 symptoms, GPs told

GPs and practice staff should be allocated to manage either patients with COVID-19...

Coronavirus: Key guidance GPs need to know about COVID-19

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...

BMA emergency lead self-isolating after weeks stuck on cruise ship

BMA emergency lead self-isolating after weeks stuck on cruise ship

The BMA’s emergency preparedness lead worked from the library of a cruise ship for...

How GPs are running 'hot sites' during the COVID-19 outbreak

How GPs are running 'hot sites' during the COVID-19 outbreak

GP-led hot sites - also known as hot hubs - are providing a place to see patients...

NHS England updates guidance for practices on vulnerable patients

NHS England updates guidance for practices on vulnerable patients

NHS England and the CMO have written to GP practices advising them to 'disregard'...

GP workforce hit hard by COVID-19 self-isolation, BMA poll reveals

GP workforce hit hard by COVID-19 self-isolation, BMA poll reveals

More than two in five GPs say their practice workforce has been significantly reduced...