It needs it, it is way too top heavy. A local PCT was talking about shedding some workforce, worked out they were on over 80k per 15 months, now that ain't nurses and porters it'll be managers.Quote:
Originally Posted by ArrowsFA1
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It needs it, it is way too top heavy. A local PCT was talking about shedding some workforce, worked out they were on over 80k per 15 months, now that ain't nurses and porters it'll be managers.Quote:
Originally Posted by ArrowsFA1
You won't find many who would disagree. It's how the reorganisation is shaped, and how far it goes, that is the issue and there is widespread concern about the potential impact of the current proposals.Quote:
Originally Posted by Bolton Midnight
You really are a dingleberry of epic proportions.Quote:
Originally Posted by Bolton Midnight
The scrappage scheme was a success. Numerous dealerships were having to take people on and newer cars tend to get serviced more than older ones which the owners are happy to take risks with......
I certainly agree that the environmental impact (at least in the short term) wasn't good. A lot of perfectly good cars got scrapped although my 406 wasn't a particularly good example of its kind with a blown head gasket.....
How is scrappage a bad idea? By and large the amount of VAT gained outweighed the outlay from the government as has been shown plenty of times (though you seem wilfully ignorant of this fact!) and even though most components in our 500 were probably made outside of the UK, it still helped to give employment to sales people, transport companies and many other sectors....... Some of those jobs may have been temporary but some have been permanent. If there is a benefit (temporary or permanent, big or small) gained for little or no money then what is your problem other than the fact that it was Labour that came up with the idea?
Hit the nail on the head.Quote:
Originally Posted by Daniel
Excuse me, but where did I say that the NHS strike that my mum took part in in any way wage related? That said, try living on strike pay from the union of about £15 per day. It doesn't go very far.Quote:
Originally Posted by Bolton Midnight
Indeed. I don't think the government could have been expected to force everyone to buy Morgans, Ginettas or other British-built cars, could it?Quote:
Originally Posted by Daniel
The cuts to the PCTs are the one part of the Tory proposals that aren't going to work. Its aimed at the Daily Mail crowd who demand a cut in the number of managers, but these guys are doing essential work given the free-market principles the NHS is run on. They are the ones assessing the different treatment options on offer from different hospitals and working out which one offers the best deal. They are the ones negotiating with hospitals to see how new methods of treatment can be introduced and what price to pay for them.Quote:
Originally Posted by Bolton Midnight
The GPs are supposed to take over commissioning but they won't have time to do the additional negotiating and admin. They'll simply hire the managers the PCTs sacked (I know several GPs who are already negotiating with managers about this) to carry on their jobs for the GPs instead. Instead of eliminating bureaucracy the reforms will merely move it.
And this is the fundamental problem. Despite all this talk about being top heavy the vast bulk of the management increase in the NHS works on quality control and improvement and on implementing the free-market system within the NHS. Get rid of these managers and quality will drop and overall costs will rise. This is what politicians are too afraid to tell the electorate.
I'd expect those receiving big money for doing feck all to kick up a storm about their gravy train being dis-railed, if they didn't I'd be more concerned.
To coin a phrase 'there's no money left'.
This is true.Quote:
Originally Posted by henners88
There are efficiency savings to be made, but you cannot fall into the trap of thinking that everybody in a management position or on decent money is a waste of space. The NHS, along with any large institution, would collapse without administrators and managers.
Right, let's sit back and wait for an ignorant diatrabe about outreach workers, equality legislation, and how you have to be a black disabled lesbian to get a job with the NHS.... :p
My apologises, were they striking for more work less pay / perks then? Be a bloody first if they were.Quote:
Originally Posted by GridGirl
Strikers should be sacked esp those within the public sector, Maggie had the right idea of how to treat these blackmailing scum.