NHS reforms falter

The NHS is perhaps starting to wish that all it had to deal with was the frailty of an ever ageing population and the odd case of Clostridium difficile. The King's Fund think-tank investigation into its much-vaunted pay review has found the system to be 'costly' and 'rushed'. The basic problem is nothing new: the reforms, which took four years to negotiate and another three to implement, just haven't done the job.

by
Last Updated: 31 Aug 2010
The Agenda for Change, the largest pay review in NHS history, was rolled out nationally in 2004, intended to tie pay more closely to jobs and make career progress clearer, to the benefit of staff and, ultimately, patients. The latest forecast says that the programme may well end up costing £2.2bn. Alarmingly, NHS staff are apparently less satisfied now than they were before the process began. Talk about an adverse reaction to treatment. And this despite the fact that, through the pay review, one million NHS staff will see their pay jump 10% over the next three years. Not to mention recent reports that half of our GPs pocket more than £100,000 a year.

Perhaps NHS staff shouldn't have got their hopes up too high. The organisation is already experiencing the problems of implementing widespread change with its disastrous £12bn electronic patient records programme.

There are of course other industries in which protagonists receive ever-fattening salaries yet fail to add any value. It reminds us of Sven-Goran Erikson, who famously took £3m a year to helm England's football team, only to foster yet another generation of flops. And didn't that make the nation sick as a parrot?

Find this article useful?

Get more great articles like this in your inbox every lunchtime

When should you step down as CEO?

Bob Iger's departure poses an unpopular question for bosses.

The death and resurrection of the premium customer

Top-end service is no longer at the discretion of the management.

What HS2 can teach you about project failure

And how you can prevent projects going astray.

35 Women Under 35 2020: Nominations open

Management Today's 35 Women Under 35 showcases the country's rising stars in business. Here's how...

Practical steps for breaking silos

Briefing: Adam Williams, former CEO of influencer marketing agency Takumi, shares what he has learned...

The Power 50: Proof that you can be a part-time CEO

Just a few years ago, executives were reluctant to admit they worked part-time for fear...