ChatterBank4 mins ago
Did Anyone Watch 'nhs Heroes'?
7 Answers
Im afraid I dont like these kind of programs, same as Pride of Britain Awards. I am not sure why I dont like them, it might be the celebrity gushing that goes on perhaps. I find these programs nauseating, I know I probably sound harsh but I just dont like them. Does anyone else feel the same or is it just me?
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woofgang - // The sooner we get to the stage where the nhs is a business and run it like a business the quicker we will get it under control and functioning properly. //
That is actually the problem right there.
The NHS is not a business, it is a service. The problem exists because governments want to run it as though it is a business, and that is not possible.
If you have a business, you sell a product, you compete, you budget, you streamline, you focus on profit, you employ managers and give them bonuses to save money, and they correctly engage in the necessary tunnel vision to follow the money at all costs, literally.
If you are a service, you provide your service correctly, and you are funded approrpaitely in order to provide that service properly. You staff it with people who know what they are doing, and you manage it with people who know what the staff are doing, because they used to do what the staff did.
Those two systems work perfectly will - a business, and a service.
The problem starts if you try and run a service as though it is a business - because you can't, and that is why the NHS does, and will continue to fail.
That is actually the problem right there.
The NHS is not a business, it is a service. The problem exists because governments want to run it as though it is a business, and that is not possible.
If you have a business, you sell a product, you compete, you budget, you streamline, you focus on profit, you employ managers and give them bonuses to save money, and they correctly engage in the necessary tunnel vision to follow the money at all costs, literally.
If you are a service, you provide your service correctly, and you are funded approrpaitely in order to provide that service properly. You staff it with people who know what they are doing, and you manage it with people who know what the staff are doing, because they used to do what the staff did.
Those two systems work perfectly will - a business, and a service.
The problem starts if you try and run a service as though it is a business - because you can't, and that is why the NHS does, and will continue to fail.
woofgang - // What I meant is that you have to have clear measurable objectives, expect ALL staff to do the job they are paid for, not rely on angels and heroes, not perpetuate the myth that the nhs is marvellous as it is and should not be touched or changed....and it does have to deliver value for it budget! //
Fair enough - but what you say you meant is not what you actually said.
You said that the NHS is a business, and as I pointed out, it is not.
Fair enough - but what you say you meant is not what you actually said.
You said that the NHS is a business, and as I pointed out, it is not.
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