Without question the NHS needs managers and administrators, but do we need so many?
Just before Xmas there was a former Trust Chairman being interviewed on the radio, and he stated that a staggering 48% of the NHS payroll is on non-clinical staff. As near as makes no difference (and assuming the staff costs are not dissimilar) that almost one non-clinical staff member for every clinical staff member. I found that absolutely shocking.
For a start let's get shot of the non-jobs.
For instance, earlier in the year there was a Trust's LBGTQWERTY+ Chief whining about something or other (of course he was) who was probably on at least £100k. The chap interviewed said, in the Trust he previously chaired, there was a role advertised for a "Life Lived Director" on £100k. It turns out this was a role to obtain patient feedback on the Trust's mental health services. These are non-jobs.
People often whine (mainly to make a political point) the NHS is under-funded; this is nonsense - the NHS is more than adequately funded, it's how the funding is used that's the issue. Plus, let's face it, the NHS could be granted the whole of the UK tax-take, and people would still say it's not enough. No sum is ever enough for these people.
Some alternative thinking is needed, such as the suggestions in AH's post, although as somebody who has family private medical insurance, I'd selfishly suggest some sort or tax break is deserved for people like me!
The service should not be there to make fat people thin, give men vaginas and women penises, and to make people pregnant.
It speaks volumes to me that no other civilised country has adopted the NHS model.