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TRAINING & DEVELOPMENT


Ministers warned health reform plans attempt too much, too soon


M


iP, the trade union for health service managers,


has warned ministers that government plans for health reform will attempt too much, too soon and are incompatible with extensive cuts to health care management budgets.


MiP (Managers in Partnership), representing nearly 6,000 senior health service managers, has urged the government to rethink its timetable for reform.


Jon Restell, chief executive of MiP, will tell MiP’s annual conference in London today that with demand for healthcare services currently outweighing resources, deep cuts to management budgets, alongside the government’s White Paper, threaten to create a “perfect storm” of challenges for health


service managers. Restell said: “Our chief concern at the moment is that the government is trying to achieve too much, on too many fronts, too fast. We believe that staff and the public share our priorities for the health service: financial stability, savings and the quality of services. Both the White Paper reforms and the management cost reductions should be carefully considered – and if necessary re-considered – in light of how they meet these priorities. If you haven’t got the people to do the job, the job won’t get done.”


Restell’s concerns echo those of Stephen Dorrell, senior Conservative MP and chair of the House of Commons Health Select Committee, who last week expressed worry over the pace and complexity of


proposed reforms. He warned the government that radical reforms to commissioning must not take priority over the sound economic management of the health service and the securing of efficiency savings.


The recent government White Paper, Equity and Excellence: Liberating the NHS laid out a fundamental reshaping of healthcare provision in Britain. It will fall to healthcare managers to implement the changes, ensure a smooth transition to the new system of GP commissioning and ensure service standards are maintained.


Managers will however be expected to deliver the reforms while also delivering a 46% cut in management costs. Doctors’ organisations such as the British


Medical Association and the Royal College of GPs have recently expressed concern about the loss of good managers from PCTs. Restell added: “Now is the time for managers to do everything in their power to influence politicians and clinical colleagues.”


He also said that the impending upheaval has created a “unique opportunity” for multi- professional teams, including health service managers, “to grab the bull by the horns and control the way change happens.”


“It’s time to replace the old power tussle between managers and doctors with a partnership - a partnership that enables a multi-professional team of healthcare professionals to take control of local health services.”


Nov/Dec 10


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