LEADERSHIP AND MANAGEMENT
Funding worries, not reforms, are trust bosses’ main concern F
inancial concerns and the need to cut costs are worry-
ing NHS managers more than the health service reforms, according to a poll.
When asked about the most im- portant areas for consideration over the next year, 31% said fund- ing concerns were the top priority, and 63% put financial matters in their top three concerns.
GP commissioning lagged far be- hind, with 13% of managers say- ing it was their main concern, and 46% putting it in their top three, equal with service quality and pa- tient safety.
The NHS Confederation, repre- senting more than 95% of NHS organisations, said its survey should “set alarm bells ringing”.
Acting chief executive Nigel Edwards said: “These results should set the alarm bells ringing.
“They show that while the Westminster village is focussing on NHS reform, finance is the is- sue keeping NHS chairs and chief executives awake at night.
“Our members are focussing on this issue because they know that good patient care depends upon financial stability – the two are inextricably linked.
“I worry that there may be a sig- nificant finance problem coming down the track.
“We are already picking up wor- rying signals from many hospitals and primary care trusts about sig- nificant money pressures emerg- ing, and this is before the very challenging rigours of next year’s tight financial settlement.
“Policy makers have got to be alive to this if they are serious about protecting frontline services. In general terms the NHS budget has had protection, but that doesn’t
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34 | national health executive Mar/Apr 11
mean individual organisations won’t come under pressure.”
The survey by the Picker Institute polled 279 senior healthcare managers, 94% of whom were chairs and chief executives of NHS trusts.
Edwards added: “This is also a warning for the NHS. Trusts are currently working on the biggest ever efficiency savings, the big- gest ever management reductions, and the biggest ever reform pro- gramme, all at the same time. It’s a mammoth agenda and the dan-
gers of distraction are obvious. We need to make sure we don’t take our eye off the ball on providing high quality services for patients as we go through what will be a really tricky period.
“We also need to make sure we are providing care differently, not just top-slicing budgets. We have got to do everything possible to eke out genuine efficiencies rather than simply shrinking services.”
FOR MORE INFORMATION The survey is available at:
www.nhsconfed.org
W
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