Morning all. Bit pissed off, because of something I read yesterday - that some stupid percentage of people apparently want fewer non-clinical staff in the NHS, in relation to the usual election bullshit about 'efficiency savings'.

I work for an ambulance service. Our ambulances see all kind of unpleasant things, so it's essential that they're kept clean.

But without non-clinical staff, we have nobody working in Cleaning, so infections spread.

And we can't have a plan to bring these infections under control, as we now have no Infection Control staff. What, you thought Infection Control was a clinical job? You probably thought everything was a clinical job, right? Guess what? Just because a role is in some way connected to medical things, doesn't mean it is classified as 'clinical'.

Also, we don't have anything with which to clean and stop infections, because no non-clinical staff means no Procurement staff out there buying what's needed.

Even if we could procure what we needed, how could we pay for it? We'll have nobody in Finance.

Perhaps, okay, we can have Finance staff, but who's going to do that job if we can't pay them? Because we can't pay anyone, if we have no Payroll staff.

And if we have someone doing Payroll, presumably they'll be using payroll software on the computer. Except, they can't do that, as we won't have any IT staff.

This is a bad idea, right? Let's bring back Cleaning, bring Infection Control, bring back Procurement, bring back Finance, bring back Payroll, bring back, IT. Except... actually we can't do that either, because no non-clinical staff means no Recruitment team.


Non-clinical support staff matter as much in the NHS as any other organisation. Without non-clinical support, there is no NHS.

This has been a public service announcement on behalf of Support Staff Who Are Already Overworked And Underpaid As It Is, And We're Really Fucking Tired.

#NHS #UKPol #politics

@RolloTreadway I agree with their point, there are whole rafts of middle managers and internal market paper pushers they could cull without affecting any part of the NHS in one stroke.
@RolloTreadway @Thebratdragon There are people who aren’t good at their job but there are very few jobs that aren’t needed. I’m not sure what you mean by “internal market paper pushers” but if your answer is to restructure, I can assure you that will mean more bureaucratic function not less.

@seb321 @RolloTreadway there are whole administrative tiers whose sole job is to oversee other administrative tiers, not to run the NHS, not to improve it, not to contribute to it, not to do anything except makework.

The NHS is bureaucratically massively management top heavy. And that is eating resources badly needed elsewhere.

@Thebratdragon @RolloTreadway So you basically disagree with the whole gist of the thread, which is that if you remove admin staff you then force clinical staff to do admin rather than clinical activity. If the NHS was simple to run, you wouldn’t need admin, but it is incredibly complex, so you do.
@seb321 @RolloTreadway No, the point I am making is their whole intent to add more clinical, will be to remove those who actually support the clinical staff, not the safe jobsworths who contribute nothing.
@RolloTreadway @Thebratdragon I’m afraid that’s a myth. Don’t get me wrong - there are people who don’t contribute much but it’s not a function of their job, it’s about their aptitude and attitude. Ironically, managing them better involves more admin time not less.
@Thebratdragon @RolloTreadway If you consider that every year, the organisations in the NHS are told to make savings while maintaining patient care, you’ll see that it’s really really unlikely that executives will tolerate any positions which don’t directly contribute to supporting patient care. It just doesn’t add up. Recruitment of non clinical staff is scrutinised minutely.