Opinion – What’s an acceptable level of pay for an interim manager in the NHS? – John Gelmini

NHS Job Shop: "Working for Health" i...

NHS Job Shop: “Working for Health” in Kentish Town. Closed. (Photo credit: Wikipedia)

Dr Alf is right to draw attention to this issue.

The so-called ‘NHS interims’ are not really ‘interims’ at all.

Rather, they are former CEOs and ex-NHS directors, some of whom have quit, or been fired from their jobs in disgrace on a Friday, only to reappear weeks or days later on more money than ever.

The rest are ex-NHS workers, who are then moved from one mess to another by their NHS cronies and by recruiters fixated by commission who are obdurate in their refusal to bring in anyone who has not worked in the NHS.

Capable people who could introduce new thinking and save the NHS from financial implosion are excluded on spurious grounds and on the basis that they lack the expertise and intelligence to understand the NHS and its arcane processes.

The idea that other healthcare systems in France, Italy, Germany and Singapore might have something to teach the NHS is rubbished. This is despite the hard evidence of poor UK cancer treatment outcomes, the obesity, diabetes and dementia epidemics and the failure of the NHS to develop an educational/preventative strategy.

The NHS needs to be scrapped and then replaced with something that borrows from the best in the world and people need to be made to take responsibility for their own health.

Genuine interims should be a catalyst for this process but they should be few in number and all be outsiders with fresh thinking. Dr Alf has often used this blog to stress the qualities of top-class, professional interims.

John Gelmini

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