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THE BIG QUESTION

The big question: how should the NHS make efficiency savings?

A recent survey of HR directors has found 95% believe that further reductions need to be made to Agenda for Change.

Despite a deal between unions and NHS Employers to dilute the national Agenda for Change framework in February, Nursing Times can reveal a growing dissatisfaction with the reward package for NHS staff among employers.

This is being driven by the continual drive to make efficiency savings and the perceived generosity of pay, terms and conditions agreements.

There is speculation the difficulties faced by some organisations could drive them to consider forming new regional groups to break away from Agenda for Change in the longer term.

But unions, fresh out of the talks earlier this year, claim most employers have already failed to implement many of the existing flexibilities that could help save money. They argue trusts should look at the wider service configurations to achieve savings.

How do you think saving should be made?

Your comments could be published in NT.

Readers' comments (1)

  • Kadiyali Srivatsa

    I have been warning about systemising healthcare using pre-printed assessment sheets and algorithms (protocol, guidelines) since 1996 (1). In 2003, new breed of nurses were created without understanding the consequences.

    I was employed in a pilot GMS nurse-led practice. Here I could see the problem brewing and now we can see the result. Gill PJ et all have listed few causes and has blamed failure of primary care.
    It looks as if 17.9 Billon has been spent on claims for wrong doing from the initial saving of 20 Billion. I have also read this has increased by 20% last year.
    We still do not know the amount the NHS will pay for all the cases that are waiting in court.

    The only way we can make sure the NHS survive is to use my tool (Medical Advice You Access) to help educate patients, reduce wasted consultation, DNA and paying OOH service. I think my tool will reduce the cost by 30% now and soon increase to 60%. I have meticulously collected data in since 2003 and created this simple safe method using clinical acumen and not observation charts.

    I hope my work will help sustain the service for our children.

    Unsuitable or offensive?

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