Nurses and other clinicians must be given more power over financial decisions made within NHS trusts, according to a National Audit Office report published this week.
The NAO said failure to consult clinicians was at the heart of the NHS’ financial management problems. It also criticised finance departments’ lack of understanding of clinical services.
Steve Bundred, NAO chief executive, said: ‘This is about giving power and responsibility to those in the very frontline. Most NHS money is spent by doctors and other clinical staff. It is they, rather than finance managers, who are best placed to identify how funds can best be used to improve the quality and efficiency of services’.