Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more


When things get tough, spare a thought for the NHS middle managers


With pressure coming from above and below, Donato asks “Do we offer our middle managers the understanding they deserve?”

With the national health service as a whole and nursing in particular under a great deal of strain at the moment healthcare staff, both clinical and non-clinical, are feeling stressed, pressurised, overwhelmed and perplexed at times.

But perhaps all of us should spare a thought for the middle managers in the NHS: the ward matrons, heads of departments and team leaders.

These individuals are often the point of contact for junior and senior staff due to being responsible for managing staff, day to day management of their departments, budget and service provision duties.

Middle managers are accountable to more senior managers in the heath service, they have targets and goals to meet and various objectives set by senior and executive managers both internally and at a national level.

Likewise, such individuals have to meet the needs of their individual departments, dealing with staffing, operational and legal issues, budgets and many more duties besides.

While we are all under various degrees of pressure at the moment we must remember the importance of supporting all of our colleagues with kindness, fairness and sensitivity.

This includes our middle managers who must at times feel they are being come at from all angles.

It is these individuals who have regular contact and interactions with staff who are junior to them, on the same level as them and more senior to them - with the ever increasing workloads of middle managers in the NHS such individuals must feel the pressure from upwards, downwards and sideways.

In many respects it must be like having a colonoscopy and a grastroscopy and possibly an intramuscular injection or two all at the same time!

Donato Tallo is a registered nurse working in the acute hospital sector


Readers' comments (2)

  • bring in the Buurtzorg healthcare model then.
    Some middle management outwith hospitals are not nurse trained or are only general trained and they are getting salaries for doing the OPPOSITE of what the taxpayer pays them to do e.g. funded nursing care managers and nurse assessors.

    Unsuitable or offensive? Report this comment

  • Correct middle managers seem to be the last but one branch ! Nurses are increasingly leaving in their droves, very sad were losing very talented people. Were losing them because we fail to focus on patients any more, its all about targets, breaches, reports, paper work which is not related to an admission in any shape or form. A nurse should be trusted and have the knowledge to assecess her/his own patient to their needs,not someone creating yet another form to fill in on admission, absoluetly ridiculous, nurses want to be able to CARE for their patients not sit at a computer and fill out forms. Accepted there is some paper work that is crucial, wihtout doubt, but not within a time limit of admission. Lets save the patient from further harm first and see if they still have a pulse after the inital paper work !!!!

    Unsuitable or offensive? Report this comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.

Related Jobs