The letter said that “Although the National Health Service has been offered significant protection of funding in the most recent spending round, rising costs and increasing demand for patient care make the next two years a huge challenge and we expect to have to make efficiency savings of well over 5 per cent per year. We are looking at all areas of expenditure to find savings, but salaries represent 60 to 70 per cent of our costs so we need to explore measures to contain the pay bill. NHS Employers’ proposal represents a practical way forward, which maintains the integrity of the nationally agreed pay systems. We believe that this is a fair deal and one that can be delivered. It is not only desirable as a way of dealing with financial pressures, it is essential in order to be able to protect employment and staffing levels”.
The 12 Signatories backing the plan
- Maggie Boyle (Leeds Teaching Hospitals NHS Trust)
- Sir Robert Naylor (University College Hospital NHS Foundation Trust)
- Jo Cubbon (Taunton and Somerset NHS Foundation Trust)
- Peter Cubbon (West London Mental Health NHS Trust)
- David Dalton (Salford Royal NHS Foundation Trust)
- Stephen Eames (County Durham and Darlington NHS Foundation Trust)
- Mike Farrar (North West Strategic Health Authority)
- Andrew Foster (Wrightington, Wigan and Leigh NHS Foundation Trust)
- Julian Hartley (University Hospital of South Manchester NHS Foundation Trust)
- Simon Pleydell (South Tees Hospitals NHS Foundation Trust)
- John Rostill (Worcestershire Acute Hospitals NHS Trust)
- Chris Sharratt (Sheffield Children’s NHS Foundation Trust)
NHS Reform Plans
Over the coming years the National Health Service is not only having to contend with reductions in budget but also the prospect of wholesale changes to the entire system. Earlier in the week the Coalition Government put forward proposals for legislation that will see, among other things:
- All 10 Strategic Health Authorities (SHAs) abolished
- All 152 Primary Care Trusts (PCTs) abolished
- General Practitioners (GPs) given responsibility for managing hospital, mental health & community services
- Patients given more performance related information by a new body called HealthWatch
- Patients given control of their Medical Records
- All NHS Trusts achieve Foundation Status by 2013
The abolition of Strategic Health Authorities and Primary Care Trusts will affect more than 60,000 managers and in their place hundreds of GP consortiums will be created and given the responsibility for much of the £105bn health budget. The bottom up rather than top down reorganisation has been called ‘the most radical change in NHS history’.
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