Over Complex Organisation
What would help enormously would be if NHS England was simplified from it’s distributed operational model of national guidelines.
In my region there are overlapping
- 14x clinical commissioning groups
- 24x NHS Trusts
- hundreds of GP and Dental Providers
All with boards, CEO’s, Finance Director’s, HR Teams, Support Services and all wastefully adding their own ‘local guidelines’ to National Protocols, Training etc.
A quick search indicates in England there are 219 Provider Trusts and 10 Ambulance Trusts.
Plus assorted related bodies like Local Authorities, Health and Well-being Boards, Hospice’s, Care Homes, charities, UKHIA, Department of Heath, NHS Digital and the Devolved Governments own Spins on it etc
No wonder they are mired in inaction as they are literally bonfire burning money on local admin. For example as a Vaccinator - even if I was signed off by 1 Trust, I need to repeat the local training and competency assessment to work in another - even during a pandemic emergency.