My feeling is - don't forget I'm 15 years retired - is that the removal of nursing bursaries and some of the changes in medical schools may have had serious knock-on effects on the numbers & calibre of entrants to health staffing.
Retention of staff appears to be a huge problem - this is related to, yes, management style, but if the 'system' (education, research, buildings, IT, social care & other support services) is not supporting the clinical staff (at the 'sharp end') then who can blame them for wanting to get out.
A lot of the systematic issues are finance related, but I question whether political interference is helping those with a grasp on the situation deal with those problems.
The NHS is a hugely complex organism - tinker with one bit and you'll never know what the effects will be!
Mike 🇬🇧 🇪🇺
npub16d…kz4a2
2025-01-25 17:55:36 UTC
in reply to nevent1q…zse3
Author Public Key
npub16dqmnp8gffrzjk0mwlv76qg8xp66chdz0ga07dkwfnywvkre834qykz4a2Seen on
wss://relay.momostr.pinkPublished at
2025-01-25 17:55:36 UTCEvent JSON
{
"id": "85340778cc6590cd18beedddc08971f26efd32c14c77645dbe9c22e8cace4ba3",
"pubkey": "d341b984e84a462959fb77d9ed01073075ac5da27a3aff36ce4cc8e658793c6a",
"created_at": 1737827736,
"kind": 1,
"tags": [
[
"proxy",
"https://cupoftea.social/@MikeFromLFE/113890278546604433",
"web"
],
[
"p",
"505c52e214eea5a1d344ea4cb8d2923de27bddda4de2277277914bb8a1919a5b"
],
[
"e",
"151cf9038449d57e64d0b5e47af43b31234445277efa826003120670493e17b4",
"",
"root",
"505c52e214eea5a1d344ea4cb8d2923de27bddda4de2277277914bb8a1919a5b"
],
[
"p",
"d341b984e84a462959fb77d9ed01073075ac5da27a3aff36ce4cc8e658793c6a"
],
[
"p",
"a4fc8c00e06d3b442d8bbead4f7dc3313d793000f1e7b531d178a5a4810a356e"
],
[
"e",
"8502cd8f109ae11f4736883db4e8bc639976916bad65ebbd1fa499131438bc2d",
"",
"reply",
"505c52e214eea5a1d344ea4cb8d2923de27bddda4de2277277914bb8a1919a5b"
],
[
"proxy",
"https://cupoftea.social/users/MikeFromLFE/statuses/113890278546604433",
"activitypub"
],
[
"L",
"pink.momostr"
],
[
"l",
"pink.momostr.activitypub:https://cupoftea.social/users/MikeFromLFE/statuses/113890278546604433",
"pink.momostr"
],
[
"-"
]
],
"content": "My feeling is - don't forget I'm 15 years retired - is that the removal of nursing bursaries and some of the changes in medical schools may have had serious knock-on effects on the numbers \u0026 calibre of entrants to health staffing.\n\nRetention of staff appears to be a huge problem - this is related to, yes, management style, but if the 'system' (education, research, buildings, IT, social care \u0026 other support services) is not supporting the clinical staff (at the 'sharp end') then who can blame them for wanting to get out.\n\nA lot of the systematic issues are finance related, but I question whether political interference is helping those with a grasp on the situation deal with those problems.\n\nThe NHS is a hugely complex organism - tinker with one bit and you'll never know what the effects will be!",
"sig": "ebbed801c470fcca40d3f72fe71178be183128eb2afa9a8da1783f391cdfbfebf64b172901df3fd798a5cf1b00ad7e7672c54f01f0156a9884f8dfe8ef862727"
}