Poor attitude among staff is undermining NHS successes, says chief executive
http://www.100md.com
《英国医生杂志》
Staff members who felt "disengaged" from the achievements of the NHS were this week blamed by its leader for its poor public image.
Speaking at a conference on leadership in the NHS, the chief executive of the NHS, Nigel Crisp, said, "Part of the answer may indeed be about the media and about how it chooses to comment on the NHS. But a more worrying idea is that perhaps the public has been listening to NHS staff talking about the NHS."
He said that despite improvements in service delivery and mortality, staff were still "disproportionately critical" of the NHS, even if they did not oppose the recent reforms. "Many of them will feel these are just changes imposed upon them," he said. He added that 75% of NHS patients rated their care as excellent or very good.
The NHS Modernisation Agency抯 conference in Birmingham was attended by around 1000 middle and senior management staff from 250 NHS trusts and related bodies.
Mr Crisp said his future focus would be "concentrating more on providing care to people with chronic diseases in their homes and community" and "moving from a top down focus to one that is much more bottom up and locally owned." He said that by 2008 80% of health initiatives will be "locally owned," rather than the current 20%.
He admitted that these changes would be difficult for management staff. "It will often mean helping people to do things that they didn抰 want to do—to change ingrained patterns of work, take them out of their comfort zone."
The health secretary, John Reid, spoke about how hospital staff will have greater responsibility under a modernised NHS. "All staff can work differently to achieve so much more than they used to," he said. "The new contracts give greater opportunity and reward but ask for greater responsibility in return."
He said that local managers and governors were encouraged to "play a much bigger role in developing a patient centred service."
The conference抯 focus was the implementation of NHS changes and the patients?choice scheme, whereby GPs will eventually offer patients five options at the point of referral.
One of the delegates, Robert Wall, a consultant psychiatrist with the Birmingham and Solihull Mental Health Trust, said he was dissatisfied with the number of doctors present. "There isn抰 enough management training for doctors, yet there are many problems associated with their lack of involvement."
He added that many doctors spend years on research and then "realise that it has no effect on patient care."
"In order to do that, you have to get involved in management," he said(London Nadeeja Koralage)
Speaking at a conference on leadership in the NHS, the chief executive of the NHS, Nigel Crisp, said, "Part of the answer may indeed be about the media and about how it chooses to comment on the NHS. But a more worrying idea is that perhaps the public has been listening to NHS staff talking about the NHS."
He said that despite improvements in service delivery and mortality, staff were still "disproportionately critical" of the NHS, even if they did not oppose the recent reforms. "Many of them will feel these are just changes imposed upon them," he said. He added that 75% of NHS patients rated their care as excellent or very good.
The NHS Modernisation Agency抯 conference in Birmingham was attended by around 1000 middle and senior management staff from 250 NHS trusts and related bodies.
Mr Crisp said his future focus would be "concentrating more on providing care to people with chronic diseases in their homes and community" and "moving from a top down focus to one that is much more bottom up and locally owned." He said that by 2008 80% of health initiatives will be "locally owned," rather than the current 20%.
He admitted that these changes would be difficult for management staff. "It will often mean helping people to do things that they didn抰 want to do—to change ingrained patterns of work, take them out of their comfort zone."
The health secretary, John Reid, spoke about how hospital staff will have greater responsibility under a modernised NHS. "All staff can work differently to achieve so much more than they used to," he said. "The new contracts give greater opportunity and reward but ask for greater responsibility in return."
He said that local managers and governors were encouraged to "play a much bigger role in developing a patient centred service."
The conference抯 focus was the implementation of NHS changes and the patients?choice scheme, whereby GPs will eventually offer patients five options at the point of referral.
One of the delegates, Robert Wall, a consultant psychiatrist with the Birmingham and Solihull Mental Health Trust, said he was dissatisfied with the number of doctors present. "There isn抰 enough management training for doctors, yet there are many problems associated with their lack of involvement."
He added that many doctors spend years on research and then "realise that it has no effect on patient care."
"In order to do that, you have to get involved in management," he said(London Nadeeja Koralage)