A candid photograph of a female NHS staff member, with a tear on her cheek, holding a handwritten note in a soft-focus office environment.

Estate Agent

If you are a manager, or an administrator, or any one of the hidden army of people who don’t actually stand at a bedside…

… but you make sure:

… a bed is available; the space is clean; the person in the bed has all the machines that go beep, calibrated and ready; has their special diet; clean linen…

… theatres ready when they are; their pills and potions arrive; their visitors can find somewhere to park; the signs direct them where to go; the lights are on and the place is safe… even though, in some parts, the roof is falling in…

… right now, the NHS is a rotten place to work.

Geoff knows all about it.

In the twenty-eight years since serving in Kosovo with the Royal Logistics Corps, he had worked in the NHS.

Procurement, logistics, organising. His army background served him well. They’d paid for and put him through his MBA. Later, the NHS Graduate Management Scheme had given him a whole new perspective on life.

He had served the Army and the NHS well. His talent and character were rewarded with training and promotion.

It had been a tough day.

Everyone was working in the shadow of redundancy. No one’s heart was really in it.

Three of his key people had bailed out. One was working their notice and another was wavering. Why not? Young, talented people won’t hang around for the arrogant invisibles at the centre to screw up their lives.

Geoff joked he was adding ‘organising leaving-dos’ to his CV.

The army was a tough life, but he was a lot younger and didn’t have a wife, two youngsters at uni and a mortgage.

The NHS is brutal. The unheralded, unplanned-for, disorganised announcement that half the staff would have to go by Christmas had caused catastrophic damage.

Demolished morale. The rumour mill was grinding. Sick days were coinciding with Fridays and Mondays. People leaving early. Cliques emerging.

He’d found a page of a CV, accidentally left in the Xerox, and decided to quietly bin it.

He got his people together and was brutally honest. No, he had no idea who was for the chop and who wasn’t.

‘Be honest’, he said… ‘if you want to go, tip me off. It won’t go any further, but it’ll help me keep the show on the road…’

Geoff had no idea if he was going to be around to keep ‘the show on the road’. Like everyone, he was working with his new best friend, Damocles.

It was tricky for him. Not quite old enough to retire. Still with commitments and bills to pay. He could see his department being crunched with a couple of others.

Maybe, sell the house and downsize? Cancel the holiday plans while he could still get a refund. Dump his car and share one with June, his wife.

She worked in the Trust as a Band 7 but had been down-banded to 6. Either that or try and find another job.

It was late. It had been a long day. He looked across the open-plan office. A screensaver glowed in the dark. It was quiet and still. He liked this part of the day… gave him time to think.

Geoff reached into the bottom drawer of his desk and took out a small box of cards. He wrote a message and sealed the envelope. On the way out, he dropped it on a desk, in the corner, by the door.

He was soon across the car park, keyed the ignition and decided he’d hang on to his car if he could… he was home in twenty minutes.

The next morning, Aisha was first in… at her desk in the corner, by the door…

… she was always the early bird. Dropping two kids off at her mum’s on the way. Like everyone else, she was worried sick about her job. She’d sent her CV to an estate agent. Their ad was in the local paper.

She saw her name on the envelope, opened it and read the confident sweeps of handwriting;

‘I know this is a worrying time for you but I just wanted to say I think you are doing a fabulous job and I appreciate it… thank you.’

It was signed, simply, Geoff.

Her eyes welled and a crystal tear ran down her cheek.

She didn’t ever want to be an estate agent.

… never forget the power of the handwritten note.


News and Comment from Roy Lilley
Contact Roy – please use this e-address roy.lilley@nhsmanagers.net
Reproduced at thetrainingnet.com by kind permission of Roy Lilley.


Discover more from The Training Network

Subscribe to get the latest posts sent to your email.

Previous Posts

Four classical musicians performing a string quartet in a nineteenth-century rehearsal room, illustrating Baumol’s cost disease and the limits of NHS productivity. NHS productivity and patient pathways

Anita

NHS productivity isn’t simply about working harder or treating more patients. Roy Lilley explores how shorter patient journeys, fewer interfaces and smarter pathways could transform healthcare efficiency without compromising care.

Read More »
Unfinished concrete bridge ending abruptly above a valley while a high-speed train races along a separate track towards the distant horizon. AI transformation in the NHS

Horizon

AI has arrived before the NHS is ready. Regulation, infrastructure, accountability and digital foundations remain unfinished, leaving healthcare racing to complete yesterday’s modernisation while tomorrow’s transformation accelerates beyond it.

Read More »
Overhead view of a senior management meeting room after a meeting, with a long table covered in briefing papers, notebooks, laptops, water glasses and coffee cups. Empty chairs surround the table while two officials leave the room in the background. NHS England abolition feasibility

Responsibilities

Abolishing NHS England was supposed to simplify management and save billions. Instead, workforce, legal and financial complications raise an awkward question: who decided this enormous reorganisation was actually feasible?

Read More »
NHS finance staff working on spreadsheets in a hospital office beside a busy clinical ward. NHS pension contribution £5.4bn saving

Spreadsheet

Britain may be run less by ministers than Treasury spreadsheets. NHS pension assumptions could release £5.4bn, raising a bigger question: will the NHS benefit, or will Treasury take it back?

Read More »
Staff outside Quarry House in Leeds, the NHS’s northern headquarters. NHS devolution and regional power

Power

Moving NHS managers and ministers from London to Leeds is not devolution. Real reform means transferring power, budgets and authority to regions, not simply relocating command-and-control bureaucracy further north again.

Read More »
Busy NHS community health centre waiting area with patients seated while nurses and clinical staff move between reception and consulting rooms. NHS Neighbourhood Health

Plug

Neighbourhood Health is the NHS’s eighth attempt to shift care from hospitals into communities. Without proven targets, extra capacity, workforce and double-running money, history looks likely to repeat itself again.

Read More »
Female GP prepares for the working day in a GP consultation room, with a computer, examination couch and blood sample tubes visible. NHS prostate cancer PSA testing policy

Newspaper

A quiet change to NHS prostate cancer testing shifts power from informed patients towards GP judgement, raising serious questions about transparency, inequality, evidence, cost and the future of PSA testing.

Read More »
A working mother sits in her parked car outside a UK care home, overcome with emotion after visiting her mother with dementia while balancing work and family responsibilities. Andy Burnham social care reform

Answers

Andy Burnham’s social care reforms promise fairness for families, but funding alone cannot solve workforce shortages, capacity constraints or NHS integration. After seventeen years, voters deserve detailed answers, not aspirations.

Read More »