Honesty

I don’t know why I let them upset me but they do.  They irritate me beyond belief.  

I’ve tried everything.  Deep breaths, counting to ten, think-calming-thoughts, relaxation, calamine tea… but they still drive me BARMY!

I’m talking about the Department of Health Press Office.

Why don’t we dump them?  We could have one of those press-button, dial yer-own-answer, premium phone lines; dial-a-quote.

Press one for; ‘The NHS has had more money than any time in the history of coinage… there is more money than ever before’.

Press two for; ‘The NHS is expected to provide more care, better care… whatever… there will be more care in the NHS than ever before.’

Press three for; ‘The NHS has commissioned a report on this and it will be published when it is published and it will address these issues, or not… there are more reports in the NHS than ever before.’

Press four; ‘Although you may think today is Thursday, actually, because yesterday was Wednesday and tomorrow is Friday, does not guarantee you have got the day of the week correct.  There are more days in the week than every before….’

… and there is the latest.  Infuriating.  But first some context from the BBC;

The NHS is “haemorrhaging” nurses with one in 10 now leaving the NHS in England each year.

More than 33,000 walked away last year, piling pressure on understaffed hospitals and community services…. a rise of 20% since 2012-13… there are now more leavers than joiners.

In up-sum: more than 10% of the nursing workforce have left the NHS in each of the past three years; leavers would be enough to staff more than 20 average-sized hospital trusts; more than half of those who walked away in the last year were under the age of 40.

Leavers outnumbered joiners by 3,000 last year.

The DH press office; what did they say?  Brace yer-self… here it is

‘There are 11,700 more nurses on our wards since 2010…’

Reach for the calculator;

11,700 in 7 years = 1,671 nurses a year

There are roughly 157 trusts; 

1,671 new nurses divided by 157 Trusts 

= 11 new nurses per Trust.

Less than one new nurse a month…

Does the Press Wallah think we are all stupid.  Can’t add up?  Is this careless or Machiavellian?  Dissembling, misleading an attempt at being smart.  Is this good ethical press management?

As the BBC say;

‘They (the DH Press office) have picked 2010 and nurses on wards.  If you look at the entire nursing workforce, the numbers have only risen by 1%… demand across health care has gone up between ten and twenty percent…’

It is the role of the DH press office, funded by the taxpayer, to be truthful, accurate, objective and impartial.  They are accountable to us all.  They are not accountable to Tory Central Office; to gift wrap, polish or present the facts sunny-side up.  We want stripped pine facts. 

And the facts are nursing is a great profession, a wonderful vocation but a rotten job.

It’s a rotten job because the DH have got the numbers wrong, training wrong, funding wrong, safe staffing wrong.  On any measure they are on the wrong side of right. 

Three days a week twelve hours a day, understaffed wards, getting through a shift with fingers crossed there isn’t a disaster.  It’s not a job it’s torture.

Car-parking charges, child care, flat-line pay increases, patients in the corridors.  No breaks.

To make ends meet a couple of shifts in a care home.  Exhausting.

All the nurses I have met love nursing.  None of them leave a job they love.  They leave management, bureaucracy, bullying, anxiety, rehearsing for CQC inspections, daft policy and unnecessary pressure.

What’s not to like about working for an agency; work the shifts you want, where you want, no management hassle.  I’m surprised the whole of the workforce isn’t agency.

Organisations get the workforce they deserve.  Nothing changes anything faster and quicker than honesty.

The Health Select Committee report on nursing next week.  Let’s hope they can find some honesty.

——————————–   

 Contact Roy – please use this e-address

roy.lilley@nhsmanagers.net 

Know something I don’t – email me in confidence.

Leaving the NHS, changing jobs – you don’t have to say goodbye to us! You can update your Email Address from the link you’ll find right at the bottom of the page, and we’ll keep mailing.

———-
Disclaimer

[siteorigin_widget class=”WP_Widget_Recent_Posts”][/siteorigin_widget]

Previous Posts

A wooden bench on a grassy area overlooks a large body of water, with mountains visible in the hazy background.

Headline.

Streeting’s latest NHS workforce plan ignores systemic issues, focusing on recruiting more GPs despite the strain on resources. The real solution? Shifting care to community nurses, who offer better value and flexibility.

Read More »
A modern white hospital building with multiple windows stands in front of a taller white skyscraper, under a blue sky with clouds, partially obscured by a green hedge.

Think again.

Think “hospital,” and you picture nurses, ambulances, or stethoscopes—not someone hunched over a desk solving the NHS equivalent of a mathematical enigma. Yet, administrators are its hidden heroes.

Read More »
A man sits on a gray couch, talking on his smartphone while engaging with his laptop, the backdrop of a brick wall emphasizing the modern workspace vibe—a scene possibly oriented towards primary care training for GPs.

Forever!

I’m sitting at the computer screen, wondering if it’s worth taking up your time. Charmer’s speech yesterday—three commitments, five missions, six milestones—offered no clarity, just a rat’s nest of priorities.

Read More »
A woman sits cross-legged on a rocky riverbank, meditating with her eyes closed. She wears a white top and gray pants, much like medical staff in moments of calm between responsibilities, surrounded by greenery and the soothing flow of the river.

Fat chance!

Health Secretary Wes Streeting faces ridicule over a ban on sugary food ads before 9 PM, accused of ‘nanny-state’ tactics while failing to address deeper causes of childhood obesity.

Read More »
A doctor holding a large hourglass is surrounded by medical graphics, illustrating NHS capacity and patient inflow, highlighting the critical role of GP training in navigating a hospital's dynamic environment.

It might just be possible!

Ancient China’s gifts include silk, spices, and calculus. Applied to the NHS, calculus explains how waiting lists grow due to inefficiencies. Fixing productivity, not just efficiency, is key to improvement.

Read More »
A yellow and black butterfly with intricate patterns rests on a plant amid green foliage, offering a moment of tranquility reminiscent of nature's gentle touch in healing settings like those embraced by dedicated NHS doctors.

Butterfly.

The NHS faces chaos as budget cuts and aging demographics collide, with ambulance services reducing capacity amid rising demand. Like the butterfly effect, small decisions now amplify systemic crises.

Read More »
Lindsay Dubock stands at the front of the room, addressing a seated audience with dynamic insights in a conference setting. Engaging slides from The Training Network illuminate behind her, enhancing the training experience.

The General Practice Toolkit

Lindsay delivered The General Practice Toolkit to over 100 NHS Primary Care delegates at Bromley Court Hotel, equipping them with practical strategies to enhance mental health, resilience, and holistic patient care.

Read More »
A rainy city street with a dome-topped cathedral in the background is surrounded by tall buildings. Amidst the bustle of black cabs and red buses, doctors hurrying to provide primary care walk alongside others with umbrellas on the slick pavement.

Put your money on them. 

Drivers spend two days a year waiting at red lights. Meanwhile, 4.2 million UK people claim health-related benefits. Tackling these challenges? Focus on trust-building, holistic care, and our GPs.

Read More »