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robert551069 | 11:11 Thu 28th Jun 2012 | Health & Fitness
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On the "Countdown" programme yesterday, Dr. Phil Hammond, this week's guest, said that Andrew Lansley had promised that there would be no major top down reorganisation of the NHS, but that he has given us one so large that it can be seen from outer space.
There used to be four levels of management in the NHS.
Department of Health,
Strategic Health,
Primary Care Trust,
Hospitals and GP's.
We now have eight, he said, including,
Department of Health,
Strategic Health Authority,
National Commissioning Board,
Over arching Clinical Senates,
Clinical Support Group,
Clinical Commissioning Group,
Health and Wellbeing Board,
Health Watch.
Dr. Hammond said that he asked a Hospital Manager to explain the new management system and got the following reply:-
"We are benchmarking the diversity so that the bottom line is that risk management is a paradigm for the mindset to empower the modern matron to be pro-active".
The modern managers use words like additionality and contestability and matrix model of management, he said.
Dr. Hammond then asked Nick Hewer if he understood the meaning of the above jargon as he had spent a long time in management with Lord Alan Sugar.
Nick Hewer said that he did not.
Then Dr. Hammond made everyone laugh by saying "Neither do I"

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And in the meantime I am sitting here fuming because I was supposed to be having a cataract removed today and, guess what?, it has been cancelled. I know it is only a small operation but I had screwed my courage up because basically I am a rank coward, and now I have to deflate and wait for another appointment. I rang yesterday to confirm the appointment and was told it had been cancelled and "the patient has been informed". Needless to say I had not been informed and if I had not phoned them I would have turned up today at the hospital expecting to be done and I would have been turned away. That would have wasted my time and my daughter's - she was going to take me and do all the necessary waiting about, and her husband who was going to do the driving back and forth. If I had plenty of money to spare it would tempt me to have it done privately but I and my husband have worked hard and have paid all taxes etc. so why do we get mucked about like this? Grrrrrrr!!!

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