Obvious innit? Of course it is unlike any other body, haven't we been
saying this for years but not as clearly and succinctly as Midge put it.
Options:
1. Home grown managers? Maybe. Some of the products of the NHS management
courses are not up to much. I am sure I am totally biased but I have
personally seen a big thug factor in aforesaid products.
2. Home grown but have the "workers" vote for them, screen out the
potential thugs carefull and hammer ethics and morality into them as well
as Mintzberg et al? Maybe, a bit better, so long as the workers know
that it is safe to vote against the thug in their midst when promotion
might be the only chance they will ever have to get rid of said thug. Make
him somebody else's problem. I recall trying to get one or two awful
nurses promoted to desk jobs simply so they could do less harm than on the
wards.
3. Need for managers, hierarchy, formal structures etc at all? Call in Tom
Peters, Peter Drucker et al and have them ask one simple question: "Is it
necessary to have managers watching over highly motivated dedicated front
line staff to make sure they work or will such an approach simply
de-motivate them?"
Fox's scheme:
1. Every manager has to justify his her existence.
2. No new management posts, no replacements, fill no vacancies. Demote
the accountants to making sense of the figures for the clinicians and keep
them well away from decisions.
3. ALL frontline staff to have as much power as they consider necessary to
do their jobs. Sure there will be cockups but you can build in reviews ,
checks and balances etc and I guarantee that there will be less cockups
than with the present moronic system.
4. Abolish separate budgets for separate departments.
How about that for starters? I have lots more but I have to get back to
1996's accounts.
Declan
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