Monday, 21 January 2013


is it that manager who used to be nurses try to sort out staffing problems by getting bank/agency nurses in at five minutes noticed or who take nursing staff away from one ward do this? Surely it would be more effective if they did the shift themselves? (and more cost effective?)

Why is it that doctors who are now managers continue to tell the people on the shop floor what to do, as opposed to working next us?


  1. My guess is it's too scary or snowed under with rubbish paper dictats and / or meetings. Re managers those kind of managers don't understand that THEIR JOB is to FACILITATE the work of clinical staff and only understand management as the equivalent to the bossy milk monitor role at school.

  2. Doctors who are managers are part of the new generation of "clinical leaders" who are supposed to be driving innovation in the new (non) NHS with clinical need at the heart of all the changes. Sometimes this does indeed happen - and is really good when it dos - but mostly, I'm afraid, as you say, it doesn't - just another layer of people telling front line clinicians what to do and how to do it.

    We generally don't discuss all these issues with medical students, but I do feel slightly guilty that people like you then get a nasty shock when they start working as doctors. Would it better for students to be forewarned, or to keep their managerial innocence until they start work?

  3. Thank you for your comment. On a final note, I note that the e learning package on leadership is twice as long as that on assessing the sick patinet. Interpret that as you may