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137,000 NHS posts must go in next five years

3rd September 2009

A consultancy firm has suggested the NHS in England will have to cut 137,000 jobs if it is to make savings of £20bn by 2014.


McKinsey and Company made the recommendations to the Department of Health in a confidential report that would mean the NHS losing 10% of its workforce.

The document has already been circulated among senior NHS manages, though the DH has moved to say that the report is purely advisory and “does not constitute government policy.”

However, the McKinsey document does make wide-ranging suggestions for cuts with clinical staff and administrators sharing the burden.

The proposed cuts include: 30,800 non-clinical posts, saving £600m; saving £3bn by increasing staff productivity in NHS hospitals; saving £1.9bn by cutting external contracts and supply costs such as waste and food; saving £1.3bn from unneeded appointments and procedures; selling hospital estates to raise £8.3bn.

HSJ reports that the analysis was presented to the DH in March this year and was shared with senior managers at strategic health authority level.

McKinsey indicates acute providers will be hardest hit, with cuts equivalent to up to 38% of their 2008-09 spending by 2013-14, while primary care spending would fall by 13% and community care budgets by 28%.

However, health minister Mike O’Brien played down the significance of the report.

He said: “Advisers advise but minsters will decide after taking a range of advice. The McKinsey work… is not in any sense an NHS plan of action. They are just making some suggestions which will be looked at with many other ideas.”


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Thursday 3rd September 2009 @ 14:20

It is extremely apt that this article was posted directly above the article on the Mid Staffs Healthcare scandal.

They of course have suffered from historical budget cuts as have most hospitals which, while possibly not the only contributory factor to the problems, must have an effect on standards.

Also interesting is the savings on food costs which comes only a few years after the much publicised "Better Hospital Food" project with the figure head Lloyd Grossman advocating improved menus, fresher ingredients etc.

I wonder which external contracts they would suggest cutting, pest control, patient linen????

We watch with interest!!

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Article Information

Title: 137,000 NHS posts must go in next five years
Author: Mark Nicholls
Article Id: 12549
Date Added: 3rd Sep 2009


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