{"id":5084,"date":"2010-10-14T14:54:34","date_gmt":"2010-10-14T13:54:34","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=5084"},"modified":"2011-11-16T11:41:51","modified_gmt":"2011-11-16T10:41:51","slug":"chris-ham-join-the-debate-over-the-future-of-nhs-managers","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/14\/chris-ham-join-the-debate-over-the-future-of-nhs-managers\/","title":{"rendered":"Chris Ham: Join the debate over the future of NHS managers"},"content":{"rendered":"<p><a rel=\"attachment wp-att-12640\" href=\"https:\/\/blogs.bmj.com\/bmj\/?attachment_id=12640\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-12640\" title=\"chris_ham2\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2011\/11\/chris_ham2.jpg\" alt=\"\" width=\"160\" height=\"160\" \/><\/a>Today, The King\u2019s Fund launches a new commission on leadership and management in the NHS.<\/p>\n<p>The NHS is a complex organisation employing more than 1 million people and spending more than \u00a3100 billion. It is a system that requires sound management \u2013 rather than traditional administration \u2013 and leadership at every level.<!--more--><\/p>\n<p>Over the next few years, the NHS will confront the most significant financial challenge in its history \u2013 finding \u00a314 billion in productivity gains to maintain quality and avoid cutting services. At the same time, it will need to implement the most ambitious package of reforms proposed since it was established. This will need a change management programme on a scale never seen before in any health system in the world. Meeting these challenges will require strong leadership and management at all levels.<\/p>\n<p>The importance of management in public services was articulated by Lord Tugendhat, Chairman of the Imperial College Healthcare NHS Trust and a member of the commission, in a debate <a href=\"http:\/\/www.publications.parliament.uk\/pa\/ld201011\/ldhansrd\/text\/100608-0005.htm\">in the House of Lords in June<\/a>: &#8220;Ministers are the generals who issue the orders. The managers in the public sector are the troops who will have to carry through the fighting.&#8221;<\/p>\n<p>Managers may be the troops, but they have had very few people defending them recently, despite Lord Howe, who at an <a href=\"http:\/\/www.dh.gov.uk\/en\/MediaCentre\/Speeches\/DH_119376\">event at The King\u2019s Fund<\/a> in September, said &#8220;let us not forget the managers, who tend to get a rather unkind press at times, but not from my direction.&#8221;<\/p>\n<p>This is the background against which we are launching <a href=\"http:\/\/www.kingsfund.org.uk\/current_projects\/leadership_commission\/index.html\">the commission<\/a>. I am delighted that leading figures from inside and outside the NHS have agreed to join me to evaluate the current state of leadership and management in the NHS and make recommendations about the capabilities it will need in the future.<\/p>\n<p>In doing so, the commission will draw on experience from outside the NHS and from health systems in other countries. We will consider a range of evidence, including an analysis of trends in management and the role of leaders (clinical as well as managerial) in improving performance at all levels. We are also inviting submissions from individuals and organisations who would like to offer their views, and would welcome examples of good practice.<\/p>\n<p>It will not be a lengthy inquiry \u2013 the issues are too urgent for that \u2013 and it<br \/>\nwill report in spring 2011. I hope our work will facilitate a more informed debate about leadership and management in the NHS \u2013 a debate I hope you will join.<\/p>\n<p><em><strong>Chris Ham<\/strong> is the chief executive of the King\u2019s Fund.<\/em><\/p>\n<p>This blog also appears on the King&#8217;s Fund website at <a href=\"http:\/\/www.kingsfund.org.uk\/blog\/\">http:\/\/www.kingsfund.org.uk\/blog\/<\/a><\/p>\n<p>Read the related <em>BMJ<\/em> news story: <a href=\"http:\/\/www.bmj.com\/content\/341\/bmj.c5745.full\">Experts to scrutinise quality of clinical managers needed for new NHS<br \/>\n<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Today, The King\u2019s Fund launches a new commission on leadership and management in the NHS. The NHS is a complex organisation employing more than 1 million people and spending more [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/14\/chris-ham-join-the-debate-over-the-future-of-nhs-managers\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223,2148],"tags":[],"class_list":["post-5084","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers","category-kings-fund"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Chris Ham: Join the debate over the future of NHS managers - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/14\/chris-ham-join-the-debate-over-the-future-of-nhs-managers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Chris Ham: Join the debate over the future of NHS managers - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Today, The King\u2019s Fund launches a new commission on leadership and management in the NHS. 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