Intended for healthcare professionals

Rapid response to:

It's Good To Talk

Would the NHS benefit from a single, identifiable leader? An email conversation

BMJ 2003; 327 doi: https://doi.org/10.1136/bmj.327.7429.1421 (Published 18 December 2003) Cite this as: BMJ 2003;327:1421

Rapid Response:

Will NHS benefit from a single leader?

I have worked in NHS for 23 years and being an overseas graduate find
some of the comments in this section strange! NHS today and in 1980 and
90's is different in many ways other than number of staff and money.
Organisational issues of NHS can be better solved in GOVT. stops meddling
with new initiatives every year. Health system cann't be judged on basis
of Waiting lists. A single leader for the system is unlikely to change
anything till we have far less political interference and targets (as was
in 1980's). What NHs needs is vision and planning for decades not from
election to election.
We have many overseas staff in NHS and they contribute valuable service
without which present NHS system would be a third world service. Britain
cann't produce and train enough people to run it's services in Health,
Education and many other areas.
Information technology in NHS is still primitive and in dark ages,
transformation of this will save many waisted hours and manpower in NHS to
improve patient service and delivery.
People who feel that scantly English speaking staff in NHS are a burden
should put forward ideas how they think we can have thousands of extra
doctors and nurses without paying for their training and and investment.

Competing interests:
None declared

Competing interests: No competing interests

01 January 2004
Sandip Raha
Hospital Physician
Princess of Wales Hospital, Bridgend, Wales