As an NHS worker I was quietly confident that the new changes to the re-organisation of hospital trusts would streamline and make for a more cost-effective service.
Having been aware for sometime that the policy of 'all chiefs and very few Indians' has been a feature of the NHS, I foolishly thought that fewer trusts would mean fewer overpaid managers.
Sadly not so.
Does the public realise that cutting posts to accommodate the new structures consists of a policy of not replacing staff on the lowest rungs of the NHS ladder? What a surprise, we have exceeded our budget! A quick head count of management may well reveal the reason for this.
With hospital superbugs to be fought, you would think more domestics would be required. Not so.
Similarly, with new streamlining of outpatient appointments and the cutting of waiting lists, clerical and admin staff are also not being replaced as they leave - usually due to the implementation of even more red tape.
This leaves those left to shoulder even more work to be done in the same amount of time.
The NHS is to be run as a business, with all manner of juggling or creative accounting of waiting lists. Most line managers have a diary filled with various meetings - generally meetings about meetings.
I just wish Health Minister Michael McGimpsey would look into the speed at which these changes are being introduced. No one objects to change if it appears to be an improvement. Sadly, myself and most of my colleagues fail to see the advantages. With regard to patient care it appears to be a purely number crunching exercise.
Frustrated NHS Worker, Belfast