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NHS reorganisation is hitting patient care

Helen Mayson

Six months on from major reorganisation in the NHS, and senior leaders say patient care has deteriorated

Over half (51%) of senior leaders in the NHS think it will be a further 12 months before the reorganised NHS will operate efficiently, according to a survey from transformation consultancy Moorhouse.

The research, Fit for the future?, reveals that 40% of senior leaders in the NHS think the health service is worse equipped to deliver value-for-money and cost reductions since the restructure, and one in five (21%) believe patient care has already deteriorated over the last year.

Richard Jones, Executive Director at transformation consultancy Moorhouse, says the results reflect an incredibly challenging period for the health sector. “Every part of the system [has been] affected by its reorganisation. As a report card on the progress of transformation over the last six months, the research suggests that there are significant areas to be improved and that overall reorganisation is having a detrimental impact on the commissioning, regulation and provision of healthcare. To address this, leaders in the NHS and the wider health system must create a clear vision and purpose for their organisation, foster a culture that supports change and build working relationships with other bodies."
Leaders were also unsure about the outlook for the future, with just 42% feeling optimistic about the ability of the NHS to deliver high quality and cost-effective care over the next 5-10 years.

“The window of opportunity to address these issues is closing rapidly," says Jones. "Leaders need to take action to help build a solid foundation for the new health system.”

Fewer than 30% think that the changes bought about by the restructure have had a positive impact on efficiency savings and just 28% believe the health sector is better equipped to tackle the challenges ahead.

Only a third (34%) of leaders feel that their organisation’s new role and purpose in the system has been very well or extremely well defined. Around a quarter of health sector leaders do not see a clear vision for their organisation over the next 3-5 years, and only 18% believe this vision has been well communicated to staff.

You can download the full report from the Moorhouse website.


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