LMITransactions&Report2014-15

LMI Transactions and Report 2014 - 2015
The NHS
I work in a system where there appears to be
continual change and it certainly feels like a top-down
managed structure. Not only is there continual
change in management, there are continual changes
in ideas, often at the behest of politicians, with
nothing longer than a short to medium term
management plan. As clinicians, we often feel
disenfranchised offering advice about management.
I have often wondered whether the NHS might
benefit from a similar structure to the Bank of
England, who have an independent Board which
makes recommendations to the Government.
Acknowledgements
I would like to thank all those that have supported me
in my career and particularly the State education
system, the NHS for supporting my apprenticeship,
friends who have shared my professional
development and other providers of opportunities.
Finally I would like to thank my wife, Siobhan, who
has been an unerring supporter whether it be pushing
from behind, supporting me by my side or indeed
leading from the front. We have shared this passage
through medical school, junior doctor, senior doctor
and now entering the twilight of my career, I am still
very glad of her presence.
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