NHS frontline staff forced to plug gaps that should be filled by managers'

"NHS staff on the frontline are being forced to plug gaps in services that should be filled by skilled managers and admin staff, according to a new report. Despite a widespread perception that the health service is beleaguered by a top-heavy structure, new research by the King's Fund suggests that there are now a near record low number of NHS managers for each member of staff."

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Independent reporting covers topics from reproductive rights to climate change and Big Tech, including investigations into Elon Musk's pro-Trump PAC and the documentary 'The A Word'. The outlet refuses to place reporting behind paywalls and seeks donations to fund journalists and on-the-ground reporting. King's Fund analysis finds NHS now has 33 staff per manager, compared with 27 in 2010, and a 37% increase in staff from 975,298 in 2010 to 1,334,011 in 2025. Frontline NHS employees are filling managerial and administrative gaps, with skilled clinicians spending hours each week on paperwork, rotas and broken administrative systems.

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