The article explores the pitfalls of NHS England's bureaucratic overcentralization, which hampers innovation and diverts focus from critical patient safety concerns. With hospital executives managing over 100 operational targets, effective care delivery is compromised. Recent reports highlight a concerning trend in patient safety metrics, showing that 12 out of 22 are worsening, equating to thousands of avoidable deaths annually. The author urges new leadership to prioritize improving frontline care standards amidst structural organizational changes, advocating that the focus should not shift away from patient safety in the confusion of reform.
Hospital chief executives are frequently working to more than 100 operational targets, making innovation and longer-term change impossible.
Twelve out of 22 patient safety metrics have been going in the wrong direction in the past two years.
Right now, tens of thousands of civil servants are starting the process of reapplying for their jobs after the axing of NHS England.
My plea to Streeting is not to let organisational upheaval distract him from the gritty business of making sure we improve standards of patient care.
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