Sir David told the NHS Employers conference last week that the NHS faced the “biggest management of change exercise in the world” and that the changes outlined in the government white paper Equity and Excellence: Liberating the NHS would have to be managed alongside the £20billion savings already outlined for the service.
He said he himself had “gone through a whole series of emotions about the service and how we take things forward” but that staff currently working in the NHS could be divided into three groups.
He added: “There are those people in the service who essentially hate all this. My view is that they should go.”
Nicholson told the conference that 2000 people had already left through the Mutually Assured Resignation Scheme at a cost of £40m but generating savings in a year of £70 million.
He added: “For all sorts of reasons that’s a good deal and we need to think about how we expand that in future.”
The NHS chief executive said a second group of staff, those who did not want to be part of the new structures but were prepared to support the transition, should be given some certainty over what will happen to them.
He said the third group of people, who he defined as those who supported the ideas in the white paper, should be helped to learn new skills if necessary and moved into new positions as quickly as possible.
So… doctors and nurses who hate the white paper can leave to join private providers…. and then be re-employed to do the work they used to do for the NHS… without any of the employment rights or pensions they were entiled to. Alternatively they could stay… and then be taken over by the a private provider and then be re-employed to do the same work etc. etc.
David, its time for your medicine, now come quietly…