Fri 17 Feb 2017

 informed consent

New rules on patient consent: what managers need to know

Legal Eye: Linda Millband runs through what managers need to know about new rules on patient consent.

As a result of a supreme Court ruling, doctors, and other healthcare professionals, are now under a clear duty to take reasonable care to ensure that patients are aware of all material risks involved in a procedure.

Wed 08 Feb 2017


Stepping down but staying on

THE SHARP END: the NHS’s redeployment policies are hugely wasteful of both management talent and public money, argues one MiP member.

When I had to leave my role as a senior manager, I discovered that the NHS has a well-used but little-known system for easing people out of top jobs. And I learned that it doesn’t work well for anyone: trusts, our healthcare system, managers, patients or the taxpayer.

Tue 31 Jan 2017


Get the pension you've worked for

You plan your future around your pension, so mistakes can really throw a spanner in the works. Craig Ryan spoke to one MiP member about how the union helped rescue his retirement plans.

Pensions are hard. In the NHS, with several different schemes and many arcane rules, even the supposed experts can get it wrong. When they do, your union can help you to navigate the system and get the pension you’re entitled to.

Mon 23 Jan 2017


Tipster: how to run a proper investigation

Have you been asked to investigate a colleague’s conduct or performance? MiP national officer Andy Hardy sees NHS investigators make the same mistakes over and over again. Here’s his tips for avoiding costly and career-damaging pitfalls.

Many people don’t realise how pressurised, difficult and time consuming investigations can be. Consider carefully whether you’re right for the job. Investigations can drag on for months or even years, especially if you end up in front of an Employment Tribunal or the GMC. Are you prepared for that?

Thu 05 Jan 2017

 Robert Naylor

The chief executive's chief executive

The doyen of NHS management, UCLH’s Sir Robert Naylor, talks to Alison Moore about his 45-year NHS career, the prospects for aspiring leaders, and how he still hopes to have a hand in the NHS’s future.

Few NHS leaders can offer as wide a range of perspectives on NHS management as Sir Robert Naylor. In over 30 years as a chief executive he has seen more than a dozen health secretaries come and go, the ebb and flow of good times and austerity, and both centralisation and decentralisation fall in and out of fashion.

Tue 20 Dec 2016

 Musical chairs

Never mind the workers

Sustainability and Transformation Plans may save the NHS or drag it further into the mire. Yet staff and patients have been shut out of the conversation so far. Craig Ryan takes a first look at what STPs might mean for managers working for the NHS.

The 5YFV’s broad vision for the NHS was breezily optimistic, but STPs are – or will be – all about the grinding detail of realising it. In these 44 hastily cobbled-together “foot-prints” the stark reality of what £22bn in efficiency savings really means for the NHS will play itself out.

Tue 20 Dec 2016


It's time to save STPs from themselves

Without more honesty, stability and time, we risk throwing away a once-in-a-generation opportunity to transform health and care services, says MiP chief executive Jon Restell.

MiP was an enthusiastic supporter of the Five Year Forward View. Now we see the Sustainability and Transformation Plans (STPs) as a once-in-a-generation opportunity to change our care system for the better. Our views are shared by many managers.

Thu 01 Dec 2016


Job evaluation - because you're worth it

MiP Conference 2016: With STPs set to bring sweeping changes to posts and job descriptions across the NHS, delegates at a conference workshop discussed how to protect the integrity of the job evaluation system.

“People are not getting training, employers are using outside consultants with no experience of the NHS or Agenda for Change, and they’re looking for shortcuts, not evaluating all the factors and not doing consistency checking.”

Wed 02 Nov 2016

 difficult bosses

Tipster: managing your boss

An aggressive, incompetent or bad-tempered boss can turn even the job of your dreams into a nightmare. Craig Ryan gathers some tips for “managing upwards” – and perhaps turning the situation to your advantage.

If you’re otherwise satisfied with your job, use the situation to develop your skills and become a better manager yourself. If something else – your job description, workload or the organisation itself – is at the root of your unhappiness, tackle those issues first.

Tue 25 Oct 2016

 bullying and harrasment

Bullying and harassment - where the law stands

Jo Seery gives some advice to managers on avoiding accusations of bullying when tackling poor performance

A growing number of MiP members report being accused of bullying and harassment when tackling poor performance. Such accusations can have severe implications - including suspensions or unpleasant, protracted investigations, so it's important that managers understand how the law deals with accusations of bullying.

Tue 18 Oct 2016

 Stephen Smith

Suspensions - you deserve more support when everything's on the line

Investigations and grievances can often drag on for months or years, creating uncertainty and stress for everyone involved. Steve Smith calls for a more supportive approach from NHS employers

Too often, I hear about health professionals who have been arbitrarily cold-shouldered by their peers, or left wholly reliant on their trade union for advice and support because their employer is, in the words of one member, “nowhere to be found”.

Mon 10 Oct 2016

 Alwen Williams

The biggest job in the NHS?

INTERVIEW: Barts Health is the NHS's largest trust - and comes with finanical and quality troubles to match. Alison Moore interviews chief exective Alwen Williams about turning round the NHS's stricken supertanker

If you’re looking for the biggest operational challenge in the NHS, running Barts Health Trust is surely it. The NHS’s largest trust in terms of staff and turnover, it has been judged inadequate on quality and finds itself in financial special measures. Turning this behemoth round is going to demand everything even an exceptional manager can throw at it.

Mon 03 Oct 2016


Brexit: easier said than done

Far from “taking back control”, Brexit has plunged the NHS into a period of radical uncertainty, with unpredictable consequences for funding, staffing and research. Craig Ryan reports.

A month before the EU referendum, a poll commissioned by CIPFA found that 31% of voters thought Brexit would benefit the NHS and 46% thought it would have no impact at all. CIPFA also polled NHS chief executives and financial directors: 95% thought Brexit would harm the NHS.

Thu 22 Sep 2016

 Wales mbc

Managing better care: Lessons in collaboration

The “Once for Wales” project has transformed staff training across NHS Wales, cutting costs, raising quality and boosting compliance. Matt Ross spoke to the handful of visionaries who made it happen.

I remember the bad old days, when people used to do everything separately, and work in competition rather than collaboration. People were all off developing products with slight variations. But this project has pulled together all those good ideas; all that knowledge and expertise.

Mon 12 Sep 2016

 managing change

Tipster: Managing change in your team

Many health organisations have spent years undergoing constant change - and it isn't over yet. Matt Ross offers some advice for team leaders.

Before embracing change, people must understand why the status quo is untenable, see the goal as desirable, and believe it can be delivered. So explain clearly the risks of leaving things as they are, the benefits of change and how you will address the obstacles.

Fri 02 Sep 2016

 managing your inbox

Tipster: How to manage your inbox

There’s no single “right” way to deal with email overload, but experts agree on some basic steps. Follow these tips from Craig Ryan and you should find a method that works for you.

Email is a tool, how you use it is up to you. Do you want to read news in your email? Do you find updates from your social media accounts annoying? Do you really need daily briefings? It’s your inbox – decide what should be there and get rid of everything else.

Thu 25 Aug 2016

 Sir Simon Wessely

Getting our priorities right

Sir Simon Wessely argues the crisis in mental health will not be solved by more individual interventions, but by taking a system-wide approach to a system-wide problem.

Fruit in the canteen, better cycling lanes and practicing mindfulness are all fine, but they are unlikely to address the dissatisfaction and demoralisation seen across the mental health workforce.

Thu 25 Aug 2016

 Bullying infographic

Let's banish bullying from the NHS once and for all

MiP is leading a national initiative to tackle bullying and harassment, which undermines managers’ work and damages their careers. Jon Restell explains how the programme is shaping up.

Research shows that disruptive and disrespectful behaviour leads to an unsafe culture – distraction from clinical work, errors, withdrawal, burnout, reputational damage and more people leaving. Staff are less likely to admit mistakes, raise concerns or work effectively in teams – with obvious implications for patient care and safety.

Wed 10 Aug 2016

 Dr Woodworth

Putting doctors back in touch

In the first of a regular series revealing the crucial role of managers in improving healthcare, Matt Ross investigates how NHS leaders in Stockport reconnected GPs and hospital consultants - improving the speed and quality of patient care

“Managers can win people’s minds by going through the procedures, doing their business cases, but to win hearts they have to convince everybody that it’s a good idea.”

Mon 08 Aug 2016

 piggy bank

Tax and your pension pot

Dale Walmsley explores how pensions tax relief affects you as a member of the NHS Pension Scheme

One of the biggest incentives to save in a pension scheme is the tax relief on a member contributions. The higher up the tax bands you are, the more tax relief you'll get. But the more you earn in the NHS, the more you pay into the scheme.

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