Summit 2018: “Incentives and drivers are in the wrong place”, top managers warn
Two women NHS leaders warned that the NHS needs to give better support to senior managers and develop leadership teams that better represent the populations they serve in a conversation session with Channel 4 health correspondent Victoria Macdonald at the MiP Members’ Summit.
Lisa Rodrigues , a mental health campaigner and former chief executive of Sussex Partnership Foundation Trust, and Sophia Christie , system lead for Devon’s Sustainability and Transformation Partnership, talked about their careers and the prospects for NHS management before answering questions from delegates.
Both Rodrigues and Christie described the difficulties facing women in being taken seriously as senior managers. Rodrigues said she believed that, as a society, “we’re tougher on women generally, because when women show signs of human nature, people say, ‘we know she wouldn’t be able to cope’.” Christie agreed: “An assertive woman is considered difficult, but assertive men are taken for granted,” she said. “There are clear gender assumptions.”
Rodrigues pointed out that women and BME people are often better represented in senior positions within mental health organisations – that an often-overlooked aspect of the lack of parity of esteem for mental health services is that the most under-funded NHS organisations are the ones that are more representative of the population. “Until the NHS reflects women and BME people it won’t be right,” she warned.
Discussing her recent book, Being an NHS Chief Executive , which recounts her experiences as leader of the Sussex Partnership trust, Rodrigues described the role of an NHS chief executive as a “lonely job” and warned that the “incentives and drivers are in the wrong place”.
Christie described her experiences at the start of her NHS career, when she worked as a part of a multi-organisational team, including a nurse, a social worker and a housing worker, and explained that she has spent the rest of her career trying to incorporate that complexity into her work in the belief that “it produces better outcomes for patients”.
Despite the dire findings of a recent MiP survey that fewer than 50% of members would recommend a career as an NHS manager to their family or friends, both women emphasised that being an NHS manager was an important and rewarding career. “We’ve survived this long,” said Christie, “and there’s all to play for.”
Related News
-
Faster pay progression for managers aims to tackle promotion blockages
MiP has welcomed moves to speed up pay progression for Band 8 and 9 managers and tackle long-standing problems with the Agenda for Change pay system that deter staff from seeking promotion.
-
News: Union welcomes above-inflation rise for board-level managers
MiP has welcomed a 5% pay rise for very senior and executive senior managers in the NHS in England, after the UK government accepted the latest recommendations from the Senior Salaries Review Body (SSRB).
-
News: 5.5% rise marks noticeable shift on Agenda for Change pay
MiP has welcomed the 5.5% pay rise for NHS staff on Agenda for Change as “a notable shift” and a “good starting point” for future negotiations.