Notes to editors
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The report The future of leadership and management in the NHS: No more heroeswas launched at the NHS Leadership and Management Summit at The King's Fund on 18 May with a keynote presentation by Rt Hon Andrew Lansley CBE MP, Secretary of State for Health. The summit will be live streamed at www.kingsfund.tv/nhsleaders from 9.40am and you can follow the event on Twitter by using the hashtag #nhsleaders
The Commission evaluated national and international evidence from health and other sectors to gather information about:
the current state of leadership and management in the NHS
the leadership and management capabilities the NHS will need in the future
how current capabilities can be strengthened to meet these needs.
The Commission is chaired by Professor Chris Ham, Chief Executive, The King's Fund.
The members are:
Professor Ross Baker, University of Toronto
Dame Jacqueline Docherty, Chief Executive, West Middlesex University Hospital NHS Trust
Dr Peter Hockey, Deputy Medical Director, NHS South Central and former Harkness Fellow
Lord Tugendhat, Chair, The Imperial College Healthcare NHS Trust
Professor Kieran Walshe, Manchester Business School
Kate Lobley, Director of Leadership, The King's Fund.
Nicholas Timmins, Public Policy Editor of the Financial Times acted as Secretary to the Commission and wrote the final report. For more information, please see the NHS Leadership and Management Commission pages on The King's Fund website at www.kingsfund.org.uk/leadershipcommission
The NHS officially has around 45,000 managers although this figure is not definitive. Many clinical managers (medical directors and directors of nursing) are excluded from this definition.
- The NHS sees more than 1 million patients every 36 hours, spends more than £105 billion of public money each year (nearly £2 billion per week) and employs around one and a half million people.
- Aside from the banks, the only companies with a larger turnover in the FTSE 100 are the global oil giants, BP and Shell.
- If the NHS was a country it would be around the thirtieth largest in the world.
- Sir David Nicholson, the NHS Chief Executive, is on record as saying: ‘We find it very difficult to recruit people who want to be chief executives – the average time they spend in post is just 700 days' Santry C (2007). 'Clinicians should be groomed for top jobs, says Nicholson'. Health Service Journal, 1 January.
- A review in 2009 showed that NHS organisations were subject to 35 different regulators, auditors, inspectorates and accreditation agencies requiring information from different parts of the system. This may have reduced since then with changes in regulation (NHS Confederation and the Independent Advisory Service, 2009)
- A survey of 2,000 people in July 2010 by the Local Government Association found that the public’s top choice for spending cuts was NHS managers (69% approval). Despite this, the main services respondents wanted to protect from cuts were ‘Doctors, nurses and other hospital staff ‘(56% approval)
The King's Fund is a charity that seeks to understand how the health system in England can be improved. Using that insight, we help to shape policy, transform services and bring about behaviour change. Our work includes research, analysis, leadership development and service improvement. We also offer a wide range of resources to help everyone working in health to share knowledge, learning and ideas.