New Labour's NHS Legacy

The following list is taken from a GP who has written of the people that she has been emailed by in her local PCT. The list speaks for itself, it tells the tale of the incredibly inefficient and wasteful bureaucratic mess that this government has created in the NHS. There are now more PCT managers than primary care doctors in many areas, there are people with titles that make no sense and the output of their jobs often amounts to even less. Here we have Kafka's PCT list:

* Communications Assistant
* GP Directorate Manager
* PA to Medical Director and PEC Chair
* Assistant Director Commissioning & Informatics
* Medical Directorate Administrator
* Strategic Programmes Director
* Primary Care Manager
* Public Health Project Manager
* Primary Care Commissioning Officer
* Long Term Conditions Administrator
* Resuscitation Educators
* Communications officer (media & campaigns)
* Senior Primary Care Commissioning Manager
* Long Term Conditions Commissioning Manager
* Commissioning Officer
* PA to Head of Urgent Care
* PA to Primary Care Commissioning
* Head of Urgent Care
* PA to Director of Commissioning & Informatics
* Head of Clinical Quality (Commissioning)
* Lead for Quality of care in care homes and End of Life Care
* Locality Manager - Children's Community Service
* Admin Support Primary Care Commissioning
* Information Governance Manager
* PA to Commissioning
* Public Health Strategy Manager
* Acting Co-ordinator (Substance Misuse)
* Liaison Officer
* Senior Administrator & Project Support
* Primary Care (GP) Support and Development
* Commissioning & Information Directorate
* Public Health Nurse Consultant
* Primary Care Development Manager
* Intermediate Care Coordinator
* Chief Executive
* Communications Officer
* Acting Deputy Chief Executive
* Director of Strategic Development
* Associate Director of HR
* Assistant Director of Information
* Primary Care Development Manager
* Clinical Governance Admin Support
* Knowledge Services
* Director of Primary and Community Services
* Public Health Analyst
* Public Health Intelligence Team
* Administration Support Officer
* Sexual Health Commissioning
* Service Development and Market Management
* Commissioning Project Officer
* Mental Health Commissioning Team
* Temporary Clinical Quality Administrator for Primary Care Independent Contractors
* Primary Care Support and Development Manager
* Clerical Officer
* Senior Administrator & Project Support
* Primary Care Commissioning
* Assistant Directors Commissioning & Informatics
* Core Learning Administrator
* Employee & Organisational Development Team
* Long Term Conditions Administration Officer
* Public Health Administrator
* Sexual Health Development Manager
* Clinical Governance Administrator

I hope the government are proud of their achievements. As front line clinicians struggle to meet yet another raft of top down targets, it is amazing that such a wasteful bureaucracy continues to proliferate in such fashion at the time of a recession. Mind you with leadership like we have at the top, with billions burnt on the basis of a stupid whim, who can be surprised that billions continue to go up in smoke producing so little end product?