PM recently reported the warning from the Royal College of Nursing (RCN) – warming to their task before they passed their motion of no confidence in health secretary Andrew Lansley - that “up to 40,000 NHS posts, half of them doctors and nurses, could be lost in the proposed reform of the health service”.
PM goes on to quote the RCN saying that it had “exposed the myth that front-line care and services would be protected” when in fact the cuts would “have a catastrophic impact on patient safety and care”.
For their part, ministers all repeat the mantra that the front line will be protected: in health, in education, in the armed forces, in the police – you name it - and everyone wants to protect the front line.
Are they right? Set aside for the moment that they disagree about what’s really happening: ministers and unions all claim the same ambition. And I’m not sure I buy it.
Is there really no part of the front line anywhere in the public sector in Britain that is imperfect in any way? Does every front-line service really operate as efficiently and as effectively as it can do? Is there really no scope for greater use of technology so that skilled people can concentrate on what they’re good at, rather than tasks which can be automated? No scope for better team working?
At what point did we reach this happy state? And why were there no street parties to celebrate it? (Whatever your stance on the royal wedding, this would surely be worth raising a glass to!)
What everyone is muddling, in this rush to salute the front line, is the ambition to provide excellent services and the reality of current arrangements: they’re muddling ends and means.
That’s why the obvious retort from union members to my comments is that they’re not protecting a “happy state” but trying to stop things getting worse. There’s lots of scope for debate about what service should be provided, and about how any change should be managed (and plenty scope for HR professionals to offer their expertise), but let’s not complicate an already complicated problem by seeking to preserve every last aspect of the status quo.