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Iain Mackinnon

Iain Mackinnon

15 Apr 2011 | 10:30

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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.

Comments

1. At 12:09 on 15 Apr 2011, Don wrote:

There is also a significant debate to be had about the defintion of 'front line'.
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2. At 12:16 on 15 Apr 2011, Dennis wrote:

I agree with the overall sentiment of the article. The problem with claiming to "Protect the front line" is that it prevents you from really understanding the service needed and how it is offered. I work with both the public and private sectors and people in the public sector tell me that they are actually frustrated that their organisation is not looking hard at how it delivers service and is implementing cuts badly rather than doing any real investigation into other options to reduce costs. They are also protected because they can cut and say, "not our fault, lack of government funding". No wonder the public are confused.
When talking to a friend in the Police Service, he told me that he has tried to get a different approach to changes but his HR team are “a joke and only think about removing people”. This is a real opportunity for HR to lead in good change management and organisational redesign efforts and become true partners to our clients. Instead we are focussed on moving people out of the organisation.
In future years we will look on this as an opportunity missed and our position with clients will remain unchanged. I hope I am wrong.
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3. At 13:57 on 15 Apr 2011, Angela wrote:

I agree with the article. There are only so many back office functions that you can cut, but that won't deliver the bulk of the savings required.

The reality is that public sector organisations (at least the one I work in) are looking carefully at how front line services are delivered, and how they can be made more efficient, without effecting the quality of service delivery. There are very few redundancies on the font line, but posts aren't replaced through natural turnover. Unfortunately it will become more and more difficult for people new to their professions to gain employment in their chosen careers, which will inevitiably leave us with difficulties further down the line.
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4. At 10:57 on 03 May 2011, Andy wrote:

Firstly, I defy everyone to agree on what constitutes the 'frontline' - a recent study by the police showed how difficult this really was. Secondly, what matters is what the customer/client of the service really want and how they want it. Thirdly, based on what matters then design the service end to end to deliver what the customer wants - that is your front line, and it's probably very different from what you thought it is!
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