
NHS managers who silence whistleblowers to be banned from senior health roles
Legislation is set to be put forward to Parliament next year to introduce professional standards and regulation of NHS managers.
Tens of thousands of clinical and non-clinical managers work in the NHS but there is currently no regulatory framework specifically for managers, as there is for doctors and nurses.
Health Secretary Wes Streeting said the reforms will 'slam the door in the face of unsuitable managers'.
Mr Streeting added: 'I'm determined to create a culture of honesty and openness in the NHS where whistleblowers are protected, and that demands tough enforcement.
'If you silence whistleblowers, you will never work in the NHS again.
'We've got to create the conditions where staff are free to come forward and sound the alarm when things go wrong. Protecting the reputation of the NHS should never be put before protecting patient safety.
'Most NHS leaders are doing a fantastic job, but we need to stop the revolving door that allows managers sacked for misconduct or incompetence to be quietly moved to another well-paid role in another part of the NHS.'
DHSC said a public consultation launched in November last year received more than 4,900 contributions on ways in which managers and leaders could be regulated.
The statutory barring system will be for board-level directors and their direct reports within NHS bodies.
Further legislation will set out new statutory powers for the Health and Care Professions Council to disbar NHS leaders in senior roles who have committed serious misconduct.
Separate NHS England professional standards for managers will establish a 'consistent, national set of expectations about NHS management and leadership competency and conduct', DHSC said.
Tom Kark KC, author of the Kark Review into the effectiveness of the fit and proper person test within the NHS, said: 'I am pleased that the recommendation made in my report into the application of the NHS fit and proper person test to create a power to disqualify board directors found guilty of serious misconduct is being implemented.
'Along with the ongoing implementation of my other recommendations for improving board competence, this is a positive move to strengthen management in the NHS by weeding out poor leadership.
'This is good news for whistleblowers and those looking for accountability in senior management which has long been lacking.'
Rachel Power, chief executive of the Patients Association, said patients expect NHS managers 'to be held to the same high standards as clinical staff, and that should include consistent regulation'.
Ms Power added: 'A clear, fair process to prevent those who commit serious misconduct from returning to senior roles will be an important step forward, and it's vital that patient involvement continues to shape proposals as further regulation is considered.'
Saffron Cordery, deputy chief executive of NHS Providers, said the membership organisation for hospital, mental health, community and ambulance services thought 'only 'fit and proper' people should be running NHS services'.
Ms Cordery added: 'Many big, complex NHS trusts employ thousands of people therefore we want to attract the very best to lead them.
'So we welcome the Government's commitment to developing and accrediting managers alongside proposals for disbarring those whose performance falls short.'
Sam Allen, NHS national director for leadership and management, said: 'Managers will welcome this new regulatory framework, as part of the broader package of actions set out in the plan to attract, develop, and retain the best possible leaders for the NHS of today and tomorrow.'

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English doctors to strike in face-off with government over pay
LONDON, July 24 (Reuters) - Resident doctors in England will begin a five-day strike on Friday over pay, challenging Prime Minister Keir Starmer's Labour Party government that promised to end industrial unrest when taking office a year ago. The government is refusing to meet demands for higher pay from the British Medical Association, which says the 5.4% rise awarded to resident doctors - qualified physicians who make up nearly half of the medical workforce - does little to undo years of pay erosion. The result is a return to picket lines outside hospitals from 0600 GMT Friday - a throwback to 2023 when high inflation and stagnant pay brought doctors, nurses and other staff from the publicly-funded National Health Service (NHS) out on strike. "We don't want to strike, but we have to," said Bishoy Yassa, a 24-year-old recently qualified resident doctor. "Even after fair negotiations ... we were completely ignored." "There's a misconception that doctors are being greedy," he added. "This isn't just about pay. This is about getting the government to listen to the state of the NHS." After winning an election last year, Labour quickly reached a settlement with doctors for a 22% pay rise, but this year, as it grapples with increasingly strained public finances, it has refused to move beyond a 5.4% increase. Health minister Wes Streeting has called the decision to strike "reckless and needless." "All I asked of the them (BMA's leadership) was the postponement of strikes for a few weeks so we could work together on a detailed package that could form an offer to you to end this dispute," Streeting said in a letter addressed to resident doctors posted on X on Thursday. Public backing for the strikes is limited, with 52% now opposing them and 34% in favour, according to a YouGov survey of 4,954 adults conducted on Monday. That represents a shift from May, when 48% opposed and 39% supported the action. Views among doctors also differ. Adam Boggon, a 33-year-old resident doctor and a BMA member, told Reuters he voted against the strike action, fearing it would harm patients. "I would like for a settlement to be achieved very soon and in the absence of strike action which doesn't help anybody and which nobody wants," he said.


The Independent
an hour ago
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Streeting to resident doctors: ‘I deeply regret position we find ourselves in'
Wes Streeting has sent a personal letter to NHS resident doctors, saying 'I deeply regret the position we now find ourselves in' as they prepare to strike. The Health Secretary said while he cannot pledge a bigger pay rise, he is committed to progress to improve their working lives. He also said he does not now believe the British Medical Association's resident doctors committee (RDC) has 'engaged with me in good faith' over bids to avert the strike. Thousands of resident doctors are to walk out from 7am on Friday for five days. In the letter sent on Thursday afternoon, seen by the PA news agency, Mr Streeting said: 'I wanted to write to you personally about the situation we find ourselves in. 'This Government came into office, just over a year ago, with a great deal of sympathy for the arguments that resident doctors were making about pay, working conditions and career progression. 'I was determined to build a genuine partnership with the… RDC to make real improvements on all three fronts. 'We have made progress together. While some of my critics in Parliament and the media believe I was naive to agree such a generous pay deal to end the strikes last year, I stand by that choice.' Mr Streeting said he had agreed that pay deal 'because I believed it to be fair', adding resident doctors have now had an average 28.9% pay award under Labour. He added: 'Strike action should always be a last resort – not the action you take immediately following a 28.9% pay award from a Government that is committed to working with you to further improve your lives at work. 'While I've been honest with the BMA RDC that we cannot afford to go further on pay this year, I was prepared to negotiate on areas related to your conditions at work and career progression, including measures that would put money back in the pockets of resident doctors… 'Based on discussions with the BMA RDC leaders between July 8 and 19, I set out three substantive areas where I believed we could work together to make real improvements.' These included tackling the 'arduous' training pathway, and 'I made it clear that I was prepared to agree actions to reduce the costs you face as a result of training', Mr Streeting said. He said he had also been looking at the cost of equipment, food and drink, and 'was prepared to explore how many further training posts could be created – additional to the 1,000 already announced – as early as possible'. Mr Streeting said he had asked the BMA for strikes to be postponed for a 'few weeks so we could work together on a detailed package that could form an offer to you to end this dispute'. He wrote to the RDC on Monday evening setting out a way to avert strike action, which had been discussed with the RDC in draft form, he added. 'I had responded to their requests for where additional information was required,' he said. 'I no longer believe that they have engaged with me in good faith.' Mr Streeting continued: 'I deeply regret the position we now find ourselves in. The public, and I am sure many of you, do not understand the rush to strike action. 'I would like to thank all those that will be turning up to work and supporting their colleagues in providing care for patients despite the challenging circumstances. I urge you to join them. We can achieve more for both doctors and patients by working together.' 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'NHS trusts will do everything they can to postpone as few appointments as possible… 'The strike will throttle hard-won progress to cut waiting lists, but NHS trust leaders and staff will be working flat out to see that as many patients as possible get the care they need.' The public have been urged to keep coming forward for NHS care during the walkout. GP surgeries will open as usual and urgent care and A&E will continue to be available, alongside 111, NHS England said. Elsewhere, the Health Service Journal (HSJ) reported that NHS chief Sir Jim Mackey had told trust leaders to try to crack down on resident doctors' ability to work locum shifts during the strike and earn money that way. Leaders have also been encouraged to seek 'derogations', where resident doctors are required to work during the strikes, in more circumstances, the HSJ reported. Rory Deighton, acute and community care director at the NHS Confederation, said: 'These strikes were not inevitable – the Government entered negotiations with the BMA in good faith to discuss improving the working and training lives of resident doctors… 'The impact of these strikes and the distress they will cause patients rests with the BMA.' The BMA argues real-terms pay has fallen by around 20% since 2008, and is pushing for full 'pay restoration'. The union is taking out national newspaper adverts on Friday, saying it wants to 'lay bare the significant pay difference between a resident doctor and their non-medically qualified assistants'. It said the adverts 'make clear that while a newly-qualified doctor's assistant is taking home over £24 per hour, a newly-qualified doctor with years of medical school experience is on just £18.62 per hour'. The BMA said Mr Streeting and his officials have refused to continue talks across the strike days and the minister's letter to them 'amounted to nothing more than vague promises on non-pay issues'. RDC co-chairs Dr Melissa Ryan and Dr Ross Nieuwoudt said in a statement: 'Pay erosion has now got to the point where a doctor's assistant can be paid up to 30% more than a resident doctor. That's going to strike most of the public that use the NHS as deeply unfair. 'Resident doctors are not worth less than they were 17 years ago, but unfortunately they've seen their pay erode by more than 21% in the last two decades. We're not working 21% less hard so why should our pay suffer? 'We're asking for an extra £4 per hour to restore our pay. It's a small price to pay for those who may hold your life in their hands.' The statement said Mr Streeting had every opportunity to prevent the strike, and added: 'We want these strikes to be the last we ever have to participate in. 'We are asking Mr Streeting to get back around the table with a serious proposal as soon as possible – this time with the intent to bring this to a just conclusion.'


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