Shared services does work. Just not for the NHS. #
Posted Friday 9th May 2008 13:45 GMT
There's nothing wrong with shared services. Economies of scale works.
The problem with the NHS though is that the NHS doesn't exist to make profit, it exists to provide for two groups of people.
Group A think their health is a voting issue (women.) The NHS exists to make them think the government cares about Group A's health.
Group B vote the government out if they're unemployed, despite being not very good at everything. The NHS exists here to employ them, without the people in Group A realising the government's wasting their money. (Not that it usually is Group A's whose money is being wasted, as the section of society that use the NHS the most, are the people who pay the least for it. i.e. women, old women and very old women - whose health costs account for perhaps 70% of NHS expenditure, and 90% of their research budget - viz said it best - my grandma lived to 90 year never did a day's work in her life, yet my grandad worked every day, and died the day before he retired. I wouldn't be in the least bit surprised if Merck's "manufacturing problems" with 10mg Simvastatin has occured because government's realised twenty years hence, we'll have a million men actually wanting some of the pension they've paid into.)
Anyway, back to the topic, since shared services means saving money by reducing duplication and sacking the least good, but the NHS exists to employ them by causing duplication, it follows that for the NHS shared services must be defined to never work.


