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nhsManagers.net

7th April 2025

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News and comment from

Roy Lilley



Nurses...

_____________

Today might be a big day.


I’m not talking your birthday… but if it is, happy birthday, anyway.  


And, I’m not really talking about the first Monday in a new job, the start of retirement, getting married, or saying a farewell to a loved one. All important but not in the context of what I’m talking about.


Over the weekend it was trailed here and in the foreign press, that Charmer is going to make a speech telling us, ‘globalism is dead’. 


If that’s right, expect the Daily Mail, to tell us:


‘We’re Taking Back Control, Again!’

PM vows to protect British workers.


Yada, yada? Well, maybe not.


If it’s true it will be a big, symbolic shift. The beginning of the end of international cooperation, open markets and free trade? Maybe, the death-knell for the WTO and the IMF?  


More importantly for our everyday, it could mean supply-chain vulnerabilities, national security concerns and a redefinition of the politics around control, identity, sovereignty…


... let’s hope not jingoism.


Industrial policy will have to be revamped, as will trading partnerships. Expect industries to be subsidised and deals with ‘new friends’.


For you and me? 


Expect ‘buy-British’ and a ‘Global Britain’, reset. If HMG tries to ‘re-shore’ manufacturing, our costs here are much higher than in low-cost countries.


If we introduce tariffs directly, moving away from global free-trade, expect import duties, regulatory misalignment, border delays…


... all of which adds to costs.


Expect Charmer to do something irrelevant like, subsidising electric vehicles in an attempt to fertilise the green economy… not that anyone will have the money to buy one!


And, the spectre of inflation.


The Trades Union Congress has worried about the sustainability of wage growth.


They forecast a potential 6.2% reduction in real wages over the next two years, equating to a loss of approximately £1,750 ph. The UK would experience the most significant real-wage squeeze among the G7.


If prices go up… too bad, particularly if you’re a nurse. Because…


… the NHS Pay Review Body has not yet released its recommendations regarding pay increases for the 2025-26 financial year. 


They say the process has ‘experienced delays’. What does that mean?  


Dunno…


I have no idea when the PRB will publish. Neither does anyone I’ve spoken to.


In anticipation of the PRB's eventual recommendations, the DH+ has ‘allocated’ a 2.8% pay rise for NHS staff, including nurses, for the 25-26 period.  


But… even that has not found its way into wage packets. It's not been paid!


I’m guessing the 2.8% is based on HMG's assessment of economic conditions and budgetary constraints.


The PRB have been silent. Either they’re busy buying batteries for their calculator or they’ve been gagged.


The OBR, 2025 forecast average for inflation is ~3.2% - 3.75%.


If a nurse earns £32,000 per year a 2.8% pay rise puts £896 extra pa in their wage packet. If inflation is 3.5%, they’d need a £1,120 increase to maintain their standard of living.


This is important because…


… NHS nurses have experienced real-terms pay-erosion over the past decade. 


Remember, they went on strike for 19%, pay ‘restoration’. Contrary to the advice of their leaders, RCN members accepted 5%. 


They are well on the way back to the predicament that sparked the strike.


Plus, don’t forget the promised rejig of the Agenda for Change pay scales has been dumped, sidelined, parked, buried.


By the way the resident (junior) doctors, settled their ‘restoration’ strike for a bonkers two-year deal that got them nowhere near their target. They’ll regret not sticking out for a three year deal.


It looks to me, working people are in for a rough ride.


Not, of course, if you are a member of this cavalier government, holding-up the nurses pay-rise. They’re all-right-Jack. 


The Prime Minister has his work suits and spectacles paid for by well-wishers and has hospitality footie and pop concert tickets. Altogether worth about £100,000!


The Deputy PM had her frocks and holiday paid for .


The Chancellor had a night out, for nothing. 


The Foreign Secretary and Liam Conlon, add them to the list.


Good luck I suppose. But...


... if you can, doesn't mean you should. Nothing illegal... all declared but... well... call me old fashioned...


... it looks bad, really bad doesn't it?


Wezzzz… some bad times are comin' and they ain't far off... pay the nurses.


Today would be good.

NEW - FREE - PODCAST

Former BBC Health Editor, GMC chief Executive and Confed boss,

Niall Dickson

and

Roy Lilley

In conversation with

Paul Johnson

Director of the Institute for Fiscal Studies.

'What is the truth behind NHS funding'

Want to contact Roy Lilley?

Please use this e-address

roy.lilley@nhsmanagers.net 

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News and Other Stuff

---

>> Why Do Health Inequality Solutions - Keep Failing?

>> Tom Kibasi is due to be appointed as the lead strategy adviser at NHS England - HSJ exclusive... interesting as they are busy sacking people from NHSE... there's always room for yer mates.

>> £150m ‘wasted’ -planning for ‘paused’ new hospitals... we all knew they were never going to happen, didn't we?


Richard Meddings, former chair of NHSE, in reflective mood, following his standing down.

This is a long read but an absolute cuppa-builder's!

Not only from the insight into his time and his preoccupations but also for the cornucopia of facts and figures that are not easily found in the public domain. Must read!

Leading UK Charity invests in Canadian trial of drug treatment for ME/CFS and Long Covid


The ME Association, a leading UK charity for people with ME/CFS and Long Covid, has announced investment in a clinical trial in Canada to test the potential benefits of low-dose naltrexone. Results from the trial should help to clarify whether LDN can affect the underlying disease processes in ME/CFS and Long Covid and improve symptoms.

European Health Digest for April

Roger Steer's usual comprehensive round-up. Not to be missed.


'...it is a warning against ‘Wilful Blindness’ or the evasion of uncomfortable truths; of the need to confront taboos even if you might be uncomfortable with it, and of not falling for ‘Hollow Men’ who purport to tell a simplistic story as though obedience to the line described exempted the listener from the duty of discernment and critical thinking.'

⬇️ For more news, scroll down








This is what I'm hearing, unless you know different. In which case, tell me, in confidence.

__________


>> I'm hearing - NHS organisations have been urged to ensure their job descriptions for nursing and midwifery staff are updated, before the new national NHS job profiles are published in June.

>> I'm hearing - Care homes are taking Rachel Reeves to court over her National Insurance rise.

More news


>> RFK Jr. says HHS will reinstate 20% of reduced workforce - after DOGE errors.

>> Gallup poll reports that public perception of health care quality in the United States - is at a 24-year low.

>> Getting in front of long wait times in emergency departments - no, not another A&E shocker, here. This is in the US.

>> Hospital trust - launches local art campaign.

>> Various digital initiatives - good, yes but I get an uneasy feeling we are on the way to turning the NHS into an electronic Tower of Bable. Don't we need some sort of central direction, interoperability 'thing'.

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