As those in the UK are probably aware, and others might be to, the NHS due to Market Reforms is having to save a lot of money.

The Managers are often deciding that the way forward is to sack / remove positions of staff. Today one trust is reducing the workforce by 500 (10%).

Generally we are told that this is fine, as there will be an increase in efficiency to offset this - and clinical care will not be affected.

So, IMO there are two cases:

1) They are right! Closing wards and removing positions (and saving millions) will not cause a decrease in care: why the hell has it taken this long to cut out this MASSIVE amount of dead wood??
2) They're basically lying.

Am I missing something, or are they either wrecking the NHS, or belatedly pointing out that it's taken senior managers years to realise that they are wasting hundreds of millions of pounds?