“Streeting’s hospital league table plan riles NHS medics and bosses”

Nov 14, 2024 | NHS

An independent (financial adviser’s) view

Be careful what you wish for, Wes. Or at least, be careful with your methodology. It’s been proven time and time again that league tables in both business and public sectors which it’s thought would be better run as businesses, more often than not encourage the wrong sort behaviours. The law of unintended consequences could lead schools to focus on getting the best kids through their SATS and GCSEs, rather than giving hope to the no-hopers. In the world of financial advice, those big-company sales charts and conventions led to a focus on new business and new clients and closing the deal. Hence St James Place, the last of the old school, along with many others, have been told in no uncertain terms that they have a ‘consumer duty’ to look after those whose money has already been taken. The NHS danger is that, if you don’t have something wrong with you that’s on the target get-the-waiting-list-down list, you’ll go to the bottom of a list that no one is targeting. The answer? Pay more people more money for doing a good job about which they care. I’d say.

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