- Fri Apr 17, 2020 5:06 am
There are significant differences in the organisation of NHS in Scotland and England.
The most significant at present being Scotland managed to dodge the breakdown into trusts.
NHS Scotland has 2 departments providing significant scientific and engineering (facilities) support, and adapting to rapid change.
In England, the same job is often done by a scientist and an assistant covering a trust of 2 or 3 hospitals.
Similar numbers of employees per-capita, but not organised for mutual project work.
This setup is OK for day to day steady-state running, but falls apart quickly under pressure.
It's illustrated in Dr McCoy's work where NHS Scotland can contribute 8 scientists, NHS Wales, 4 and 2 labs.
England's muster totals no labs, no scientists, and more salesman than health professionals.
I'll close by stating how unpalatable I find the sort of Scottish "We is the best" Exceptionalism that quickly
enters any social media discussion of things like this.
Scotland's independent institutions has enables a certain amount of bullet-dodging form Thatcher onwards.
The educated differ from the uneducated as much as the living from the dead. Aristotle