MiP MiP

The union for health and care managers

Home  >  News & Campaigns  >  News Articles  >  Summit 2018: “Incentives and drivers are in the wrong place”, top managers warn
Tuesday 20 November 2018

Summit 2018: “Incentives and drivers are in the wrong place”, top managers warn

By Mercedes Broadbent

News_20-11-2018_Summit Conversation_Panel
Photo: Stefano Cagnoni
Lisa Rodrigues (centre) and Sophie Christie (right) in conversation with Channel 4’s Victoria Macdonald.

Two women NHS leaders warned that the NHS needs to give better support to senior managers and develop leadership teams that better represent the populations they serve in a conversation session with Channel 4 health correspondent Victoria Macdonald at the MiP Members’ Summit.

Lisa Rodrigues , a mental health campaigner and former chief executive of Sussex Partnership Foundation Trust, and Sophia Christie , system lead for Devon’s Sustainability and Transformation Partnership, talked about their careers and the prospects for NHS management before answering questions from delegates.

Both Rodrigues and Christie described the difficulties facing women in being taken seriously as senior managers. Rodrigues said she believed that, as a society, “we’re tougher on women generally, because when women show signs of human nature, people say, ‘we know she wouldn’t be able to cope’.” Christie agreed: “An assertive woman is considered difficult, but assertive men are taken for granted,” she said. “There are clear gender assumptions.”

Rodrigues pointed out that women and BME people are often better represented in senior positions within mental health organisations – that an often-overlooked aspect of the lack of parity of esteem for mental health services is that the most under-funded NHS organisations are the ones that are more representative of the population. “Until the NHS reflects women and BME people it won’t be right,” she warned.

Discussing her recent book, Being an NHS Chief Executive , which recounts her experiences as leader of the Sussex Partnership trust, Rodrigues described the role of an NHS chief executive as a “lonely job” and warned that the “incentives and drivers are in the wrong place”.

Christie described her experiences at the start of her NHS career, when she worked as a part of a multi-organisational team, including a nurse, a social worker and a housing worker, and explained that she has spent the rest of her career trying to incorporate that complexity into her work in the belief that “it produces better outcomes for patients”.

Despite the dire findings of a recent MiP survey that fewer than 50% of members would recommend a career as an NHS manager to their family or friends, both women emphasised that being an NHS manager was an important and rewarding career. “We’ve survived this long,” said Christie, “and there’s all to play for.”

If you enjoyed this article, please sign up to receive our free monthly emails - and we’ll keep you up to date on news and events in health and care management

NHS England chief executive Simon Stevens speaking at a conference

NHS England and NHS Improvement published their consultation document on the effective merger of the two organisations on 16 July. Here’s MiP’s response and advice to members who may be affected by the re-organisation.

17 July 2019 | By MiP
News
Front Cover of a collection of essays titled: Is devolution the future of health and social care?
Julie Ogley, President of ADASS

With the social care system in “absolute crisis”, health and care leaders must work together to map a way forward, Julie Ogley tells MiP.

26 June 2019 | By Matt Ross
Interview

Thousands of NHS staff could soon lose their automatic right to work in the UK. Here's what you need to know about getting ‘settled status’ for your EU workers.

19 June 2019 | By Rachel Halliday
Legal Eye

MiP’s caseload suggests ‘gaslighting’ is on the increase in the NHS. Here’s some tips for recognising this pernicious form of bullying and taking steps to protect yourself.

19 June 2019 | By Claire Pullar
Tipster
MiP North Summit 2019

MiP held first North Summit in Leeds on 12 June brought together members and stakeholders for a focused discussion with NHS leaders in the north of England.

14 June 2019 | By Mercedes Broadbemt
MiP at work
MiP Chief Executive Jon Restell
Pete Lowe small
Jon Restellsmall

Too often, debates on NHS management focus on picking out the 'bad apples'. Instead, we should improve the health of the whole orchard.

29 May 2019 | By Jon Restell
Leading Edge
Woman sitting at a desk with her head in her hands being shouted at by a colleague

25 May 2019 | By MiP
News
123...>>
Find us
FDA MiP section, 6th floor, Elizabeth House, 39 York Road, London, SE1 7NQ
Copyright © 2018 MiP