We all know the Westminster government has promised to ring-fence NHS expenditure without affecting front line services.
However one hospital in England has decided it's time for doctors and nurses to be put back in charge of running it and dozens of non-medical bosses are expected to lose their jobs in the far-reaching changes at Wythenshawe Hospital in Manchester. They hope to save in the region of £17m.
The radical plan will see 26 departments replaced with nine new ones - each run by a senior medical consultant instead of a professional manager. The doctors will spend 20% of their time running their departments and 80% on medical duties. Interviews for the nine heads of department roles are already underway. Each will be supported by a nurse and a manager.
The move is likely to be a major test of the new government's health policy to replace managers with clinicians. The University Hospital of South Manchester Trust, which runs Wythenshawe, has already agreed a contract with Manchester Business School to provide management training for medics.
The NHS across Greater Manchester has been told to find nearly £1bn in efficiency savings and hospitals all over the UK will be watching this with interest.
This fellow blogger has some unexpected positive news about Scotland's NHS. Of course it's coincidence that Health Boards have reacted in this manner and nothing to do with preserving their own positions.