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NHS frontline staff forced to ‘fill gaps’ that ‘should be filled by managers’

KANIKA SINGH RATHORE, 10/11/202510/11/2025

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NHS There are workers on the frontline Being forced to rectify deficiencies in services According to a new report, it should be filled by skilled managers and administrative staff.

Despite this widespread belief Healthcare is plagued by a top-heavy structureNew research from the King’s Fund shows numbers are now at “almost a record low” NHS Manager for each member of staff.

There are now 33 staff members, according to analysis of NHS hospital and community data for each managerCompared to 27 employees in 2010.

“The narrative that there are too many managers loses touch with reality,” said Suzie Bailey, director of leadership and organizational development at the King’s Fund.

NHS staff, already struggling with an already strained healthcare system, are being forced to address shortcomings in services

NHS staff, already struggling with an already strained healthcare system, are being forced to address shortcomings in services ,Jeff Moore/PA Wire,

Skilled clinical professionals are being forced to spend hours each week “chasing paperwork, managing rotas or navigating broken administrative systems,” he said.

The analysis found a 37 per cent increase in NHS staff from 2010 (975,298) to 2025 (1,334,011). However, the number of managers increased by only 12 percent over the same period, from 35,696 to 40,021.

He said, “It is no surprise that burnout rates are so high and staff satisfaction so low when clinical staff are being stretched beyond their roles, filling administrative gaps on top of an already excessive workload.”

Ms Bailey suggested that “rather than denigrating managers”, there is a need for “investment and support” and a clear commitment to the professionalisation of leadership within the workplace.

Health Secretary Wes Streeting will deliver a speech this week after promising last year to tackle 'failed' managers (Lucy North/PA)

Health Secretary Wes Streeting will deliver a speech this week after promising last year to tackle ‘failed’ managers (Lucy North/PA) ,pa wire,

He said high quality management and effective administration is “crucial to the patient experience”, which is being made more challenging due to the “increasing shortage” of managers.

He further added, “What we are seeing is the absence of the right operational support structures, which forces practitioners to fill gaps in the system, which must be filled by skilled administrative and managerial staff.”

“The government must value NHS managers and the vital role they play in keeping frontline staff focused on patient care, not bogged down in paperwork.”

Health Secretary Wes Streeting will speech to NHS leaders at a conference of NHS providers in Manchester this week. Pledge to deal with “failed” managers By refusing a salary increase last year.

A patient's bed in an NHS hospital ward in England (PA)

A patient’s bed in an NHS hospital ward in England (PA) ,pa wire,

The All-Party Parliamentary Group (APPG) on emergency care found that 19 per cent (one in five) of hospital patients were being cared for in corridors.

Dr. Ian Higginson, president of the Royal College of Emergency Medicine, who compiled research for the report, said: aisle care said It is a “source of national shame”, he said, adding: “It is hurtful, indecent and it is putting lives at risk.”

A Department of Health spokesperson said it was important to have “skilled managers in the right roles”.

“We are reforming the NHS to make it fit for the future – attracting, supporting and developing the best talent to increase productivity and put resources back into the frontline,” it said in a statement.

“Our introduction of the NHS League Table will also raise standards, with top performing trusts rewarded with greater freedom and investment, and poorly performing trusts receiving targeted support.”

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