article_snippet: Many of the trusts these executives run are trying to save money by rationing routine procedures such as cataract surgery, hip and knee replacements and IVF.
article_snippet: These regional health bodies replaced primary care trusts in 2013 to control local NHS budgets.
article_snippet: To make matters worse, some of the executives received generous redundancy payoffs when primary care trusts were abolished – before walking straight into almost identical roles at CCGs weeks later.
article_snippet: Dr Peter Carter, chief executive of the Royal College of Nursing, said: ‘NHS NHS needs good managers, especially in an environment of perpetual change.
article_snippet: To meet the demands on the service, NHS funds should be going to the front line, not spent on managers or restructures.
article_snippet: The NHS budget is under increasing pressure from the demands of a growing and ageing population.
article_snippet: Last year, NHS chief executive Simon Stevens said an extra investment of £8billion was needed over five years merely to maintain standards.