Nicholson challenge

The term "Nicholson challenge" refers to a set of mandates that the 2011 leader of the National Health Service in England, Sir David Nicholson, has put forth to the entirety of the NHS in a drive to find "efficiency savings" amidst a UK economy in upheaval. The parameters of the "challenge" by Nicholson to the NHS add up to a demand by Nicholson for the NHS to find £20 billion in "efficiency savings" by 2015.

The Health and Social Care Bill 2011 currently under consideration by the Parliament of the United Kingdom and its House of Lords, which would greatly alter the fundamentals of NHS functioning (not just financing) if it becomes law, is technically not a part of this "challenge" at all, but is happening separately. The Nicholson challenge keeps NHS law and regulations as they currently stand, but asks staff and administrators to find these "savings" within those present parameters nevertheless.

Doctors and nurses across the NHS already complained early in 2011 that front-line NHS services of many different types are having to be cut immediately, and very heavily, in order to achieve these "savings", despite Nicholson alleging that they would not have to be.^[1][2] NHS workers insist that it is impossible to find these types of 'savings' in this amount of time without having to make drastic cutbacks to existing services.

On 18 October 2011 this allegation by doctors and nurses was further backed up by research when The Guardian published an exposé revealing how the Nicholson challenge is "really affecting the young, old and infirm". ^[3]

Defenders of the "challenge", such as James Ball of The Daily Telegraph, point out that health service finance directors had already been fully aware, since the summer of 2009, of the kind of constraints that would have to be dealt with because of the UK deficit crisis. Nicholson first signalled his challenge in June 2009 while the UK government was under the previous administration, which was that of Gordon Brown. ^[4]

References

1. ^ Smith, Rebecca (2010-04-21). "Cuts being made to frontline NHS services survey reveals". The Daily Telegraph (London). http://www.telegraph.co.uk/health/healthnews/7610848/Cuts-being-made-to-frontline-NHS-services-survey-reveals.html. 
2. ^ Campbell, Denis (2011-04-12). "NHS chief intervenes as 560 ambulance jobs axed". The Guardian (London). http://www.guardian.co.uk/society/2011/apr/12/nhs-chief-intervenes-ambulance-job-cuts. 
3. ^ Campbell, Denis (2011-10-18). "Revealed: how NHS cuts are really affecting the young, old and infirm". The Guardian (London). http://www.guardian.co.uk/society/2011/oct/17/revealed-toll-cuts-nhs-services. 
4. ^ Ball, James (2009-06-13). "NHS chief tells trusts to make £20bn savings". The Telegraph (London). http://www.telegraph.co.uk/health/healthnews/5524693/NHS-chief-tells-trusts-to-make-20bn-savings.html. 

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