Comment / Real momentum

As we approach the year-end, there is the usual nervousness about the figures.  This is the case every year as the NHS jumbo jet heads towards the runway to land on the proverbial postage stamp.

This year the postage stamp is a control total and the target a surplus of £1.8bn.  The usual problem of counting every piece of stock and arguing about the value of everything is replaced by equally interesting discussions about managing the surplus.  There is, in that sense, a real feeling of momentum about the service as key issues such as MRSA, 18 weeks and so on are starting to be tackled while at the same time professionals in the system are re-assured there is still money to spare.

This new environment requires a change in mindset and a new type of finance director; someone looking to manage a profitable business rather than getting the band-aid out. This new era will require new skills and the association is working with a number of different individuals and organisations who can advise us on what members will need in the future.

The new feel-good factor is not mirrored in the outside world. It is strange to see the health service in relative financial good health while the commercial world heads for recession. We must prepare ourselves for any implications this may ultimately have on the service as we are not immune from change. 

The new sense of momentum was best typified by NHS chief executive David Nicholson, who addressed the West Midlands branch conference last month.

His presentation was hard hitting and direct, as usual, but it was also challenging and confident. This typifies the new mood of the NHS, which feels it is very much on the front foot. And long may this continue – everyone seems a lot happier.

The HFMA is also in confident mood as it continues to develop its portfolio of products. Out last month were brochures on the foundation trust conference in July and the annual conference in December. There are also international opportunities including the UK/US Exchange and the Russia study tour in September. Although there are still places available on both, there is limited time now – especially on the Exchange.

We are also growing as an association with an average of 70 new members per month joining up and activity going forward in nearly all areas of the UK. I have recently visited all the branches and chairs to discuss how we can bolster services to provide even better value.

Finally, you may be aware that the HFMA will shortly be taking part in some finance programmes for nurse managers in conjunction with the Royal College of Nursing. This, coupled with the new e-learning introductory certificate, demonstrates an important point: we are increasingly being recognised as the voice of healthcare finance by all parts of the NHS and the source of advice and expertise on finance related issues. 

That clearly shows how far we have come. It is also a reflection of our own momentum, which shows no sign of slowing.