‘Eighteen months?’ I was appalled.
‘Yes, perhaps by then we may be able to open a couple of wards,’ he said, acknowledging finally that I had spoken.
I regard this as so much stuff and nonsense. I instructed him to open some wards at once – and more than a couple.
He countered by offering to form an interdepartmental committee to examine the feasibility of monitoring a proposal for admitting patients at an earlier date.
I asked him how long that would take to report.
‘Not long, Minister.’
‘How long?’
I knew the answer before he gave it – ‘Eighteen months,’ we said in unison.
‘Terrific!’ I added sarcastically.
‘Thank you,’ he replied, charmingly unaware. It’s hopeless.
So I made a new suggestion. ‘I suggest that we get rid of everyone currently employed at the hospital and use the money to open closed wards in other hospitals.’
[
‘And when we can afford it,’ I added sarcastically, ‘we’ll open St Edward’s with
Humphrey then argued that if we closed the hospital now we would delay the opening of it
‘What
Humphrey was obviously expecting this question. He promptly handed me a list. A list comprising all the administrative departments and what they do – with or without patients. Extraordinary.
1.
For strikes, air raids, nuclear war, fire epidemics, food or water poisoning, etc. In such a crisis your local general hospital will become a key centre for survival.
2.
Currently this department is conducting a full-scale demographic survey of the catchment area. This is to enable the hospital to anticipate future requirements for maternity, paediatrics, geriatrics and the male/female balance.
3.
Projected accounts, balance sheets, cash flow estimates depending on such variables as admission levels, inflation rate, local and national funding etc.
4.
To purchase medical and other supplies, obtain estimates, review current and future catalogues and price lists.
5.
For evaluating all proposed equipment purchases and comparing cost-effectiveness.
6.
To deal with the Phase Three building plans, the costing, the architectural liaison, and all other work necessary to complete the final phase of the hospital by 1994.
7.
Maintenance of both the hospital structure itself, and the highly complex and expensive medical and technical equipment contained therein.
As an economy measure, this department also includes the Cleaning Department.
8.
This department is self-explanatory.
9.
A very busy department, dealing with leave, National Health Insurance, and salaries. Naturally this department contains a number of staff welfare officers, who are needed to look after over 500 employees.
10.
The typing pool, desks, stationery, office furniture and equipment, liaison between departments, agreeing on routine procedures.
I couldn’t tell as I read this (and tonight I still can’t) if Humphrey was playing a practical joke. Department 10 contains administrators to administrate other administrators.
I read it carefully, then I studied his face. He appeared to be serious.
