Skip to player
Skip to main content
Skip to footer
Search
Connect
Watch fullscreen
Like
Comments
Bookmark
Share
Add to Playlist
Report
Royal Preston boss explains why he is leaving Lancashire behind for a top job in Gibraltar
Lancashire Post
Follow
19/07/2023
Kevin McGee speaks to local democracy reporter Paul Faulkner about his vision for the future of the NHS in the county - and why he has decided not to be a part of it.
Category
🗞
News
Transcript
Display full video transcript
00:00
Kevin McGee, you've been at Lancashire Teaching Hospitals for just about two years now in
00:05
the Chief Executive role, and I think it's fair to say it's been a tough two years for
00:09
the NHS. You've had, of course, the COVID backlog of operations and appointments to
00:14
deal with, and then last winter a really high demand for services, and now of course this
00:19
year the pressure of the nurses and doctor strikes as well. Do you feel in some ways
00:24
that you've been constantly firefighting and so standing still during your time at
00:28
the Trust? So it's fair to say the last two years have been immensely challenging for
00:35
Lancashire Teaching, but for the NHS generally. We've had the COVID backlog from elective
00:41
recovery, from cancer recovery, we've had the worst winter that the NHS has ever been
00:46
through, and over the last six months or so we've been dealing with all the industrial
00:51
action. But I'm really proud of the way the organisation's performed in spite of those
00:56
pressures. We've continued to develop the services, we've continued to support staff,
01:02
and we're in a really good and strong space in spite of the pressures that the NHS is
01:07
under, and that's testament to the brilliant work of the staff who work for Lancashire
01:12
Teaching Hospitals. You've always been quite candid throughout your time at Lancashire
01:17
Teaching Hospitals about the need for the NHS to transform. Do you really think that
01:22
it's geared up for the transformation you believe is necessary? And when the new Royal
01:26
Preston opens in probably a decade's time from now, how do you think services will look
01:31
in central Lancashire? So there's a lot of hard work that needs to be done between now
01:36
and the opening of the new hospital, and they don't underestimate what the work will be.
01:41
However, the NHS has continually changed, it's continually evolved. If I look at what
01:47
the NHS was like when I first started, it was completely different to how it looks now.
01:52
We had a perforation of smaller hospitals, we had lots of separate hospitals, now there's
01:58
much more sort of concentration. So what I think I would like to see in Lancashire and
02:02
South Cumbria is a really outstanding world-class tertiary hospital providing all of the specialist
02:11
services for the residents of Lancashire and South Cumbria, that has education and training
02:17
and research and development wrapped around it, that attracts the best and the brightest
02:21
staff, allows the inflow of resources into Lancashire and South Cumbria. And we can do
02:27
that and we can deliver that and the new hospitals programme gives us the ability to do that.
02:32
I also think we need to think about how do we undertake elective care, and I do think
02:38
that will be concentrated on fewer sites, but will be much more efficient in terms of
02:42
the way that we were on our theatres, for instance. So, you know, we only run theatres
02:47
generally five, perhaps five and a half days per week. We need to be able to run them seven
02:52
days per week for the future and, you know, have them running 12 hours plus every day
02:58
to really use our assets in a much more productive and efficient way that gives capacity, that
03:04
allows patients to be seen much quicker. So I think all of that needs to be worked through.
03:10
But I also think there needs to be a real focus on community-based services and particularly
03:16
things such as for elderly, long-term conditions. You know, people don't generally need to come
03:22
into hospital for those conditions. They can be treated much more efficiently and effectively
03:28
in the community or in their own homes by bringing services to people. So I think what
03:32
we'll see is a concentration, perhaps centralisation of specialist services, but the general services
03:39
should be developed much more locally and with a real focus on keeping people fit and
03:45
healthy and resilient in their own communities so they don't need to come into hospital.
03:51
And only then, when they need hospital, will they come in and those hospitals then will
03:55
be world-class and outstanding. The NHS, there seems to be pretty general
04:01
consensus, is under pressure like never before. How optimistic are you for the future of the
04:05
service as a whole and Lancashire Teaching Hospitals as the trust for central Lancashire?
04:11
I am genuinely, genuinely very optimistic. The NHS is continually under pressure and
04:17
will continue to be under pressure. The expectations that are placed on it quite rightly
04:22
grow every year and that puts pressure on the services and it puts pressure on staff.
04:29
But every year the NHS manages to cope in the most difficult of circumstances and I
04:36
am immensely proud of the staff across Lancashire and South Cumbria and particularly the staff
04:41
at Lancashire Teaching Hospitals for the work that they do day in, day out.
04:45
I think the NHS, I've worked in the NHS for 38 years, I think it's something very precious
04:50
and something that we all should fight for and hold on to.
04:53
And we don't do everything perfectly. There's a lot that we need to improve.
05:00
There's a lot of change that we need to put forward.
05:02
But you know what, I'd rather be, you know, I'd rather have the system that we've got
05:08
in the NHS than other systems across the world. I think it's an outstanding system.
05:13
And if the NHS is set for a transformation, you're set for a personal transformation,
05:18
aren't you, heading off to head up the health service in Gibraltar.
05:22
If it's not an obvious question, what attracted you to those sunny climbs?
05:26
So I've worked in the NHS for 38 years now and I've had a fabulous career.
05:36
I've been immensely lucky. But I actually think it's the right time
05:41
for me from a personal perspective to do something different outside of the NHS,
05:47
but also for Lancashire and for Lancashire Teaching. I think it's a good break point.
05:53
So over the last couple of years, I've worked, we have worked incredibly hard
05:57
to get the business case approved for the new hospital programme.
06:01
We've now got that approved. We've got the capital secure for the new hospital to be built
06:06
somewhere in Preston, surely South Ribble area. And all of that's taken an awful lot of hard work
06:14
and graft to get that to the point it is. But it's now secure.
06:17
What we now need to think about is the planning for the implementation of the new hospital
06:23
and all of the service changes that that's going to drive.
06:26
And that needs somebody who's going to be in the system for five to 10 years
06:32
to really drive that forward. I wish I was 10 years younger.
06:36
If I was 10 years younger, I would be so up for this challenge and so
06:40
excited about driving those changes forward. But given where I am in terms of my age,
06:46
given where I am in terms of my career, I thought it was the wrong thing to do to
06:50
start the next phase of this transformation and then leave and hand it over.
06:55
I think it's a natural break point now for me to pass the baton on to somebody else
06:59
who can come in and can drive the service changes that are going to be required.
07:03
It's a really exciting role. I think like teaching is a really good organisation.
07:09
I think you're going to get a lot of really high calibre candidates who want to take over the CEO
07:15
role. And I think it's a good time for them to come in.
07:18
What would be your biggest challenge in Gibraltar, do you think? A very different
07:22
health landscape to the UK, obviously. It's very different, but you know,
07:26
the challenge is probably the same. The biggest challenge is workforce.
07:29
Healthcare worldwide, every system in the world is really struggling in terms of training enough
07:38
staff, recruiting enough staff and having the retention of those staff. So we're in a worldwide
07:45
market for healthcare. It's really, really difficult to get hold of staff and to keep those
07:50
staff. And that's exactly the same issue in Gibraltar as it is in the NHS. So, you know,
07:59
it's a different system, it's a different culture, but those workforce pressures would be the same
08:06
regardless of where you are in the globe. You know, we need to develop systems and keep staff
08:15
in those systems because staff want to work in them. And I think that's one of the proudest
08:19
things and one of the things I'm really proud about in terms of Lancashire teaching. We've
08:23
done a lot of work over the last few years in terms of staff morale, supporting staff.
08:28
And if you look at, you know, in most organisations in the NHS, staff morale and
08:35
satisfaction is declining. In Lancashire teaching over the last few years, it's been improving and
08:40
that's the deliberate effort in terms of trying to do our best to support our staff. We can't
08:44
meet all of the demands and all the wishes of our staff. National pay negotiations, I can't do
08:49
anything about that as such, although we have tried to support our staff through that, through
08:54
those processes. But where we can, we've put an awful lot of effort and energy into developing a
09:00
positive culture, a culture of trying to do things differently and to support staff.
09:05
Kevin McGee, thank you very much indeed for talking to us.
Recommended
13:01
|
Up next
'Preferred sites' found for new Royal Preston and Royal Lancaster hospitals
Lancashire Post
18/08/2023
1:09
PM talks to NHS staff during visit to London hospital
ODN
12/09/2024
1:12
Shropshire MP asks for 'reassurance' that support will remain for county's 'failing' hospital trust
Shropshire Star
26/03/2025
2:09
Sheffield nursing hero praised
The Star, Sheffield
12/10/2023
1:28
Swinney: NHS central to Scottish budget priorities
ODN
02/12/2024
4:57
Lancashire's new Reform leader explains why party is 'not racist' - and why cabinet is all-male
Lancashire Post
22/05/2025
16:18
Over 100 Lancashire and South Cumbria GP surgeries at risk of closure
Lancashire Post
01/02/2024
3:05
Prime Minister visits Maidstone Hospital despite fears a delay to tackling the backlog will cripple the NHS
KentOnline / KMTV
07/02/2022
5:01
Lancashire taxpayers' cash being wasted by having too many councils, minister says ahead of cull
Lancashire Post
03/03/2025
1:24
Starmer and Streeting meet NHS staff ahead of speech
ODN
06/01/2025
4:11
'Fix our crumbling NHS buildings' says county MP with £75 million maintenance backlog at Shropshire hospitals
Shropshire Star
25/04/2025
0:17
Newly-elected Labour leader claps for NHS
Agence France-Presse
17/04/2020
1:00
Health minister: NHS England staff were set up for failure
ODN
14/03/2025
2:54
Preston GPs ranked by patients
Lancashire Post
27/03/2025
1:13
Consultation is underway to potentially merge Lancaster Royal Infirmary with Preston
Lancaster Guardian
07/10/2020
0:49
Streeting insists he didn't ask NHS boss to leave her job
ODN
25/02/2025
0:33
Sunak: Pay rise requested by nurse union is ‘obviously unaffordable’
ODN
25/11/2022
2:10
Junior doctors on strike outside Royal Preston Hospital
Lancashire Post
13/03/2023
7:03
Nigel Farage comes to Lancashire - this is how he was greeted and what he had to say
Lancashire Post
09/04/2025
0:20
Doctor reveals NHS hospital corridors are being used as part of emergency department
The Independent
07/01/2023
1:31
Nurses Strike: Nurses are 'stressed, tired and overworked', says NHS Foundation Trust chief
Evening Standard
07/02/2023
3:05
Consultants and junior doctors walk out in pay dispute
National World - LocalTV
20/09/2023
0:43
ICU doctor: ‘I’ve never seen the NHS under so much pressure’
ODN
08/01/2021
2:57
Meet the new chief executive of East Sussex Healthcare NHS Trust - Joe Chadwick-Bell
SussexWorld
30/09/2020
0:30
NHS ‘absolutely needs’ more doctors and nurses
ODN
26/03/2020