The economic realities of the Health Service.
The Unit General Manager may normally be treated with total indifference or acute suspicion but anything he has to say about "efficiency savings" will certainly be treated with scepticism usually reserved for those claiming "the cheque is in the post". Staff will recognise this as another term for "cut backs". It may be most honest to say that since there is not enough money to cover increased demands it will have to be redistributed and this cannot be done without causing some suffering.
D005376:Financial Management; D005377:Financial Management, Hospital; D013222:State Medicine / Q000191:economics*; D006113:United Kingdom