OPEN LETTER to NHS Chief Executives

Dear Chief Executives,

At a time of unrelenting financial pressure, organisational reform and frontline challenge, we recognise the impossible calculus you face.

The demand to do more with less is relentless. Often, the easiest targets for reduction are those teams and services perceived as non-essential.

Clearview’s founders and associates, a collective of strategic communications and engagement professionals, urge you to pause and consider what is truly fundamental to the success of public service transformation.

Strategic communications is not a luxury for calmer times. It is the infrastructure that enables trust, cohesion, and clarity both inside and outside of your organisations. In moments of disruption, the need for purposeful, credible, and sustained engagement only intensifies.

The cost of false economies

Across the NHS and wider public sector, we are seeing strategic communications teams being thinned out, sidelined or systematically underfunded in the name of short-term savings. This is a false economy. The long-term consequences – organisationally, culturally and reputationally – are deeper and more expensive than any immediate efficiency gain.

These teams do more than write press releases or manage reputational risk. They are the architects of internal alignment, cultural resilience and public trust. They are often the only part of the systems you lead with a view across siloes, able to join the dots between strategy, delivery and staff and patient experience. When they are lost, organisations lose memory, context and coherence.

And if we are honest, the roles and requirements don’t disappear, they are simply displaced. New roles pop up around the organisation often at greater cost, with less continuity and strategic grip.

We have been here before

We have seen this dynamic play out elsewhere. When parts of the UK rail sector underwent major restructuring in the early 2010s, many operators deprioritised communications in favour of operational cost-cutting. The result? Confusion among staff, loss of public goodwill during timetable changes, and a surge in crisis communications needs that had to be met by high-cost contractors unfamiliar with the organisational context.

By contrast, the energy sector, particularly during the post-privatisation regulatory upheavals, invested in strong, strategic communications leadership. It helped major players navigate difficult price reform narratives, manage regulatory relationships and maintain public legitimacy even during price hikes and infrastructure transitions.

In local government, those councils that protected engagement capacity during austerity were able to sustain community partnerships, deliver behavioural change campaigns, and manage expectation during service redesign. Those that didn’t faced deeper trust deficits and had to rebuild at higher cost, if at all.

The NHS is no different. Indeed, the complexity and emotional intensity of healthcare make trust and communication even more central to system effectiveness.

Strategic enablers, not support functions

If we are serious about transformation, integration and culture change, we must stop treating communications as a back-office support function. It is a strategic enabler. It should sit alongside finance, digital and HR as one of the disciplines required to steer complex change, retain staff, and connect with communities.

When you cut these functions, you are not just reducing headcount, you are removing the very capabilities you will need most as the pace of change accelerates. And when the gap becomes too visible to ignore, you will reintroduce these capabilities at higher cost, with lower impact, and often without the benefit of institutional knowledge.

As a strategic communications agency we’re actually arguing against our own commercial interest here, because it’s the right thing to do for your staff, patients and the communities you serve.

A call to leadership

This letter is not a complaint. It is a call to leadership.

We understand the need for efficiency. But strategic choices must be made in the round. Protecting and empowering communications professionals is not an indulgence. It is foresight. It is an investment in the organisational credibility, public confidence and staff alignment that will be essential for what comes next.

We ask you to resist the temptation to cut what cannot be immediately measured. We ask you to consider the compounded costs of disconnection, misinformation and disengagement. Above all, we ask you to remember that the public sector is nothing without the public—and that sustaining trust is a discipline in its own right.

Clearview

Published by Kirk Ward

Kirk Ward is a communications and engagement strategist with more than 15 years of experience in storytelling, understanding audiences and delivering change. He worked as a national, regional and local news journalist and editor before moving into PR and political engagement roles in the private and regulatory sectors. His political work has taken him to the Department of Health and Social Care, Cabinet Office and No 10 on a regular basis, helping leaders and organisations use their voices. Kirk has held a range of senior communications roles over the last decade, building and leading teams through major change programmes, crises and shifting political and operational contexts. As Executive Director of Communications and Engagement in the NHS, he was crucial in steering his organisation, the local community and the wider health service through the COVID-19 pandemic. His work helped shape the rollout of the UK’s COVID-19 app, which secured over 70,000 downloads on the Isle of Wight—roughly half the total population. Find out more about his COVID-19 work [here.](https://www.futureproofingcomms.co.uk/thelatest/fp5-chapter08) Kirk specialises in improving staff engagement, change communications and strategy development. His work on the Isle of Wight saw a failing NHS organisation transform its culture and performance, securing a Good rating from the Care Quality Commission. Clear communication was at the heart of that improvement, and its impact is still being felt. Kirk’s proactive approach to media and political engagement has delivered results for a long list of public and private clients. He is passionate about the power of good communication and engagement. Clearview started as a vehicle for supporting leaders to communicate authentically. He advises chief executives, senior leaders, and communications professionals seeking to communicate clearly and have a lasting impact.

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