My mission statement

The times we are working in now need a great deal of accelerated change and there must be no negotiating that down. So my mission statement for this part of my consultancy career is to be clear that there needs to be and will be a lot of change from the work that I do with individuals and organisations and if organisations don’t want that, then it is probably best to go somewhere else.

Read my statement in full »

Holiday Reading 2 – Keeping politics out of the NHS. The Coalition government’s stated intention and how and why it is returning to ever more detailed political management?

Filed Under (Accountability, Conservative party, Health Policy, Public service reform, Secretary of State, White Paper) by Paul on 11-08-2010

Conservative policy documents for several years leading up to the election had pledged to “remove politics from the day-to-day running of the NHS” and to “end political micro-management”

This language was repeated in the Manifesto and has been repeated since then in both speeches and in the White Paper itself. Read the rest of this entry »

Holiday reading

Filed Under (Accountability, GP Commissioning, Health Policy) by Paul on 04-08-2010

During August a lot of people are on holiday so I am going to post a weekly blog on a background issue to the current politics of the NHS before getting back to the detail of the current policy and implementation shifts in September.

The four will be

  1. Her Majesty’s Treasury why does it consistently resist NHS reforms that are based upon improving productivity through organisational incentives?
  2. Keeping politics out of the NHS .The Coalition government’s stated intention and how and why it is returning to ever more detailed political management.
  3. The BMA and the other NHS unions
  4. NHS resources over the next few years. Pressure points and deficits to come.
  5. Read the rest of this entry »

The proposed new architecture of the NHS – Commissioning

Filed Under (Accountability, GPs, Reform of the NHS, Secretary of State) by Paul on 17-06-2010

Over the next few days I will post a series of blogs on how I see the new architecture of the NHS proposed by the Secretary of State working. These will be updated after the health white paper in July but this is my best guess.
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Government policy aims to move accountability for commissioning of £100 billion NHS care from the state to the private sector by 2012

Filed Under (Accountability, Coalition Government, Expenditure, GPs, Incentives, Primary Care Trusts, Public service reform, Reform of the NHS, Secretary of State) by Paul on 24-05-2010

At first sight the Government’s plan – published on May 20th – appears to provide a confused answer to the question of who is going to commission NHS health care from 2012.
Read the rest of this entry »

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