Health Matters | Paul Corrigan's blog
My mission statementThe 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.
Patients’ charities argue for better care – with better value for money – for NHS patientsFiled Under (Charities, Creating public value, Reform of the NHS) by Paul on 16-09-2010Thursday 16 September marks an event that will, in the long term, become one of the most important in the NHS. This is not a White Paper or a speech by the NHS Chief Executive but I think, in the next few years, it will change the terms of trade that make the NHS tick. Read the rest of this entry » The White Paper – Liberating the NHS and the independent sectorFiled Under (Creating public value, Health Policy, NHS Providers, Reform of the NHS, Third Sector, White Paper) by Paul on 23-07-2010If there is one group that should have received the White Paper with unalloyed pleasure it is the private sector health care companies who are trying to sell their services into the NHS. Read the rest of this entry » Most of the policy announcements made by the new Secretary of State have so far been made in front of hospitals that he is either ‘saving ‘or ‘reopening’. I have written on another web site how the preservation of hospitals “in aspic” represents one part of our society that the modern Conservative Party wants to “hold still” but why, given the amount of change they are pouring into the NHS system through the use of markets, this wish will probably fail. Regular readers of the blog will have come across the way in which I have explored the difference between policy and politics in the Conservative stance on NHS change over recent months and in the first few days of the new Government. Policy argues for a fundamental change brought about by the development of markets within the NHS. More incentives must be given to GPs as commissioners to drive change throughout the system. There must be a policy of “any willing provider” and the NHS must get used to empowered patients with much better information flowing around the system. Improving health care for NHS patients – the role of mergers and acquisitionsFiled Under (Creating public value, Foundation Trusts, Public Health, Public service reform, Reform of the NHS) by Paul on 23-02-2010One of the more interesting speculations that people make about the future of the NHS is about the nature and shape of what NHS secondary care might look like in ten years time. Everyone recognises that there will be continual change in what takes place in NHS secondary and tertiary hospitals, and that this will probably mean that the structure and organisation of that care will be very different from the trust form that holds sway at the moment. On December 18th I posted concerning the decision of ACEVO and private sector providers of health services to take a case to the NHS Cooperation and Competition Panel concerning the Secretary of State’s personal preference for NHS providers and his attempt to impose that preference on NHS Commissioners. Today the unprecedented news came through that the Panel have decided that they can accept the case and are carrying out an investigation. Whilst I have always argued that the Secretary of State’s intention to impose his own preference on the NHS commissioners was almost certainly breaking competition law, to actually see it happening is a bit startling. The Money and how to spend it betterFiled Under (China, Creating public value, Expenditure, Public Health) by Paul on 06-07-2009The good thing about the last few weeks is that the more that is said about the problems of the coming crisis in public expenditure, the more that it is recognised that the NHS cannot be excluded from its impact. Its true that because of the importance of the NHS there may be a smaller impact on the NHS than say transport, but there is still a recognition that the increases in money of the last few years will stop, but the increase in demand for health care will continue. |
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