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 »

How do Andy Burnham’s proposals stack up against his own attacks on Government policy?

Filed Under (Clinical Commissioning Groups, GPs, Health Policy, Labour Party, Local Government) by Paul on 18-02-2013

2 “The Government is wrong to carry out an unnecessary top down reorganisation.” 

A few weeks ago Andy Burnham made an important speech launching a major consultation on Labour’s Health Policy. What he described as “the biggest consultation on health and social care policy by the Labour Party for 20 years” is obviously an important event. My Monday posts are discussing his policy proposals in a particular way. Read the rest of this entry »

How do Andy Burnham’s proposals stack up against his own attacks on Government policy?

Filed Under (Health Policy, Labour Party) by Paul on 11-02-2013

1: “The Government is wrong to be fragmenting the NHS.”

A few weeks ago Andy Burnham made an important speech to launch a major consultation on health policy. What he has described as the biggest consultation on health and social care policy by the Labour Party for 20 years is obviously an important activity. Over the next few months I am sure there will be fierce debate about what should and should not go into the final policy but every Monday for the next few weeks, I’m going to discuss the policy proposals in a particular way. Read the rest of this entry »

The debate about the need for NHS reform is slowly beginning to stir within the Labour Party.

Filed Under (Health Policy, Labour Party) by Paul on 10-12-2012

I didn’t post about this stirring at my first sighting a few weeks ago because one flutter in the foliage doesn’t necessary mean that something is really happening. But now, after a couple more sightings, I think we can safely say that, within the Labour Party, we really can see the return of NHS reform as a policy discussion. Read the rest of this entry »

On Labour’s plans for Reorganising NHS Commissioning.

Filed Under (Health and Social Care Act, Health Policy, Labour Party) by Paul on 22-10-2012

A report in the Guardian last week explained how some Labour Party policies that were announced at the Labour Party Conference were developed.

Before the Conference I commented on the difficulties that the Party front bench had got itself into by saying it would repeal the Health and Social Care Act of 2012. On the face of it this looks like good, simple politics. (The Act is unpopular, ergo repealing the Act will be popular). Read the rest of this entry »

When is an NHS reorganisation not an NHS reorganisation?

Filed Under (Health and Social Care Act, Health Policy, Labour Party, Local Government, Localities, Reform of the NHS) by Paul on 05-10-2012

Andy Burnham made an important speech to Conference about the Labour Party’s policy on health services. In doing so demonstrated why it’s important for opposition parties not to announce policy specifics 30 months before the election. What he has discovered is that when you announce one big thing it leads to a whole host of questions about everything else. .

He announced a number of things that will now be probed in great detail. Read the rest of this entry »

The Labour Party is right to talk of reforming the economy and, for the Labour Party, to reform the economy you have to reform the state.

Filed Under (Economics, Labour Party, Public service reform) by Paul on 03-10-2012

Ed Miliband has been right to concentrate on Labour’s plans to reform the economy at the Party Conference. There is growing and longer term evidence that the British economy really is broken. The prospect of our being able to revive it in its present form – so that it can provide prosperity for even the average earner let alone the lower paid – looks bleak. Read the rest of this entry »

What will form the core of Labour’s NHS policy – patients or NHS organisation?

Filed Under (Health Policy, Labour Party) by Paul on 19-09-2012

Some of my friends’ lives revolve around the dates of world, national or European soccer cups. The more normal amongst them organise their time around their jobs or houses. But most of ‘me and mine’ have had their lives organised around the milestones of General Election dates. Read the rest of this entry »

Why did Bevan favour “centralised financial responsibility and de-centralised administration at the periphery.” for the NHS in 1948?

Filed Under (Labour Party, Nye Bevan, Reform of the NHS) by Paul on 24-04-2012

For readers interested only in the NHS I’m afraid this is going to be a bit of history lesson of the world of left-wing politics in the mid 20th century. For younger readers interested in politics it will be a small lesson from history that may explain some of the ways in which politics work today. Read the rest of this entry »

How might Labour ruin their superior political position on the NHS?

Filed Under (Health and Social Care Bill, Health Policy, Labour Party, Reform of the NHS) by Paul on 22-03-2012

As the Health and Social Care Bill was clearing its final hurdle in the House of Commons – just after 10 o’clock on Tuesday evening – I was on the Radio 4 programme “The World Tonight” talking about the Bill.

I mentioned recently that it’s fun talking to journalists about the Health and Social Care Bill because they, as a matter of professional pride, expect to be able to explain very complex things very simply. Yet they are all to a person defeated by the experience of trying to do that with this Bill. Read the rest of this entry »

“The argument is not between reform and no reform. The argument is between bad reform and good reform.”

Filed Under (David Milliband, Health and Social Care Bill, Labour Party, Reform of the NHS) by Paul on 19-03-2012

Last Tuesday unusually saw a debate on the Health and Social Care Bill in both Houses of Parliament at once. In the Lords the 3rd Reading of the Bill is the last their lordships will see of the Bill. In the Commons there was an opposition day’s debate discussing a motion advising the Government to drop the Bill. This in itself was unusual since next week the Commons will have its own opportunity to vote to drop the Bill when the real thing returns to the Commons for a debate on the changes made in the Lords. Read the rest of this entry »

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