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.
Patient choice and the NHS – the debate goes publicFiled Under (BBC, Health Policy, Primary Care Trusts) by Paul on 29-03-2011The BBC has just launched its own analysis on Radio 4’s Today programme examining NHS progress toward the development of competition. Nick Triggle’s report also appeared on the BBC’s website. Read the rest of this entry » The centralisation of NHS power as a method of liberating the NHSFiled Under (GP Commissioning, GRIP, Primary Care Trusts, Reform of the NHS) by Paul on 22-03-2011More analysis of the dual power system that has been set up within the NHS. Read the rest of this entry » GRIP 2 – More on the New Liberation Theology of the NHSFiled Under (Foundation Trusts, GP Commissioning, GRIP, Health Policy, Primary Care Trusts, Reform of the NHS) by Paul on 11-02-2011The story so far… Last December the Government decided to support two opposing models of policy implementation for the NHS. The first is for the medium term. It is the policy of liberating the NHS from the power of traditional NHS bosses and developing the different market mechanisms that they feel will bring greater efficiency. Read the rest of this entry » So exactly what IS Oliver Letwin reviewing?Filed Under (Coalition Government, GP Commissioning, Health Policy, Primary Care Trusts, Reform of the NHS, Secretary of State, White Paper) by Paul on 06-12-2010Since last Tuesday’s Nick Timmins story in the Financial Times that Oliver Letwin, (Cabinet Minister for thinking through policy) was ‘reviewing’ the NHS reform programme before the publication of the Bill, a number of people have asked me what I think is happening. Read the rest of this entry » Small things can make the big changesFiled Under (GP Commissioning, Primary Care Trusts, Reform of the NHS) by Paul on 26-11-2010A part of my week is spent with quite large health policy and political issues. Either writing my blog or in giving talks about the large scale changes that the NHS is going through. Interesting work on a very big scale. Read the rest of this entry » The problem with the organisation of NHS finances is that it has had less reform than almost any other area of NHS operation. It’s true that there are some prices, some contracts with some buyers and with some sellers, and that this has changed behaviour for some of the best FTs irrevocably. But the problem is that the view from the top of the NHS is that it still believes that it runs the finances of the NHS from Whitehall. Able to have ‘line of sight‘ of the money and being able to descend upon localities to tell them what to do. And to a large extent they are right. Read the rest of this entry » or meet the new regional office of the National Commissioning Board – just like the old SHA. The current Secretary of State for Health has called his White Paper “revolutionary”. Because I know a thing or two about the theory and practice of revolutions, I was always careful not to call any of New Labour’s NHS reforms revolutionary. They were not revolutions they were just that – reforms. Read the rest of this entry » Government policy aims to move accountability for commissioning of £100 billion NHS care from the state to the private sector by 2012Filed Under (Accountability, Coalition Government, Expenditure, GPs, Incentives, Primary Care Trusts, Public service reform, Reform of the NHS, Secretary of State) by Paul on 24-05-2010At 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. Happy families in the NHS? – or time for some PCTs to leave home?Filed Under (Culture of the NHS, Expenditure, Health Policy, Primary Care Trusts, Public service reform, Reform of the NHS, Secretary of State, Uncategorized) by Paul on 18-05-2010One of the few consistent and long term insights that ‘management literature’ has given me is transactional analysis. Managers may be treated by those they manage as “parents” and managers can treat those they manage as “children”. Sometimes managers are good parents and sometimes they are very bad parents. Sometimes children are naughty and demand to be punished, and sometimes they want to leave home and set up for themselves. More on the next steps on competition law and the NHSFiled Under (Health Policy, NHS Providers, Primary Care Trusts, Secretary of State) by Paul on 22-04-2010I am sure that blog readers are riveted by the politics of the NHS in the election, but to just remove yourself for a moment from that excitement, the real world of policy implementation doesn’t stop just because of the election. Most of you will know that there is a set of rules called purdah where the Government is not allowed during the election to do anything that could give it political advantage. But that doesn’t mean that all normal business stops. |
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