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.

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Fringe meeting at Labour Party Conference 28 September Brighton

Filed Under (Health Policy, Resources, Speaking) by Paul on 30-09-2009

Meeting for the Smith Institute

Off to the seaside to talk at a fringe meeting at Labour Party Conference. For those who have never been to political party conferences it is not the main set pieces in the Conference that are the main attraction but the fringe meetings. Hundreds and hundreds of meetings packed into lunchtimes, breakfasts and early evenings.  At the beginning of the week people usually fill their diaries with events they want to go and then spend all their time rushing between them.
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World Class decommissioning “having an argument” Step 1

Filed Under (Primary Care Trusts, Reform of the NHS, World Class Commissioning) by Paul on 25-09-2009

But first…

World class decommissioning an explanation of why it is so important.

Using the phrase world class decommissioning on my blog has started to alarm some people. It’s as if I am saying that the whole of a PCTs job is decommissioning. That’s not the case; the organisation s will go on buying new things and hopefully will do so in a way that increasingly approaches worldclassness.
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NHS resources and how to use them from 2010 onwards (3)

Filed Under (Expenditure, Health Improvement, Primary Care Trusts, Public service reform, Resources, World Class Commissioning) by Paul on 22-09-2009

What are the parameters of world class decommissioning?

If world class commissioning consists in part of PCTs commissioning services that provide very good health and health care outcomes and doing it really well, then world class decommissioning involves stopping the provision of services that are less than optimal in health care outcomes or value for money and doing this very well.
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NHS resources and how to use them – for 2010 onwards (2)

Filed Under (Expenditure, Health Improvement, Primary Care Trusts, Resources) by Paul on 21-09-2009

Why World class decommissioning is more important than world class commissioning

On September 16th the DH launched the second year of the World Class Commissioning Process. This is an important step forward in a number of ways.

  • First, this is the first time the DH has recognised that improvement assurance systems require, if they are to really create improvement, needs iteration. It has to happen in a similar way every year so that people are not just randomly examined, but improve on an annual basis.
  • Second, they have recognised that whilst the assurance process is very similar to last year with the same rhythm to the process, there are some stark differences to the development of a five year plan in the autumn of 2009 from the autumn of 2008 and these all concern the relationship between resource and outcomes. The same resource will have to buy much better outcomes.

So the process starts with a clear definition of what commissioning is all about.  
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NHS resources and how to use them – for 2010 onwards

Filed Under (Expenditure, Primary Care Trusts, Public Health) by Paul on 18-09-2009

This, the second week in September 2009, has given us greater clarity about the resources that will be available to the NHS over the next few years whoever wins the next general election. There are two sets of milestones that will make this clearer and more specific, but the direction from both political parties is clear.
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McKinseys recommend 10% job cuts in NHS shock!

Filed Under (Conservative party, Expenditure, Health Policy, Public Health) by Paul on 03-09-2009

The story in the Health Service Journal and several of today’s newspapers is typical (to join the historical analogy of the month) of the phoney war of 70 years ago on the French and Belgian borders.  As a story it is phoney because McKinseys have been recommending that the NHS should have 10% less staff for about the last 5 years. So the fact they think this is hardly news. And the political reactions to it are part of a phoney war,  Government :- How dare they say NHS funding will be need to be cut Conservatives:-  We believe in greater efficiency but – even though it’s two thirds of the costs- this will not touch a hair on the head of front line staff.
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