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 »

“You don’t know what’s going on”

Filed Under (GP Commissioning, Health Policy, Reform of the NHS) by Paul on 05-11-2010

For those readers of my blog that don’t frequent the football terraces, a word of explanation about the title. This is a chant that is sung at referees at football matches. It is sung when the home crowd think the referee has just made three or four decisions that the home fans obviously disagree with. It is usually accentuated with a number of swear words that should not be used in a family blog such as this. Read the rest of this entry »

So what is the nasty party going to do to NICE?

Filed Under (Conservative party, Creating public value, GP Commissioning, NICE) by Paul on 04-11-2010

Monday’s post raised the issue of the future of NICE’s powers to say whether drugs were value for money for the NHS. Then I was unsure whether the issue had been floated by the Government to see what would happen – or if this was the announcement of a new policy.

On Tuesday in the House of Commons at Health Question Time the current Secretary of State clarified what he plans for NICE. Read the rest of this entry »

The NICE debate – some clarifications

Filed Under (Creating public value, GP Commissioning, NICE) by Paul on 03-11-2010

I have been asked to clarify my thinking on how I see the new system for deciding on value for money working once NICE has been removed from the system.

At the moment NICE decides on the cost effectiveness of drugs for the NHS based on  formulae about their cost in relation to the quality of life years that they provide. If a drug is expensive and provides a small amount of quality of life years then it is unlikely to be cost effective. Conversely if it is cheap and provides a lot then it will be.  This means that the NHS has a great interest in using drugs that are available at a price that provides good outcomes. Read the rest of this entry »

More thoughts on the nasty party abolishing NICE.

Filed Under (Creating public value, NICE) by Paul on 02-11-2010

Yesterday’s post laid out three different ways in which the story on NICE could go. There still hasn’t been a definitive statement from the Government, but the statement from the DH yesterday does lead us all to believe that they are going to abolish NICE’s duty to decide on drugs’ value for money. Read the rest of this entry »

NICE and its abolition. The test to find out if the Conservative Party still the “nasty party”?

Filed Under (Conservative party, NICE) by Paul on 01-11-2010

This is perhaps the most important NHS story since the election.

Or it could be a media misunderstanding.

Two newspaper reports both predict that the Coalition government will abolish NICE’s powers to define those drugs that are value for money for the NHS. Saturday’s (October 30th) Guardian had two quotes from Government Ministers saying basically that, after the creation of value based pricing in 2014, NICE’s duty to analyse value for money drugs for the NHS would be redundant. The Guardian treated this – with some shock – as a page 1 exclusive. Read the rest of this entry »