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 Coalition disagreement makes it easier for the Government to get across this week’s message on NHS reform.

Filed Under (Coalition Government, Health and Social Care Bill, Reform of the NHS) by Paul on 13-06-2011

Earlier today I suggested that the Government’s main task on NHS reform this week was to get the public to believe that the Government are 100% committed to a policy that will protect the NHS from the policy that the same Government were 100% committed to in July 2010. Read the rest of this entry »

The new pinnacle of government ambition on NHS reform – successfully explaining the reforms to their reforms.

Filed Under (Coalition Government, Health and Social Care Bill, Reform of the NHS) by Paul on 13-06-2011

This week the pinnacle of Government ambition on NHS reform is to get their new position across to the public.

By the end of the second week of June 2011, the Government want the public to believe that the Government are 100% committed to a policy that will protect the NHS from the policy that the same Government were 100% committed to in July 2010. Read the rest of this entry »

Disruptive innovation and the NHS – better outcomes with less resource.

Filed Under (Creating public value, Culture of the NHS, Innovation) by Paul on 09-06-2011

Yesterday I spoke at a conference organised by Reform – the think tank that argues for better and faster reform of the NHS and other public services. It highlighted the ways in which different aspects of the NHS and other health services can make disruptive innovations to improve their outcomes for fewer resources. Of course much of the conference spoke about specific innovations that could both save money and improve outcomes. One of the most inspiring for me was an example from India which I quote at length below. Read the rest of this entry »

Yesterday the Prime Minister tried to regain control of his NHS reform policy…

Filed Under (Coalition Government, Health and Social Care Bill, Health Policy) by Paul on 08-06-2011

Two months ago, on April 4th, the Prime Minister called for a pause for a bit of a think about his NHS reforms. That same day the chair of the Health Select Committee, Stephen Dorrell, noted that the Government had ‘lost control of its health policy’ and the last two months have witnessed some very machinations as various other groups of people and vested interest groups have set about trying to take over that control. Read the rest of this entry »

“You have to stand in front of people and take the lumps” – Canadian advice for promoting health reforms, but will the government take it?

Filed Under (Health and Social Care Bill, Narrative of reform) by Paul on 07-06-2011

A few weeks ago, at the height of the Government’s pause for a bit of a think about its NHS reforms, there were a group of Ministers and civil servants from Canada in London to share their experiences of how they improved value for money in their health service during the last recession in the 1990s.

Canada spends 12% of its GDP on its health service. Some people in Canada feel that having a socialised health service that is similar to the NHS is one of the national experiences that define Canada as different from its neighbour to the south. Their system is becoming even more similar to the UK’s as our national and provincial Governments of Scotland, England, Wales and the Northern Ireland develop the NHS in their own way. Individual provinces in Canada are also responsible for running their socialised health services, within a set of principles laid down by the Canada Health Act. Read the rest of this entry »

What will the Government learn from its chief listeners about developing better NHS reform?

Filed Under (Health and Social Care Bill, Listening Groups, Narrative of reform, Reform of the NHS) by Paul on 06-06-2011

By now the Secretary of State will have received the reports of the four listening groups and will be poring over them for their recommendations concerning the detail of changes to the Health and Social Care Bill.

Having lost control of its health policy on April 4th how, two months later on June 6th, can the Government regain control of it? Read the rest of this entry »

If integration of NHS care is the answer, what exactly is the question?

Filed Under (Competition, Kings Fund, Patient Choice) by Paul on 03-06-2011

One of the more interesting aspects of the period that the Government has taken to have a bit of a think about its reforms has been the way in which organisations that have had a long term solution to the problems faced by the NHS have used this space to suggest that their solution can solve its problems. Read the rest of this entry »

Will the Government’s NHS reforms solve the value for money problem identified by the Prime Minister?

Filed Under (Health and Social Care Bill, Narrative of reform, Reform of the NHS) by Paul on 02-06-2011

For its first 8 months of life the Government was silent on whether there were any financial problems in the NHS at all. Whenever they mentioned it at all they claimed that since they were putting extra money into the NHS and cutting everything else, the NHS was “safe in their hands”. Read the rest of this entry »

Here’s a novel idea for creating a narrative for NHS reform – First outline the problem and then explain how your reforms will solve it.

Filed Under (Health and Social Care Bill, Narrative of reform) by Paul on 01-06-2011

What I most remember about developing and implementing a narrative for the reform of the NHS from 2001-2007 was the importance of doing so every week – and often every day. How did everything fit together? Read the rest of this entry »