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 »

Taking the next steps in paying for social care – forwards or backwards?

Filed Under (Health Policy, Public service reform, Social Care) by Paul on 05-07-2011

Governments – all governments – produce hundreds of reports every year. This is partly because they all set up hundreds of reviews that all – at one time or another -have to report their findings. So it’s tempting to see the Dilnot report as just another report from just another review.

This would be a mistake. The reality of an ageing society is now all around us and will create more and more stresses on our social and economic reality. From previous posts on this blog and from the NHS itself we already know that Long Term Conditions will in the future cost the NHS an increasing amount of resource every year primarily because of the ever increasing number of people who live to be older than 85. We know that this increase in demand for health care from much older people is going to force the NHS to radically change the way in which the whole service delivers health care for people with Long Term Conditions. Read the rest of this entry »

When hesitation and retreat becomes a habit, it’s very hard for governments to shift into forward gear again.

Filed Under (Coalition Government, Competition, Public service reform) by Paul on 04-07-2011

Armies and governments can get used to retreating. In becoming expert at doing so they may forget that they are giving ground all the time, and when reviewing their week’s work, think it good – because they retreated well.

When the strategy is to give ground, the tactics are to do it well. Read the rest of this entry »