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 »

What’s wrong with modern health systems – an analogy. Plus an explanation of what I mean by the cost and price of failure in the NHS and the Canadian health system.

Filed Under (Canada, Health Improvement, Resources) by Paul on 15-11-2012

Whilst in Canada I spoke at a conference run by the Ontario Hospital Association (the equivalent of our Confederation but only covering hospitals). The opening speaker was Don Berwick who, whilst being from the US is no stranger to the NHS and its reform. Don helped to set up one of the best health improvement organisations in the world – the Institute of Health Improvement (the IHI, the website is well worth a visit) and it was as the IHI that he spent much of the late 90s and the first decade of this century helping the NHS. Read the rest of this entry »

Reform and Healthcare in Canada

Filed Under (Canada, Healthcare delivery, Public Health, Public service reform) by Paul on 12-11-2012

I spent last week in Canada talking to people engaged in health care reform in the provinces of Ontario and Quebec. Canada has a socialised medicine system with a lot of similarities to the UK system. The very existence of a socialised medicine system is very important to most Canadians.  Many would say that it is their socialised medicine system that differentiates them from the USA. Read the rest of this entry »