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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‘Commissioners not providers – should decide what they want to be provided; they need to take into account what can be provided… but in the end it is the commissioners whose decision must prevail.’ Francis recommendation 129

Filed Under (Clinical Commissioning Groups, Contracts) by Paul on 27-02-2013

We are just over a month away from the implementation of the new NHS reform architecture on April 1st. So I thought it might be timely to speculate a bit on what is likely to happen. Since some of the biggest changes concern the nature of commissioning it might be worthwhile starting there.

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Real integration needs tough, powerful integrators

Filed Under (Contracts, GP Commissioning, Integration) by Paul on 30-05-2012

Over the last few weeks I have been outlining the different mechanics of new elements of reform that will be necessary if commissioners are going to be able to transform health care for NHS patients. A few weeks ago I mentioned the importance of them buying effective packages of self care. Last week I outlined two different approaches to the way in which commissioners contract health care and today I want to outline some of the radical thinking that is taking place about how the provision of integrated care can be developed. Read the rest of this entry »

What are the necessary components for transformational commissioning of NHS patient services?

Filed Under (Contracts, GP Commissioning, Health Policy) by Paul on 27-05-2012

Over the years people have often asked me how all this reform fits together. I am afraid that the answer is that as I look at each individual aspect the conclusion I come to is that if you want transformational change in the NHS you have to do a number of new things at once.

Over the last few weeks I have been writing a series of blogs to try to outline the different mechanics that need to be at hand for NHS Commissioners to transform the health and health care that they commission. Read the rest of this entry »

COBICs – another form of outcome based contract being developed by GP commissioners

Filed Under (Contracts, GP Commissioning) by Paul on 22-05-2012

10 days ago I attended an interesting discussion about new forms of contract between GP commissioners and providers.

Yesterday I mentioned the alliance contract and today I want to talk about the main theme of another new form – the Capitated Outcome Based Incentivised Contracts (COBICs). I have been involved with GPs and others in developing these contracts so I was particularly interested in how the very different people in the room would take to the idea. Read the rest of this entry »