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 »

Is the Government looking to retreat on FTs? – It could move forward if it had the nerve.

Filed Under (Economic Regulator, Foundation Trusts, Health and Social Care Bill) by Paul on 05-10-2011

Trawling through DH and other Government documents that went before the Mid Staffs Inquiry has uncovered further reasons why we might expect an enfeebled Secretary of State to ‘raid’ Foundation Trusts’  surpluses. Read the rest of this entry »

The Politics of Pause – the new contagion afflicting the NHS?

Filed Under (Economic Regulator, Health Policy, Reform of the NHS, Regulation) by Paul on 12-07-2011

Since the April pause ended in June with the launch of the reformed reforms, the Government has been trying to give the impression that it is now moving full steam ahead with its reform programme. But once the leadership of a change programme turns delay into an art form, it becomes inevitable that such an approach will impact upon the whole system. Read the rest of this entry »

The White Paper – some issues. 4. What are the transactional relationships between commissioners and suppliers and how are they organised?

Filed Under (Economic Regulator, Health Policy, Reform of the NHS, White Paper) by Paul on 30-07-2010

Over time this part of the reform programme will become less and less visible. Patients should not have to care about the way in which the NHS moves; they should be interested in its outcomes for them and the fact that they can rely on safe free speedy modern services when they need them.

But as the reforms are developed, as they are bedded in, this aspect of the reform programme is probably more important than the others. It signifies the big shift in power from the NHS HQ which at the moment resides in the Department of Health and is run by a Permanent Secretary who is the CEO of the NHS, to an organisation that is completely different – the economic regulator. Read the rest of this entry »

The NHS White Paper – Overall architecture of the reforms

Filed Under (Economic Regulator, GP Commissioning, Health Policy, Reform of the NHS, White Paper) by Paul on 12-07-2010

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Over the rest of this week I will be posting a number of entries to the blog covering different aspects of the reforms in the White Paper. Here, on the day it is published, I thought it would be useful to take the White Paper at face value and assume it is all implemented as the Government would want it to be.
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The proposed new architecture for the NHS – The Economic Regulator

Filed Under (Economic Regulator, Reform of the NHS, Secretary of State) by Paul on 21-06-2010

The economic regulator; providing a helping hand to the hidden hand and replacing the ineffectual worrier.

My previous posts on the new architecture of the NHS proposed by the new Secretary of State have concentrated on what the new architecture for commissioning and provision looks like. This will describe how the relationship between provision and commissioning will be organised.
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