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 »

Spending on health alone will account for 22.5 per cent of the total increase in spending between 2011-12 and 2014-15

Filed Under (Budget, Economics) by Paul on 18-03-2013

(Not just a crash diet. Reform publication 12 March 2013)

The Budget comes up this week and for this and the next few budgets the best news for any domestic public spending department will be for the health service. As today’s blog headline suggests, health will have grabbed nearly a quarter of all the increase in spending over that time period. Read the rest of this entry »

Reflections on the Nuffield Summit

Filed Under (Economics, Narrative of reform, Reform of the NHS) by Paul on 13-03-2013

The first day of last week’s Nuffield Health summit concentrated on the linked issues of quality and finance. We are going to have to improve the former whilst having less of the latter. I will return to this issue.

Throughout my time at the Summit I couldn’t shake off the nagging idea that, here we are in the spring of 2013 – and right now would have been a great time to launch a Government NHS reform programme. Read the rest of this entry »

The Nicholson challenge is now for 10 or 15 years. Will the NHS meet it?

Filed Under (Economics, Nicholson Challenge, Reform of the NHS) by Paul on 24-12-2012

For my last post of the year I want to return to one of the main themes of the year – the short, medium and long term relationship between the state of the British economy and the consequent necessary changes to the way in which the NHS will operate given the reduced level of resources that it has to spend. Read the rest of this entry »

More long term realism about the ability of the British economy to grow

Filed Under (Economics, Resources, US opinion) by Paul on 12-10-2012

There is a growing realisation amongst senior managers in the NHS that the future level of NHS resources are inextricably linked to the ability of the British economy to grow – or not. There is also a tight political boundary drawn by the fact that I cannot see any political party standing on a platform of charging for NHS services and winning general elections in 2015 and 2020. Read the rest of this entry »

The Labour Party is right to talk of reforming the economy and, for the Labour Party, to reform the economy you have to reform the state.

Filed Under (Economics, Labour Party, Public service reform) by Paul on 03-10-2012

Ed Miliband has been right to concentrate on Labour’s plans to reform the economy at the Party Conference. There is growing and longer term evidence that the British economy really is broken. The prospect of our being able to revive it in its present form – so that it can provide prosperity for even the average earner let alone the lower paid – looks bleak. Read the rest of this entry »

Why Government-induced public fear about the economy creates a smaller economy and more fear.

Filed Under (Economics) by Paul on 06-07-2012

I promised a series of Friday blogs about the nature of the current economic crisis and the policies related to it. Last week I hope I explained how the problems the government has with its policy of containing public expenditure impacts the NHS.  Despite the government having a policy of cutting public expenditure, it became clear last Tuesday week that it had actually risen over the year by nearly 8%. I think that figure may have had a direct impact upon the NHS’ first entrant into the ‘failure regime’. Read the rest of this entry »