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 this legislation necessary to reform the NHS?

Filed Under (GP Commissioning, Health and Social Care Bill, Health and Well-being Boards, Primary Care Trusts, Reform of the NHS, Secretary of State) by Paul on 07-02-2012

For exactly these reforms the answer is ‘yes’ because they are framed in such a way as to require legislation.

But for the direction of these reforms, ‘no’. Read the rest of this entry »

“We will radically delayer and simplify the number of NHS bodies” (Health White Paper 2010)

Filed Under (Clinical Commissioning Groups, GP Commissioning, Health and Social Care Bill, Health and Well-being Boards, National Commissioning Board, Reform of the NHS, White Paper) by Paul on 31-01-2012

So how does this simplification look in respect of commissioning?

If you are a Tory MP you will look back to July 2010 and remember a White Paper which rang out loudly with some important truths about getting rid of bureaucracy in the NHS. At the time the Government was announcing its revolutionary plans to reform the NHS. Whilst no-one, including Tory MPs was too clear about what health care problem the reforms were meant to solve, they were at least clear that they wanted to remove layers of bureaucracy form the NHS. Read the rest of this entry »

Developing both Health and Well-being Boards and how they work together.

Filed Under (Clinical Commissioning Groups, Health and Well-being Boards, Local Government, National Commissioning Board) by Paul on 07-12-2011

On Monday I spent the afternoon working with representatives of all of the local Public Health and Health and Well-being boards in North West London.

Two interesting issues arose from this experience.

The first was that local authorities across the sub-region are dedicating developmental time and effort to the process of taking on health improvement. They all recognise that to achieve this they will need to develop their Health and Well-being boards as the forum for discussion with clinical commissioning groups. Read the rest of this entry »