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 »

How do Andy Burnham’s proposals stack up against his own attacks on Government policy?

Filed Under (Clinical Commissioning Groups, GPs, Health Policy, Labour Party, Local Government) by Paul on 18-02-2013

2 “The Government is wrong to carry out an unnecessary top down reorganisation.” 

A few weeks ago Andy Burnham made an important speech launching a major consultation on Labour’s Health Policy. What he described as “the biggest consultation on health and social care policy by the Labour Party for 20 years” is obviously an important event. My Monday posts are discussing his policy proposals in a particular way. Read the rest of this entry »

How do Andy Burnham’s proposals stack up against his own attacks on Government policy?

Filed Under (Health Policy, Labour Party) by Paul on 11-02-2013

1: “The Government is wrong to be fragmenting the NHS.”

A few weeks ago Andy Burnham made an important speech to launch a major consultation on health policy. What he has described as the biggest consultation on health and social care policy by the Labour Party for 20 years is obviously an important activity. Over the next few months I am sure there will be fierce debate about what should and should not go into the final policy but every Monday for the next few weeks, I’m going to discuss the policy proposals in a particular way. Read the rest of this entry »

Is the ‘family and friends’ question really too hard for patients?

Filed Under (Health Policy, Public Health) by Paul on 09-01-2013

Reading some of the press reports on Monday, following the Prime Minister’s announcement of the extension of the ‘families and friends’ question to more organisations serving NHS patients, felt like an old and welcome friend from some years ago had returned. It made me wonder whether, after more than two and a half years of complete mayhem, the Government may be starting to find its touch with the politics of NHS reform. Read the rest of this entry »

The NHS Confederation makes its case for a year of change in NHS hospitals

Filed Under (Clinical Commissioning Groups, Health Policy, Healthcare delivery, Hospitals, Independent Reconfiguration Panel, National Commissioning Board, Secretary of State) by Paul on 02-01-2013

The Government’s NHS reforms have done little to prevent the main change that will have to take place to ensure that our health service survives and thrives in any meaningful way in the future. That is the major reorganisation of many of the patient services that are at present delivered from NHS hospitals. In the last few days of 2012, the NHS Confederation has been putting the argument for change.   Read the rest of this entry »

The debate about the need for NHS reform is slowly beginning to stir within the Labour Party.

Filed Under (Health Policy, Labour Party) by Paul on 10-12-2012

I didn’t post about this stirring at my first sighting a few weeks ago because one flutter in the foliage doesn’t necessary mean that something is really happening. But now, after a couple more sightings, I think we can safely say that, within the Labour Party, we really can see the return of NHS reform as a policy discussion. Read the rest of this entry »

Turning the tables. How might CCGs use the Secretary of State’s mandate to hold the National Commissioning Board to account?

Filed Under (Clinical Commissioning Groups, Health Policy, National Commissioning Board, Secretary of State) by Paul on 26-11-2012

This is my third post about the mandate because I think this is such an important part of the new NHS architecture. This one is looks at it from a different point of view – in a way that could turn the whole politics of the mandate on its head. Read the rest of this entry »

On Labour’s plans for Reorganising NHS Commissioning.

Filed Under (Health and Social Care Act, Health Policy, Labour Party) by Paul on 22-10-2012

A report in the Guardian last week explained how some Labour Party policies that were announced at the Labour Party Conference were developed.

Before the Conference I commented on the difficulties that the Party front bench had got itself into by saying it would repeal the Health and Social Care Act of 2012. On the face of it this looks like good, simple politics. (The Act is unpopular, ergo repealing the Act will be popular). Read the rest of this entry »

Understanding how Francis might understand the world of the NHS

Filed Under (Accountability, Francis Report, Health Improvement, Health Policy) by Paul on 17-10-2012

A few weeks ago we learnt that the publication of the Francis Report on Mid Staffs will now be put off until January. In the interim there have been some concerns shared within the NHS about how the report might understand its world.

As Paul Hodgkin from Patient Opinion said at the conference I mentioned in Monday’s post, if the answer that the Francis report comes up with is ‘more regulation’, then they are probably asking the wrong question. Read the rest of this entry »

We live in such cynical times……

Filed Under (Conservative party, Health Policy, Secretary of State) by Paul on 10-10-2012

I, along with what I thought were most people, assumed that last Saturday morning Jeremy Hunt made a big mistake. The main item on the news and the front page of the Times’ magazine were full of the reporting of his belief that abortions should be restricted to 12 weeks after conception. Read the rest of this entry »

What might the Conservatives say about NHS policy at their Conference?

Filed Under (Conservative party, Health Policy, Reform of the NHS) by Paul on 08-10-2012

In two years time the Conservative Party conference of 2014 will take place just a few months from the General Election. The Conservatives will not want to go into that Conference with their opinion poll placing on the NHS as far behind the Labour Party as it is now. Read the rest of this entry »