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 »

The politics of last Saturday’s march – a Tory MP muses

Filed Under (Conservative party, Expenditure, Health Improvement, Health Service Unions, Reform of the NHS, Trades Unions) by Paul on 02-04-2011

Luckily this blog does not have to engage too deeply with the politics surrounding the Coalition Government’s policy on public expenditure cuts. That means the efficacy or otherwise of last Saturday’s TUC march and the Labour Opposition’s policy on the cuts is not a core issue for us. Read the rest of this entry »

Holiday reading 3 – The BMA and the other NHS unions

Filed Under (BMA, Health Policy, Health Service Unions, Reform of the NHS, Secretary of State, White Paper) by Paul on 18-08-2010

At all times in the development of the NHS this is an important issue. The NHS depends on all its staff for it to work at all – let alone well. So for it to produce any outcomes at all it depends upon the active involvement of hundreds of thousands of staff at all sorts of grades. Read the rest of this entry »

Running a “system” called the NHS – or running the NHS as an “organisation”

Filed Under (Health Service Unions, Primary Care Trusts, Secretary of State) by Paul on 13-01-2010

Leaving aside the knockabout comedy value of a Secretary of State being brought up before a panel whose job it is to look after the rules that his own Government has agreed to……there is an important set of principles about the nature of the NHS that are being tested at the present time.

At the moment the NHS half believes it is a single organisation in which everyone can be told what to do, and half believes that it is a system where people don’t obey a set of management instructions from the top, but work to a set of transparent rules which make it work.
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Will the next Labour leader be chosen by the Health Service Unions?

Filed Under (Health Service Unions, Reform of the NHS, Trades Unions) by Paul on 10-12-2009

One of the interesting issues about leadership is the way in which leaders can become known not only for their own reasons for doing things, but also the reasons their allies and supporters give for their actions. This is usually under the heading of the phrase ‘by their friends shall ye know them’.

At the moment it is interesting to note who the Secretary of State has as his friends in trying to impose his own personal preference for the NHS as preferred provider on all those who commission health care for NHS patients.
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