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.

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How the policy of making it harder for hospitals to change today messes up the policy of improving the economics of the NHS of tomorrow

Filed Under (Conservative party, Creating public value, Foundation Trusts, Health Policy, Incentives, Reform of the NHS, Secretary of State) by Paul on 26-05-2010

Most of the policy announcements made by the new Secretary of State have so far been made in front of hospitals that he is either ‘saving ‘or ‘reopening’. I have written on another web site how the preservation of hospitals “in aspic” represents one part of our society that the modern Conservative Party wants to “hold still” but why, given the amount of change they are pouring into the NHS system through the use of markets, this wish will probably fail.
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Government policy aims to move accountability for commissioning of £100 billion NHS care from the state to the private sector by 2012

Filed Under (Accountability, Coalition Government, Expenditure, GPs, Incentives, Primary Care Trusts, Public service reform, Reform of the NHS, Secretary of State) by Paul on 24-05-2010

At first sight the Government’s plan – published on May 20th – appears to provide a confused answer to the question of who is going to commission NHS health care from 2012.
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It’s the incentives wot done it……

Filed Under (Incentives, Reform of the NHS, Resources) by Paul on 21-01-2010

A moment’s indulgence for the blog writer from the blog reader.

Wednesday’s publication of the Nuffield report on the four different home countries NHS reform policies left me shouting at the Today programme with much glee. (And that is not a reaction that ‘Today’ often draws out of me.) Not only had they published a research report that went beyond the orthodox finding of on the one hand and the other, but Jennifer Dixon as CEO of the Nuffield was on the radio defending the findings.
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