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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Delivering health care through a variety of different channels

Filed Under (Healthcare delivery, Innovation) by Paul on 15-10-2012

Last week I chaired the afternoon session of a conference organised by GovNet. The conference was about increasing healthcare efficiency through technology.  As I commented in my talk technology promises a lot of savings for healthcare but whilst it delivers improvements in care it has rarely delivered the savings it has promised, and what we need now is a lot of efficiency delivery – not promises. Read the rest of this entry »

Turning the NHS Global

Filed Under (Innovation) by Paul on 03-09-2012

Apart from the Olympics (about which I will offer my own two penn’orth later this week) one of the more interesting NHS stories in August was the attempt, yet again, to create an organisation that would help to sell NHS practice abroad. This year’s version of what is a regularly occurring story, saw the advertisement of a senior post to try and organise this international sales pitch for the NHS.

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Delivering on the Nicholson Challenge: Today (Wednesday June 13) I’m speaking at the Reform conference.

Filed Under (Expenditure, Innovation, Nicholson Challenge) by Paul on 13-06-2012

One of the important aspects of rising to the Nicholson Challenge – raising between £15-20 billion from within the NHS budget over 5 years – is that it is now clear that the idea of this being a discrete challenge over a period of time, is coming to an end. Read the rest of this entry »

Can institutions be made to innovate?

Filed Under (Innovation, National Commissioning Board, Regulation) by Paul on 12-12-2011

Last Monday saw the publication of an important DH document on innovation.

The report’s introduction contained – for the first time in a Government document – the difficult truth that the current struggle to save £20 billion is not just the short term development that most in the NHS have assumed. No, this will now become the way in which the NHS has to operate for a much longer time span. Read the rest of this entry »

Markets, business and the creation of innovative value for money health care for NHS patients.

Filed Under (Creating public value, Health Improvement, Innovation, Private Health Care) by Paul on 10-11-2011

A small story last Friday exemplified a much bigger issue. The story concerned the results of research from the University of Birmingham on how the effectiveness of different weight loss schemes. Read the rest of this entry »

Disruptive innovation and the NHS – better outcomes with less resource.

Filed Under (Creating public value, Culture of the NHS, Innovation) by Paul on 09-06-2011

Yesterday I spoke at a conference organised by Reform – the think tank that argues for better and faster reform of the NHS and other public services. It highlighted the ways in which different aspects of the NHS and other health services can make disruptive innovations to improve their outcomes for fewer resources. Of course much of the conference spoke about specific innovations that could both save money and improve outcomes. One of the most inspiring for me was an example from India which I quote at length below. Read the rest of this entry »

Listening Group 1 – Choice and (today) competition

Filed Under (Innovation, Listening Groups, Patient Choice, Reform of the NHS) by Paul on 15-04-2011

In my previous two posts in outlining the arguments against increasing patient choice and the repercussions of that choice in terms of the flow of resources, I have tried to substantiate that, for a few people, there is a strong moral case against NHS patient choice. But the moral case against choice per se goes strongly against the mainstream grain of our society. In England not many believe that the state should tell us what to do in so many aspects of lives – which clothes to wear, and even which school or college to go to. Equally there are not many who believe that resources should be distributed to organisations irrespective of whether people have chosen to use services from those organisations. Most of us feel that making consumer choices – and having resources follow those choices – are a part of the way in which we live our lives. Read the rest of this entry »

Another report on productivity and efficiency – but this time with some interesting analysis

Filed Under (Innovation, Primary Care Trusts, Third party provision) by Paul on 04-02-2010

The problem when everyone starts to talk about the same thing is that most people try to become experts in subjects they don’t really understand. That’s now become the case with productivity in the NHS.

If anyone wants to say anything about anything now they have to say something about productivity. Of course this is a good thing – in that it makes people think about the resources they are spending on their new idea – but the problem is that there are some very tenuous links between the idea, and actually improving productivity.
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