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 »

Warning! Beware of invitations to come and help the Government.

Filed Under (Culture of the NHS, Narrative of reform, Patient Choice) by Paul on 20-05-2011

Over the last few weeks a few people have been surprised to receive an invitation to breakfast – or a meeting – in an embossed envelope. The embossed mark over the flap looks important and, when they open it, most of them will have been surprised and even a little bit thrilled to find it was an invitation to meet with the Prime Minister to talk about the NHS. Read the rest of this entry »

Listening Group 2 – Patient involvement in their long term conditions – the case for co-production of good mental health

Filed Under (Health Improvement, Health Policy, Patient Choice, Patient involvement, Public Health) by Paul on 19-04-2011

There is quite rightly a great deal of discussion about the public’s need to be active in the prevention of diseases that could ruin or even shorten their lives. It is of course much more sensible to, for example, lose weight before you get type 2 diabetes; or start an exercise programme before you get very depressed. But for many the motivation to do something to prevent the onset of something bad in the future is just not high enough. People don’t believe that it will happen, and given how hard it is to change their behaviour, don’t bother. 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 »

Choice and competition – Listening Group 1

Filed Under (Health Policy, Listening Groups, Patient Choice, Reform of the NHS) by Paul on 14-04-2011

Yesterday I attempted to tackle some of the arguments against the extension of patient choice into the NHS. One of the reasons for extending this much further is to demonstrate that socialised medicine, paid for out of general taxation, can provide the taxpayer/consumer with the kind of experience that used to be only available to those that paid privately. Read the rest of this entry »