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 »

Meeting the mandate and improving health literacy

Filed Under (National Commissioning Board, Patient involvement, Self Management) by Paul on 17-12-2012

The Secretary of State’s mandate for the National Commissioning Board lays clear responsibilities on it to improve the capacity of patients to self manage. In fact the mandate says that the board must become dramatically better at involving patients,

“2.5 The NHS commissioning board’s objective is to ensure the NHS becomes dramatically better at involving patients and their carers and empowering them to manage and make decisions about their own healthcare and treatment. For all the hours that most people spend with a doctor or nurse, they spend thousands more looking after themselves or a loved one.”

Readers will know that I have been working with a number of organisations to improve the ways in which the NHS can help patients to better self-manage. Read the rest of this entry »

How CCGs can stick to their mandate and develop patient-led value for the NHS.

Filed Under (Clinical Commissioning Groups, GP Commissioning, Health Improvement, National Commissioning Board, Patient involvement, Self Management) by Paul on 21-11-2012

This evening, at about 18.15, I am speaking to the NHS Alliance conference in Bournemouth. My theme tonight, as it has been for some time now, is how the NHS can develop better public value by viewing people with long-term conditions as ‘assets’ rather than as ‘costs’. Read the rest of this entry »

How commissioners can develop new value with the NHS

Filed Under (GP Commissioning, Patient involvement, Reform of the NHS, Self Management) by Paul on 30-10-2012

This morning I will be on the platform at the beginning of the National Association of Primary Care’s (NAPC) conference talking to one of the two GP organisations that have helped develop GP led commissioning. I am one of four speakers speaking on the theme of “Transforming the NHS”. Unfortunately for the NHS, transformation is a topic that has been much discussed but rarely put into practice. Read the rest of this entry »

Fragmentation was built into the delivery of the NHS from its inception. That is why it finds creating strong patient pathways so very hard.

Filed Under (Integration, Patient involvement, Self Management) by Paul on 29-10-2012

There are many conservatives resisting NHS reform who sincerely believe that recent reforms (and for that matter those of 2001-7) have fragmented what has always been an integrated NHS. For them the reason the NHS finds integration so very hard is because all these reforms have introduced fragmentation through relationships such as commissioning and competition. Read the rest of this entry »

More thoughts on new models for creating more value from patients.

Filed Under (Health Improvement, Patient involvement, Public Health, Self Management) by Paul on 14-05-2012

I received some interesting comments on last week’s posts about the necessity for investment in improving self-care to improve value for the NHS. Most of my posts concerned the implications of some recent work on diabetes and also articles in the Lancet from last Friday on co-morbidities in Scotland. Read the rest of this entry »

To realise patient based value will require some investment – So where, in times of austerity, does that come from?

Filed Under (Creating public value, Health Improvement, Patient involvement, Public Health) by Paul on 11-05-2012

Having set out the general case for moving away from the old fashioned idea that value in health care can only be found by buying more medical staff, kit or drugs, I have suggested that investment in patient health literacy would increase the value they contribute to their own care. This would, as a consequence,  add value to the NHS as a whole and help change its resource base at this time of austerity. Read the rest of this entry »

What do commissioners have to buy to increase the health care value that could be created by patient co-production?

Filed Under (Creating public value, Health Improvement, Patient involvement, Self Management) by Paul on 10-05-2012

Why doesn’t it just happen anyway?

To rehearse the argument so far. Given that the percentage of GDP spent on the NHS will not rise very fast and the demand for health care will, those of us that want to save the NHS will have to help it find new sources of value to develop significantly more health care outcomes from the same resource. Read the rest of this entry »

Why self-management is only a part of the co-production of health care value.

Filed Under (Creating public value, Health Improvement, Patient involvement, Self Management) by Paul on 09-05-2012

The moral arguments in favour of greater self-care within the NHS have been around for some time. I have myself been involved in them for over 30 years. Therefore some of the counter arguments against co-produced health care have been trailed and discussed for some time. Read the rest of this entry »

‘Saving the NHS’ – by developing new value within it.Trying to bring many arguments together.

Filed Under (Creating public value, Patient involvement, Reform of the NHS, Self Management) by Paul on 08-05-2012

Last week I posted twice about the importance of working towards health ‘outcomes’ in the NHS. The first discussed the difference between inputs, outputs and outcomes; the second drew on the excellent work of the Richmond group of patient organisations in using outcome measurement in creating much more patient-centred healthcare. Read the rest of this entry »

From Vision to Action. Patient power fights for the future of the NHS

Filed Under (Charities, Health Improvement, Patient involvement) by Paul on 03-05-2012

I remember, in the autumn of 2010, writing about an important paper produced by 10 major patient groups and suggesting that perhaps this would prove to be a more important document than anything else that was going on at the time with regard to the wrangling about the Health and Social Care Bill. Read the rest of this entry »