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 »

Opening up different ways of responding to the Francis Report

Filed Under (Alan Milburn, Francis Report, Regulation) by Paul on 16-01-2013

Both the Government and the NHS are gearing up to respond to the Francis Report on Mid-Staffs that will be published in the next few weeks. I am aware that some Trust Boards have already set aside dates to think through the report and their response to it. Given the importance of the way in which culture works in NHS organisations, it will be vital that they develop ways to reassure the public that they have a culture of care and safety. Culture – “the way we do things around here” – sets the parameters for the way in which staff and patients operate. Board leaders thinking through how they help set the tone for their staff is a crucial part of the response. 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 »

The Politics of Pause – the new contagion afflicting the NHS?

Filed Under (Economic Regulator, Health Policy, Reform of the NHS, Regulation) by Paul on 12-07-2011

Since the April pause ended in June with the launch of the reformed reforms, the Government has been trying to give the impression that it is now moving full steam ahead with its reform programme. But once the leadership of a change programme turns delay into an art form, it becomes inevitable that such an approach will impact upon the whole system. Read the rest of this entry »

Next steps – Providers of health care and how they will be liberated by regulation

Filed Under (Health Policy, Next Steps, Reform of the NHS, Regulation, White Paper) by Paul on 21-12-2010

There is something ominous in the organisation of Next Steps, in that the section on providers of health care is in the chapter called “Regulating health care providers”. This chapter is nearly as long as the one on GP Commissioning – and two thirds of it is about the regulation of NHS health care. Read the rest of this entry »