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 »

What’s wrong with modern health systems – an analogy. Plus an explanation of what I mean by the cost and price of failure in the NHS and the Canadian health system.

Filed Under (Canada, Health Improvement, Resources) by Paul on 15-11-2012

Whilst in Canada I spoke at a conference run by the Ontario Hospital Association (the equivalent of our Confederation but only covering hospitals). The opening speaker was Don Berwick who, whilst being from the US is no stranger to the NHS and its reform. Don helped to set up one of the best health improvement organisations in the world – the Institute of Health Improvement (the IHI, the website is well worth a visit) and it was as the IHI that he spent much of the late 90s and the first decade of this century helping the NHS. Read the rest of this entry »

More long term realism about the ability of the British economy to grow

Filed Under (Economics, Resources, US opinion) by Paul on 12-10-2012

There is a growing realisation amongst senior managers in the NHS that the future level of NHS resources are inextricably linked to the ability of the British economy to grow – or not. There is also a tight political boundary drawn by the fact that I cannot see any political party standing on a platform of charging for NHS services and winning general elections in 2015 and 2020. Read the rest of this entry »

It’s the economy, stupid

Filed Under (Expenditure, Health Policy, Resources) by Paul on 29-06-2012

This phrase was first used on posters and “buttons” in all of the offices where Bill Clinton’s staff worked during the 1992 election campaign. It was a reminder to them all that whatever they talked about internally during the campaign the issue that worried the American people was the economy – and that given the importance of talking to the electorate about the things that worry them it’s stupid not to recognise that. Read the rest of this entry »

What happened to the South London NHS trust yesterday – and why was it so important?

Filed Under (Expenditure, Localities, Resources) by Paul on 27-06-2012

First I should say that I have some historical interest here. I was an executive director in the London SHA when this trust was created by the merger of three existing trusts. The trusts that were merged were not viable. But the trust that the merger created has also turned out not to be viable and I think we should have been more aware of this at the time. When the NHS did not really know what to do it merged problem hospitals into a single institution. (As you will see from my comments below, this is something the NHS still does all the time). Read the rest of this entry »

Developing the NHS in a long age of austerity

Filed Under (Public Health, Reform of the NHS, Resources) by Paul on 06-12-2011

Last week’s autumn statement underlined all the other economic news and left the nation with the recognition that hard economic times are here to stay for a lot longer than we might have hoped.

Some of the economic statistics about the difference in our living standards in this decade compared with others are really shocking but are worthwhile rehearsing.

Since World War Two the previous decade when living standards took a bit of a knock as compared to others was the 10 years between 1973 and 1983.There were ups and downs during that decade, but taken overall average living standards only increased by 14% over the decade. I say ‘only’ 14% because this was, when compared to every other 10 year period, the most difficult. In every other decade improvement in living standards were higher. Read the rest of this entry »

Investing in the future health of the NHS

Filed Under (Investment, Resources) by Paul on 07-09-2011

Today I have published a pamphlet through an organisation called Social Finance that argues for the use of a form of investment called the Social Impact Bond into the NHS. It’s called “A new way to invest in better healthcare (Paul Corrigan Social Finance Sept 2011)”. In one way it’s a radical idea because it argues that the NHS needs to develop resource allocation that moves beyond the year-on-year financing dictated by Treasury Rules. In another it’s very commonplace in most other areas of our lives. We invest money this year to make money in future years and we can ‘rollover’ the cost and benefit of the investment, and the costs, on a year-on-year basis. Read the rest of this entry »

More reflections on self management in NHS care

Filed Under (Resources, Self Management) by Paul on 28-07-2011

Over the past year I have been working with a number of organisations to think through how the NHS can achieve much better outcomes by encouraging patients take on much greater self management of their long term conditions. Whilst few people in the NHS would ever say that they are against self management as a form of care, it has failed to become part of the central activity of the NHS and remains on the periphery. Read the rest of this entry »

Private sector health care and payment for training

Filed Under (GPs, Private Sector, Resources) by Paul on 27-07-2011

Education and training in the NHS use a great deal of our public resources. This investment plays not only a very significant role in developing the NHS, but also plays a much wider role in developing our society. The fact that tens of thousands of teenagers in every generation work hard to get into clinical education demonstrates the central role that the NHS plays in people’s lives. Read the rest of this entry »

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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Fringe meeting at Labour Party Conference 28 September Brighton

Filed Under (Health Policy, Resources, Speaking) by Paul on 30-09-2009

Meeting for the Smith Institute

Off to the seaside to talk at a fringe meeting at Labour Party Conference. For those who have never been to political party conferences it is not the main set pieces in the Conference that are the main attraction but the fringe meetings. Hundreds and hundreds of meetings packed into lunchtimes, breakfasts and early evenings.  At the beginning of the week people usually fill their diaries with events they want to go and then spend all their time rushing between them.
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