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 »

The reform of the NHS and Nixon’s recognition of China – a lesson from history?

Filed Under (Reform of the NHS, Right wing ideology) by Paul on 04-01-2012

Over the Christmas break a couple of people used a very powerful political metaphor to explain to me why they think it was inevitable that the Conservatives would mess up their reform of the NHS.

The analogy, now 40 years old, springs from the way in which long term peace was made between the People’s Republic of China and the US in the early 1970s. Only my very oldest blog readers will remember that after World War 2 civil war in China continued with Chairman Mao and the Communists eventually winning on the mainland. The defeated nationalists retreated to the island of Taiwan. The US did not recognise Communist China, choosing instead to recognise Taiwan as representing the Chinese state. Read the rest of this entry »

The next election campaign started last Tuesday – with the NHS reform U turn

Filed Under (Conservative party, Election campaign, Reform of the NHS, Right wing ideology) by Paul on 20-06-2011

The dust is settling on the Government’s U turn on NHS reforms (referred to by my old boss Alan Milburn as the biggest car crash in NHS policy history). As the view becomes a little clearer it’s possible to see what was there before the winds blew dust in our faces. Read the rest of this entry »

David Cameron: “I don’t think people know how radical we are going to be”

Filed Under (Conservative party, Public service reform, Right wing ideology) by Paul on 10-03-2010

…except in the NHS where he keeps telling us he won’t be

David Cameron made an interesting speech to the Welsh Conservative Party at the weekend. His political problem is that whilst I am the sort of nerd to find code breaking interesting, most people don’t really know what he means. I know, I am sad, but there’s nothing that is more fun for me that decoding the weird text of a senior politician.
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Yes I know there are nine different ,mutually exclusive, policies that the Conservative Party has on Primary Care Trusts, but which one will really happen?

Filed Under (Conservative party, Health Policy, Primary Care Trusts, Public service reform, Reform of the NHS, Right wing ideology) by Paul on 19-02-2010

Fair question.

Understandably PCTs want to know what the policy of the main opposition Party would mean for them if, after the General Election, the Conservatives were to form the Government.  PCTs are looking at what leading Conservatives are saying in all the different forums to discover their future.
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More on the possible contradiction between Tory Politics and Tory policy

Filed Under (Conservative party, Health Policy, Right wing ideology) by Paul on 15-02-2010

In the last couple of weeks I have been posting about the gap that exists between the Tory politics of the NHS,

“Vote for me and I, as a politician, will keep your hospital open”

and their policy,

“Vote for me and I will make sure that politicians like me have no power over decisions and will leave them to clinicians”.

This is important at the level of shadow cabinet policy and politics. In the last few weeks it has also become clear that for the Conservatives to win the election they will have to have well over 100 new MPs. So it’s interesting to see where they stand on this issue of policy and politics.
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More on right wing culture and the politics of the NHS

Filed Under (Conservative party, Right wing ideology) by Paul on 24-08-2009

Following on from my last post a number of people have asked me about the relationship between culture and the structure of the politics of the NHS and what might it mean for the politics of the UK over the next few months.

One clear way of understanding culture is that it is the way we do things round here. Since the UK is a diverse society, the way in which we do things round here differs given where ’round here’ is. Scotland does have a different culture from Wales or England and that culture is reflected in its politics. English culture is varied between the north and the south and between rich and poor and is diversified by ethnicity.  Quite often cultures have very little understanding of each other and mainly this doesn’t matter. But when one culture has a lot more power than another then the powerful culture will often blindly impose itself on the other culture and squash it.
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