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 »

“Tomorrow’s Specialist” – more clinical argument for the centralisation of NHS services from the Royal College of Obstericians and Gynaecologists.

Filed Under (Health Policy, Royal Colleges) by Paul on 28-09-2012

As I commented earlier this week a powerful consensus of clinicians and patients’ groups is emerging all arguing, for reasons of safety, for much greater centralisation of some hospital services.

The argument made by the RCOG, as with the other Royal Colleges, starts with the clinical case for safety. The case is based upon the difference in safety outcomes that occur when a specialist is in charge and when they are not. This is not to say that all births should take place through a specialist but it is to say that a service that has a specialist at hand is safer. Read the rest of this entry »

More news on consolidating hospitals from the Royal College of Physicians – and another example of why the Royal Colleges will fail to set the agenda if they can’t agree.

Filed Under (Hospitals, Royal Colleges) by Paul on 25-09-2012

Yesterday I posted on published data showing wide variations in outcomes from some surgery and the Royal College of Physicians’ consultation on the future of the NHS hospital. Blog readers have brought to my attention the article in the Guardian reporting the important views of the spokesperson of the RCP Future Hospital Commission, Tim Evans. Read the rest of this entry »