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 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 »

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 »