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 »

Question: When is an NHS waiting time target ‘politically motivated’ and when is it ‘in the interests of patients’? Answer: It depends whether the target is being achieved or not…

Filed Under (Targets) by Paul on 19-12-2012

Readers will remember that the Conservative Party had a very clear policy on NHS waiting time targets. During the five years leading up to the last election they were consistently promising that if they were to win they would drop waiting time targets – and when they came to power they did just that.

They spent the year between winning power in May 2010 and May 2011 dismantling the sets of relationships between Whitehall and the NHS that had signified the public’s concern about maximum waiting time targets. Read the rest of this entry »

“We will scrap politically motivated targets…”

Filed Under (Coalition Government, Conservative party, Health Policy, Manifestos, Targets) by Paul on 16-05-2012

(Conservative Manifesto 2010)

It was always going to be interesting to see how the Coalition government would live with this pledge.

Over the last weekend, just prior to its conference, the Royal College of Nurses published a survey of its members reflecting their experience of patient waits in A and E. Their President was on the airwaves saying that the progress that had been made on speedier and better working with A and E patients was being lost as more were being treated on trolleys. Read the rest of this entry »

Building progressive NHS practice from the rubble of the Government reform programme,

Filed Under (Clinical Commissioning Groups, Health Improvement, Public Health, Targets) by Paul on 02-05-2012

No 1 Working towards improving health care outcomes

We are now a few weeks on from the passage of the Act. The glimpses of the direction of its implementation that we have had since then are as contradictory as the Bill itself. The Secretary of State writes to the NCB saying that they must ensure that there is autonomy for CCGs and the Chair of the NCB responds by saying that it will be some time before the NHS will be liberated from its centre. Read the rest of this entry »

How 6 years spent attacking politically motivated targets finally missed its mark

Filed Under (Reform of the NHS, Secretary of State, Targets) by Paul on 22-11-2011

I crave a little self indulgence from the reader for the first half of this post since it covers an issue that stayed near the front of my mind every week for six years of my working life.

Last Friday saw several of the broadsheets rehearsing the history of the use of targets in the NHS over the last decade. They were doing so because the current Secretary of State, having spent 7 years railing against politically motivated targets, set his own last Thursday. Read the rest of this entry »