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 »

Engaging employees: The Circle example

Filed Under (Employee ownership, Reform of the NHS, Third party provision) by Paul on 19-09-2011

Long term readers of the blog will remember the Health White Paper statement from July 2010 when the Coalition Government made the extravagant promise, on page 36, that “Our ambition is to create the largest and most vibrant social enterprise sector in the world”

Admittedly this was written when they were having a revolutionary moment (an approach that has since been overwhelmed by layers of fear and conservatism) but it is still an important and interesting aim to think about. Read the rest of this entry »

Why should the NHS maintain a monopoly position allowing only existing GP organisations to compete for patients?

Filed Under (Competition, GPs, Primary Care Trusts, Third party provision) by Paul on 11-05-2011

By all accounts Dr Clare Gerada, from the RCGP, is not just a good medical politician but also a first class GP. And one the good things about the reforms in GP services up until now is that very good doctors have been able to provide good services for more patients because they have won tenders to provide those services. The tendering process has ensured that the commissioners of NHS care have the opportunity to get the best services for their local people and it is through competition that this has been achieved. Read the rest of this entry »

An example of ‘disruptive innovation’ from the third sector for NHS services

Filed Under (Health Improvement, Public service reform, Third party provision, Third Sector) by Paul on 19-07-2010

A little while ago I argued for the third sector developing a new business model for the delivery of NHS services. Last week ACEVO published my pamphlet on this subject coincident with my speaking at their 14th July conference. Read the rest of this entry »

Another report on productivity and efficiency – but this time with some interesting analysis

Filed Under (Innovation, Primary Care Trusts, Third party provision) by Paul on 04-02-2010

The problem when everyone starts to talk about the same thing is that most people try to become experts in subjects they don’t really understand. That’s now become the case with productivity in the NHS.

If anyone wants to say anything about anything now they have to say something about productivity. Of course this is a good thing – in that it makes people think about the resources they are spending on their new idea – but the problem is that there are some very tenuous links between the idea, and actually improving productivity.
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The problem for NHS Commissioners. Do what they are told by the DH or time to stand up for what you want to achieve for local people?

Filed Under (Primary Care Trusts, Secretary of State, Third party provision) by Paul on 18-12-2009

Yesterday I posted the news that the voluntary organisation ACEVO had taken a complaint about the Chief Executive of Great Yarmouth and Waveney to the Co-operation and Competition Panel. ACEVO made it clear that whilst they were complaining about his behaviour, they felt he had been ‘put in a difficult position’ by the Secretary of State’s personal preference that all re-tendered work should go to his preferred NHS providers.

It is worth going through how this has happened since many PCTs will be in the process of making or remaking decisions in this area.
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Secretary of State in the dock – accused of breaking the Government’s own rules

Filed Under (Primary Care Trusts, Secretary of State, Third party provision) by Paul on 17-12-2009

On the 30th January this year the Government set up the Cooperation and Competition  Panel to ‘ help ensure NHS funded services deliver high quality care for patients and value for money for taxpayers’

The then Minister of State for Health Ben Bradshaw welcomed the setting up of the panel and said,

“I am pleased that the Panel has now started work. With patients now able to choose their provider for NHS services, it will play a vital role in safeguarding the interests of patients and taxpayers by ensuring that competition to provide health services is fair and transparent. We know that competition helps drive up quality and improve standards in the care that patients receive…”

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