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 politics of last Saturday’s march – a Tory MP muses

Filed Under (Conservative party, Expenditure, Health Improvement, Health Service Unions, Reform of the NHS, Trades Unions) by Paul on 02-04-2011

Luckily this blog does not have to engage too deeply with the politics surrounding the Coalition Government’s policy on public expenditure cuts. That means the efficacy or otherwise of last Saturday’s TUC march and the Labour Opposition’s policy on the cuts is not a core issue for us. Read the rest of this entry »

The Big Society and the Political Left.

Filed Under (Big Society, Culture of the NHS, Trades Unions) by Paul on 08-11-2010

The coalition government want to paint their picture of the Big Society as an idea which is an attack upon the left wing of politics. They would like to pretend that ‘civil society’ is their idea and ‘the state’ is the left’s and that that is the way in which they define political difference between the left and the right. In the current social and political context if the left were to fall for that political bifurcation they would be out of electoral power for several generations. Read the rest of this entry »

Hubris – the BMA and coming negotiations with the new Government

Filed Under (GPs, Trades Unions) by Paul on 07-06-2010

Tagged Under :

One of the more interesting interactions for the new Secretary of State for Health will be with the BMA. As with any opposition the Conservatives and the Liberal Democrats had spent time and effort courting the BMA. This is always an easy experience since almost by definition in their role as the doctors’ trade union, they don’t get on with the Government. The Government, in the case of the NHS and the Secretary of State for Health, are ‘the bosses’ and therefore over a few years the BMA fall out with them. So it’s easy for an opposition to get on with them. They agree – and this is after all an opposition party’s core task – that the Government is “up to no good” and the opposition, if elected, will of course be different.
Read the rest of this entry »

If the Secretary of State has friends like these – chapter 2

Filed Under (Primary Care Trusts, Secretary of State, Trades Unions) by Paul on 03-02-2010

Regular blog readers will have picked up that this blog is following the case of the third sector versus the Secretary of State to be heard before the Panel for Cooperation and Competition within the next 30 days or so.

The story so far is that on September 17th last year the Secretary of State said that he had a personal preference for NHS providers as the health and health care provider from whom NHS commissioners should buy their health care.
Read the rest of this entry »

Will the next Labour leader be chosen by the Health Service Unions?

Filed Under (Health Service Unions, Reform of the NHS, Trades Unions) by Paul on 10-12-2009

One of the interesting issues about leadership is the way in which leaders can become known not only for their own reasons for doing things, but also the reasons their allies and supporters give for their actions. This is usually under the heading of the phrase ‘by their friends shall ye know them’.

At the moment it is interesting to note who the Secretary of State has as his friends in trying to impose his own personal preference for the NHS as preferred provider on all those who commission health care for NHS patients.
Read the rest of this entry »