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.

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Department of Health struggling with Secretary of State’s Personal Preferences

Filed Under (Health Policy, Primary Care Trusts, World Class Commissioning, World Class Decommissioning) by Paul on 09-11-2009

In the last few weeks, following the Secretary of State’s speech in which he stated his preference for NHS commissioners to buy care from NHS providers, there has been an increasing interest amongst managers and policy wonks in how he is going to put this into operation.

Because let’s be clear, it is his personal preference, it is not the manifesto on which he was elected in 2005. Back in the days when Labour Governments went into elections with the expectation of winning large majorities, the 2005 manifesto pledged the government to increase the range of provision available to NHS patients but would do so from a range of different providers.
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NHS Competition Policy – the debate continues.

Filed Under (Health Improvement, Primary Care Trusts, Public Health, Public service reform, Reform of the NHS, Uncategorized, World Class Commissioning, World Class Decommissioning) by Paul on 29-10-2009

On September 17th the Secretary of State said that he had a preference for NHS providers over others. This change in policy has caused some concern but that debate has not been held in public. In this weeks HSJ it now surfaces in a public debate about the future of commissioning. I have written an article (1,2) and so has the Secretary of State (1,2). The editor has a leader on the topic.

I am sure this debate will contnue in public for some time now before it reaches a settled position. The Financial Times commented in an article published on 29th October 2009

World Class Decommissioning

Filed Under (Health Improvement, Primary Care Trusts, Public service reform, World Class Commissioning, World Class Decommissioning) by Paul on 15-10-2009

All staff in Primary Care Trusts should recognise the structure of this post on my blog.

Between now and December 18th all PCTs are preparing their Commissioning Strategy Plans. In the New Year they will be visited by a Panel chaired by their SHA, and will for a day, be inspected against a set of criteria. This will lead to a judgment about where they are in terms of their competency as world class commissioners. There are 11 competencies that they will be judged against.
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