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 »

Holiday Reading 4 – NHS resources over the next few years. Pressure points and deficits to come

Filed Under (Coalition Government, Health Policy, Reform of the NHS, White Paper) by Paul on 25-08-2010

Given the interest in policy development in the NHS and given the turmoil about the level of resources in all other public services it is easy to forget that over the next few years – and in some cases the next few weeks – there is going to be a series of problems with resources for the NHS which will become increasingly public. Whilst the public presentation of these problems will all be about deficits of one kind or another, their causes will spring from very different policy interventions. It’s important to try and tease out what they are as and when they happen. Read the rest of this entry »

Holiday reading 3 – The BMA and the other NHS unions

Filed Under (BMA, Health Policy, Health Service Unions, Reform of the NHS, Secretary of State, White Paper) by Paul on 18-08-2010

At all times in the development of the NHS this is an important issue. The NHS depends on all its staff for it to work at all – let alone well. So for it to produce any outcomes at all it depends upon the active involvement of hundreds of thousands of staff at all sorts of grades. Read the rest of this entry »

Holiday Reading 2 – Keeping politics out of the NHS. The Coalition government’s stated intention and how and why it is returning to ever more detailed political management?

Filed Under (Accountability, Conservative party, Health Policy, Public service reform, Secretary of State, White Paper) by Paul on 11-08-2010

Conservative policy documents for several years leading up to the election had pledged to “remove politics from the day-to-day running of the NHS” and to “end political micro-management”

This language was repeated in the Manifesto and has been repeated since then in both speeches and in the White Paper itself. Read the rest of this entry »

Holiday reading

Filed Under (Accountability, GP Commissioning, Health Policy) by Paul on 04-08-2010

During August a lot of people are on holiday so I am going to post a weekly blog on a background issue to the current politics of the NHS before getting back to the detail of the current policy and implementation shifts in September.

The four will be

  1. Her Majesty’s Treasury why does it consistently resist NHS reforms that are based upon improving productivity through organisational incentives?
  2. Keeping politics out of the NHS .The Coalition government’s stated intention and how and why it is returning to ever more detailed political management.
  3. The BMA and the other NHS unions
  4. NHS resources over the next few years. Pressure points and deficits to come.
  5. Read the rest of this entry »