This is yet another post on the repercussions of the Comprehensive Spending Review and its implications for the NHS. Itâ€™s been interesting that since the review was published there has been more press comment on the belief that the NHS is going to run out of money than any of the public services that were actually cut. This is a genuinely puzzling psychology. Read the rest of this entry »
I have been to a couple of meetings about the Big Society and have generally left none the wiser. But a recent breakfast meeting at the Kings Fund was goodâ€¦
The three speakers at this all had something interesting, important and above all concrete to say about how the NHS might relate to the Big Society. And each of them in very different ways had a big sweep of history in their view. Read the rest of this entry »
Filed Under (Accountability, Coalition Government, Health Policy, White Paper) by Paul on 25-10-2010
I think I should clarify something I said in last Thursdayâ€™s post on the Comprehensive Spending Review as some commentators have brought two things together and misunderstood. Iâ€™ll start the explanation by exploring why the coalition Governmentâ€™s relationship with Local Government is so difficult. Read the rest of this entry »
For the next few years the announcement of the spending review places the NHS is a very odd position both in the eye of the public and in the view of other public services.Â There are some very high level issues here that will also have an impact on the day to day of NHS politics and practice. Read the rest of this entry »
Poetry, in opposition, flows from all sorts of lyrical relationships. One of the most important forces of lyrical opposition comes from siding with powerful minority groups. They want their strident opinion to be imposed on majority activity when it would be merely useful, but not at all lyrical. Read the rest of this entry »
As I have mentioned beforeâ€™ there is a management consultant adage that â€œculture eats strategy for breakfastâ€. So it was evident that at some stage in the current Secretary of Stateâ€™s reform programme that some of the cultural certainties that make the NHS go round would develop a life of their own and undermine the reform programme. Read the rest of this entry »
I know that not many of you have much respect for elected politicians but unlike most I think itâ€™s hard work winning elections and representing people, and I recognise that without somebody having the nerve to carry out that role, our society would not be the democracy that we all want it to be. (Being married to one does rather impact upon me!). Read the rest of this entry »
The problem with the organisation of NHS finances is that it has had less reform than almost any other area of NHS operation. Itâ€™s true that there are some prices, some contracts with some buyers and with some sellers, and that this has changed behaviour for some of the best FTs irrevocably. But the problem is that the view from the top of the NHS is that it still believes that it runs the finances of the NHS from Whitehall. Able to have â€˜line of sightâ€˜ of the money and being able to descend upon localities to tell them what to do. And to a large extent they are right. Read the rest of this entry »
Filed Under (Conservative party, GP Commissioning, Reform of the NHS, Secretary of State) by Paul on 11-10-2010
This is the third of the four posts I promised last Thursday on the issue of where the politics of NHS reform stand, as of October 2010.
Will the change process between now and April 2013 work?
The first posted on 7th October looked at the issue of Andrew Lansley’s relationship with his Government colleagues and examined whether they were in this to support him for the long haul.
The second posted on 8th October talked about the necessity of stirring up some enthusiasm for these reforms.
Todayâ€™s asks the question â€œWill the change process between now and April 2013 work? Read the rest of this entry »
This is the second of the four posts I announced yesterday on the issue of where the politics of NHS reform stand, as of October 2010.
Yesterday I looked at the issue of Andrew Lansley’s relationship with his Government colleague and whether they were in this to support him for the long haul, Read the rest of this entry »