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 »

“We will radically delayer and simplify the number of NHS bodies” (Health White Paper 2010)

Filed Under (Clinical Commissioning Groups, GP Commissioning, Health and Social Care Bill, Health and Well-being Boards, National Commissioning Board, Reform of the NHS, White Paper) by Paul on 31-01-2012

So how does this simplification look in respect of commissioning?

If you are a Tory MP you will look back to July 2010 and remember a White Paper which rang out loudly with some important truths about getting rid of bureaucracy in the NHS. At the time the Government was announcing its revolutionary plans to reform the NHS. Whilst no-one, including Tory MPs was too clear about what health care problem the reforms were meant to solve, they were at least clear that they wanted to remove layers of bureaucracy form the NHS. Read the rest of this entry »

The core business in which we are involved..

Filed Under (Health Improvement, Public Health) by Paul on 30-01-2012

It’s very easy to forget what our core business is. It’s not the governance arrangements of CCGs nor is it even my quest for anyone to tell me what ‘clinical senates’ might be when they are at home. Read the rest of this entry »

Will entrepreneurs be allowed to play any sort of role in developing the NHS?

Filed Under (Health Policy, Private Sector, Reform of the NHS) by Paul on 27-01-2012

On Tuesday evening I heard an inspiring speaker talk about the role he and his company are playing in the development of efficient hospitals in India. This was the third such talk I have heard over the last 6 months or so – all from Indian entrepreneurs who are driving down the cost of health care and thereby bringing it to many more people than under current provision. Read the rest of this entry »

Does the reform programme act as a diversion from the necessity to improve value in the NHS? Let’s look at commissioning…

Filed Under (Clinical Commissioning Groups, GP Commissioning, Health and Social Care Bill, Primary Care Trusts, World Class Commissioning) by Paul on 25-01-2012

Yesterday’s Health Select Committee report makes an important case against the Government’s NHS reforms. It argued that the reform programme has and will act as a diversion from the main task of improving value for money for the health service. Read the rest of this entry »

One way of getting the Bill passed – or why politics is so unfair.

Filed Under (Health and Social Care Bill) by Paul on 24-01-2012

One of the more interesting possibilities that writing this blog offers is to try and bring together very different parts of the very different worlds that impact upon the NHS. At this moment all of the major medical organisations within the NHS are concentrating on the Bill and its passage through the House of Lords, which is an important issue for NHS policy since it now looks as if every organisation in the NHS is against it. Many expect the Bill to be defeated. Read the rest of this entry »

Blair’s and the current Government’s NHS reforms – is there any continuity?

Filed Under (Coalition Government, Health and Social Care Bill, Health Policy, Tony Blair, Uncategorized) by Paul on 23-01-2012

Last week I posted on the necessity for the Labour opposition to construct a set of medium to long term policies for the NHS which would clearly see them work with it over a period of time that I think of as ‘the long austerity’.

I received a number of comments from people who felt that the reforms in which as special adviser to Alan Milburn, John Reid and Tony Blair I was involved from 2001 – 2007 had laid the ground for the current reforms and that I should take some of the blame for the current Government. Read the rest of this entry »

How to greet the fact that the Royal Colleges of Nursing and Midwifery want your reforms completely stopped.

Filed Under (Health and Social Care Bill, Narrative of reform, Reform of the NHS, Secretary of State) by Paul on 20-01-2012

Yesterday we woke up to the main item on the 6 o’clock news on the Today programme being the fact that the Royal Colleges of Nursing and Midwives both  want the Government NHS reforms stopped completely. The newsworthiness of this announcement was that in the past the nursing colleges had had criticisms of the Bill – but now they were completely against it. Read the rest of this entry »

Implementing the Bill – Developing NHS acute provision

Filed Under (Foundation Trusts, Health and Social Care Bill, Hospitals, Reform of the NHS) by Paul on 19-01-2012

Nearly a year ago, at the end of January, during the Health and Social Care Bill second reading in the House of Commons a number of Conservative and Liberal Democrat MPs, following their briefing from Government whips, all made the same point about what they hoped from the Bill.  Each of them said that part of their local hospital had been threatened with closure – or actually been closed = and they knew that under this Bill such closures would not have happened.

That was why they were supporting the Bill. Read the rest of this entry »

Implementing the Act – developing the commissioning organisations for NHS patients

Filed Under (Clinical Commissioning Groups, Health and Social Care Bill, National Commissioning Board, Reform of the NHS) by Paul on 18-01-2012

As I said on Monday, in a few months’ time the Government will look back at the struggle it had to get the Act through Parliament and see it as a really easy risk—free activity compared to its implementation.

By the time the Bill is passed there will be about a year left for most of its implementation to take place from 1 April 2013.

There is a lot of complex new activity to develop in that year. Read the rest of this entry »

Developing a Labour Party policy for the NHS in the long age of austerity

Filed Under (Health Policy, Labour Party, Reform of the NHS) by Paul on 17-01-2012

If the Health and Social Care Bill passes through Parliament before Easter, it will mark the end of a political period in NHS politics. For the last 18 months it has been possible to define one’s overall political position as being for or against the Bill. This has meant that the Labour Party has been able to define its policy on the NHS through its stance on the Bill. That is perfectly legitimate for an opposition party. The Government proposes and the opposition – usually – opposes.

Given that the election took place in May 2010 it is also legitimate for an opposition to spend some time working through its policy rather than setting out its stall so far in advance of another election. Read the rest of this entry »