Filed Under (Contracts, GP Commissioning, Integration) by Paul on 30-05-2012
Over the last few weeks I have been outlining the different mechanics of new elements of reform that will be necessary if commissioners are going to be able to transform health care for NHS patients. A few weeks ago I mentioned the importance of them buying effective packages of self care. Last week I outlined two different approaches to the way in which commissioners contract health care and today I want to outline some of the radical thinking that is taking place about how the provision of integrated care can be developed. Read the rest of this entry »
Over the last few weeks I have been outlining the nature of the reforms that NHS commissioners will need to implement if they are to transform NHS health care. Last week I explored two different forms of contractual relationships that are being created and will be necessary if there are to be different relationships with providers. Read the rest of this entry »
Filed Under (Contracts, GP Commissioning, Health Policy) by Paul on 27-05-2012
Over the years people have often asked me how all this reform fits together. I am afraid that the answer is that as I look at each individual aspect the conclusion I come to is that if you want transformational change in the NHS you have to do a number of new things at once.
Over the last few weeks I have been writing a series of blogs to try to outline the different mechanics that need to be at hand for NHS Commissioners to transform the health and health care that they commission. Read the rest of this entry »
Filed Under (Competition, GP Commissioning) by Paul on 24-05-2012
Over my decades of working in the public sector, nearly all of my experiences of public sector service tendering have been a variation on some truly awful and nervous experiences. This was as true of my time as a public sector manager tendering for services as it is now – as a private sector person bidding to supply them. Nearly every part of every experience has been hedged around by the fear and anxiety of putting a foot wrong or saying a word out of place.Â Read the rest of this entry »
Harold Wilson once famously said that a week is a long time in politics.
Apparently the current Secretary of State for Health is quite chipper as he goes about his work at the moment. Looking forward to implementing his Act and paying no attention at all to the very deep mess into which he plunged the Government and the NHS only 10 weeks ago. For him these have been 10 weeks during which apparently everyone has forgotten that he was about to finish off the NHS. Read the rest of this entry »
Filed Under (Contracts, GP Commissioning) by Paul on 22-05-2012
10 days ago I attended an interesting discussion about new forms of contract between GP commissioners and providers.
Yesterday I mentioned the alliance contract and today I want to talk about the main theme of another new form – the Capitated Outcome Based Incentivised Contracts (COBICs). I have been involved with GPs and others in developing these contracts so I was particularly interested in how the very different people in the room would take to the idea. Read the rest of this entry »
Filed Under (GP Commissioning) by Paul on 21-05-2012
Cuts in the social care budget are having an impact on NHS work – and there will be many more to come.
Filed Under (Public Health, Social Care) by Paul on 17-05-2012
It was always going to be interesting to see how the Coalition government would live with this pledge.
Over the last weekend, just prior to its conference, the Royal College of Nurses published a survey of its members reflecting their experience of patient waits in A and E. Their President was on the airwaves saying that the progress that had been made on speedier and better working with A and E patients was being lost as more were being treated on trolleys. Read the rest of this entry »