May 2009

World Class Commissioning could save PCTs £3bn over 5 years

medium_WCC_cycle.pngWith savings like these, NHS could become a net contributor to the Treasury!
£50,000 per QALY (Quality Adjusted Life Year - the value assigned by statisticians that an individual puts on being healthy for a year) is a reasonable figure, but lets not get mixed up - nobody gets £50,000 in their hand, least of all government (who may have to pay for statins or insulin during that extra year of life).

A letter for keeping Jobs

green_shoots.jpgLet's be realistic: this crunch won't last for ever. And when it ends, consumers will need new products. We're going to need innovation in financial services (after all, we can't reuse the failed products of last year and preceding decades). New delivery services (keeping food miles down, recognising more purchasing on the internet, even home delivery services from a trip down the high street so you can go on spending!).

Dr Chandy on You Tube (B12 deficiency/ Cobalamin Deficiency)

Dr Chandy cares for people with a variety of extremely common conditions: tiredness, depression, weakness, indigestion, in ways that some think are controversial.  The video is below but find out more at http://b12d.net/content/bbc_documentary_and_testimonials

When you think you (alone) know

large_janus-rund.gifTwo heads are better than one, especially when they look at a problem from different perspectives.

Did we really mean that?

superwoman-781364.gifHalf-way to implementation, we have to look at the unrecognisable mish-mash of a service that’s somehow evolved from the original idea, and seriously consider whether to cut our losses or whether it can be remodelled into something functional.

Cultural Differences

Internet_argument.jpgWhere are you today? How much of your environment, the jargon and language you use,
the attitudes, do you take for granted? Do you sometimes find (for example at conferences, or dinner with non-work friends) that you have to explain something you thought ‘everyone knew’?

The biggest barrier is assumption

Recent Additions and Updates

New pages added in the last 45 days (max 5)

More for your money? Private healthcare vs Publicly funded

Life expectancy vs %GDP health spend

Which is better - private funding or public? Which gives a better outcome for the individual (* clinical outcome, * user experience, * cost-effective, * sustainable) and is there a clear picture?

One way to examine this question is to look at different countries in the world and see what works for them.  I tackle this in the latest blog on Technorati.

UK Parties, Politics and Healthcare

Your politicians - listening to you?I ask you - if you were to design a new national health service from scratch, would you really design it with nobody to think ahead and make decisions on resources?

So why are the main political parties in UK engaging in their favourite sport of manager bashing?

Gossip - friend or foe?

How stuff works - Gossip

Do you see gossip as a waste of time? Do you suffer from spiteful or destructive rumours, disrupting the team and destroying team spirit? Do you find it impossible to control - chop off one head and two more appear somewhere else?

Read how Minney.org helps organisations to use this social glue for good ...

Winter Olympics - Downhill Skiing is like Management Consultancy

One chance, 100 seconds in 4 yearsYou only have one chance to make a first impression. 

In fact, you only have one chance each time, to make a first impression that sets the scene for that day, that job, that opportunity.

Capacity Planning - Flexibility

What of those toilet cubicles which allow for both sexes - they have a little notice on the outside saying "either"?