NHS

Is the NHS Cost-effective?

Commonwealth Fund chart

What is the best way to know if NHS is effective and efficient?  And in particular, how do we know what reforms are needed and how we should bring them about?

I've pulled out a number of reports which compare NHS historically, and with other countries, to decide if it is effective and if not, what we need to do about it

Benefits Management to support Public Service organisations

How to help people motivate themselvesMy mission is that everyone will enjoy and be passionate about what they do.

(with Haiku)

U-turns and the future for NHS

31 years of Thatcherism What is the future for NHS, given all the U-turns?  Will we see Clinical Commissioning Groups (CCGs), and what will they really be like?  What role does the House of Commons Parliamentary Health Select Committee have in all of this?  NHS has certain challenges . . .

NHS in England is poised for reform

ben_franklin.jpg

The cycle of NHS reform has come around again, just about on time. Past history shows that the whole thing is reorganised every three or four years . We don't know if it does any good, because it's never left alone for long enough to find out1. Is this time any different?

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.

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Recent Additions and Updates

A moral dimension to consulting

Moral dilemmaIt's easy to assume that all of our decisions are purely rational, but they rarely if ever are rational.  And they always have consequences for others, usually consequences that we think we could not have predicted.

But consultants are not here to make decisions, only to provide information and advice.  Does this somehow absolve us from a moral responsibility?

 

The Ten Commandments in Professional Services (6-10)

Interpreting God's Commandments

I've written previously about applying the first five commandments to Professional Services.  Here I show how Do Not Murder, Do Not Steal and so on are just as relevant commandments in the nuance and subtlety of modern life as they ever were.

Read on - and there's an invitation to comment!

The 10 Commandments in Professional Services (1-5)

Keywords:

Two greatest commandsThe Ten Commandments apply just as firmly in each aspect of our daily life as they apply to the whole of our lives.  I'm a management consultant, and on this page I explain how the first five of the Ten Commandments apply to management consulting and professional services.

Getting GPs involved in Clinical Commissioning Groups (CCG)

Life in the YearsMost healthcare providers, in UK the same as everywhere else, get paid for each activity they do.  If someone needs care, they get paid.  If someone is well, they don’t.  So there isn’t much incentive (for the healthcare provider) to keep people well, even though it is much better for the person, much better for the nation, and much lower cost.  Minney.org Ltd is working with one CCG to generate enthusiasm and involvement, and the results are fairly successful….

Clinical Commissioning Groups and the NHS

Commissioning Innovation

As we race forwards into clinical commissioning, there are lessons to be learnt from other people.  The latest book “The Innovator’s Prescription: A Disruptive Solution for Health Care” by Christensen, Grossman and Hwang points to some things we need to take account of. It makes good reading . . .

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