Out of Hours

Primary Care and GP Engagement

Submitted by Hugo_Minney on Mon, 07/05/2010 - 10:27

Nuffield Trust prepared reportThe NHS budget is protected from cuts under the new government. But the rise in Emergency Admissions over the last few years threatens to use up all of the protection and more. And yet, until we invest in care outside of hospital, we can’t change this rise.
I have to declare an interest – well two actually.

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Lessons from Privatisation - Out of Hours

Submitted by Hugo_Minney on Tue, 02/09/2010 - 16:00

 
 Pulse - you may need to register to read itThe lessons are, at last, coming out from privatisation of the OOH service.
In the UK, up until April 2004, GPs were responsible the 24-hour care for their patients. This meant a 9-to-5 job in the surgery, looking after all comers; followed by any hours that were not spent working, available on call for anything too urgent to wait until the morning.

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A moral dimension to consulting

Submitted by Hugo_Minney on Wed, 02/08/2012 - 22:11

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)

Submitted by Hugo_Minney on Sun, 02/05/2012 - 16:56

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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)

Submitted by Hugo_Minney on Thu, 02/02/2012 - 21:56

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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)

Submitted by Hugo_Minney on Sun, 01/29/2012 - 23:26

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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

Submitted by Hugo_Minney on Sun, 01/22/2012 - 16:34

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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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