Stormy Weather

Today at the supermarket we saw rather a lot of very smart convertible cars. Drop-top jaguars and mercedes, roaring porsche and TVR. I'm sure I read somewhere that there's a recession on. Isn't it interesting how the weather can reflect the times? Or do we just notice it when it does? The weather's unpredictable. The public appears (at least from the newspapers I read) to be completely split on who is best to run the country - do we go for the party that promises everything to everyone (in the same speech promising to "cut mindless burocracy" and "provide administrative support for frontline staff"; then promising to hold down public sector spend with reductions of 10% a year, but of course the [insert audience here] department will have its budgets maintained), or the party that everyone loves to hate but rather a lot of economists and bankers are saying other countries should immitate? The health service faces its own dichotomies. There are finite resources. There are new technologies, each more expensive than the last, each marginally better. People are definitely sicker - where did MS, ME, Fibromyalgia, CFS come from? Or did we just not diagnose them before? Why the sudden increase in diagnoses of depression, neuroses, autism? Is it really because we can diagnose them, is it really because we keep people alive who would otherwise have died, are there enough kept alive to account for these large increases? I wonder how many of these problems come back to simple things. Take the situation in the health service: could it be that something has changed about the food we eat? And could it be that unexplained presences or absences in the food are causing all of these problems? Makes you wonder if the same is the case for politics . . .

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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 . . .

Getting GPs involved in GP Commissioning

Clinical Commissioning Groups (CCG)GPs know the most about the patients registered with them, and have the biggest incentives to innovate and to commission better services. So why aren't they embracing Clinical Commissioning and using it to improve healthcare right across the country?

It could be any of a number of reasons, and we believe it's about understanding.  What's more, with our experience of doing exactly this (supporting GPs to get engaged), we can demonstrate how we've made a difference, and how it could work for other CCGs.

The Politics of CCGs

Clinical Commissioning

Clinical Commissioning Groups (CCG), the organisations that will commission  healthcare for nearly 60million people across England at a value of around £70billion, are beginning to take shape.

They come in essentially three types, and if you want to supply healthcare to these CCGs, even if you are an established provider of healthcare, you need to understand what you are dealing with