benefits frameworks

Retro-Fitting Benefits Frameworks

LED bulbs - retrofit to existing environment for an obviously better solutionA Northern PCT found themselves with £60 million invested in 160 new initiatives, and no defined benefits. They invited a team of consultants to "retrofit" a benefits framework.

Hugo Minney was technical lead (the Benefits Management expert) for the team and organised the staff interviews and workshops, and led all of the workshops.

The Measures needed to manage the business

Cascading Targets down to the workers

Not so long ago, the Department of Health was asking “how can we save 40% in management costs in the NHS?”.

I know!  In fact it was a very simple answer.  If the NHS didn’t have to report so many things in so many different ways and in such detail to Department of Health, we’d need 40% less management time (actually, it is pretty close to 40% - very nearly 2 days per week of most line-of-business managers is spent on reporting).

Analysis & Feedback

All this paperwork, and cleaning up, and ..."Sometimes I hate my work" – so said a nurse to my wife, whilst looking after a friend of ours.
How can someone been such a caring profession get to feel this way? Surely, seeing sick people is enough to bring those feelings of compassion that they felt 20 years before, when they made the decision to become a nurse?
 
So what should we do?

the two-year rule

Self publicist caught outWhy do so many silly ideas become law?
Most of the politicians I know have exceptionally good memories, and studied history. So why do they repeat the mistakes from former years? Perhaps because they've learned the lessons that apply to them, and the mistakes that apply to the general public don't apply to them.

Performance Targets - Incentive or Burden?

Key performance indicators (KPI), targets by another word, seem to be here to stay.

In the commercial world, they may be self imposed: budgets, forecasts, sales targets, the expectations of the city. In services for the public good, the government creates the targets. For example in health, there are 698 targets that align with Standards For Better Health[1], and another 166 that don’t[2]. In addition to these, we have QOF, activity reporting for enhanced services, and many more.

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Recent Additions and Updates

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

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