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.

Comments

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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