health funding

UK Parties, Politics and Healthcare

Submitted by Hugo_Minney on Thu, 03/04/2010 - 06:29

Your politicians - listening to you?I ask you - if you were to design a new national health service from scratch, would you really design it with nobody to think ahead and make decisions on resources?
So why are the main political parties in UK engaging in their favourite sport of manager bashing?

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A simpler tax and benefits system

Submitted by Hugo_Minney on Fri, 09/18/2009 - 22:31

The current benefits system is labyrinthine, and needs to be simplified[1]. But then, so is the tax system. Did I read somewhere that this year’s tax guide is twice as long as last year’s? In trying to make it fairer, we just make it more complicated. Whitehall mandarins create sustainable jobs (for themselves) but not a lot more.
The issues:

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Local taxation with local representation

Submitted by Hugo_Minney on Fri, 09/18/2009 - 22:08

Sir Michael Bichard is a man to listen to – his proposals are practical and usually sufficiently well supported that they make it into policy. I was listening to him on Radio 4’s Today Programme this morning (Friday 18 Sept 2009) discussing Local Government with Tony Travers of LSE. The gist of the conversation seemed to be that local government has delivered significant innovation, whereas Whitehall had offered no improvement. But local government couldn’t go any further because they are micro-managed – their income is set by Whitehall, and services are also set by Whitehall.

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A revised Inverse Care Law

Submitted by Hugo_Minney on Mon, 08/17/2009 - 09:48

An experimental lifeTudor Hart's Inverse Care Law was formulated in 1971, and probably is due for an overhall. Instead of "good medical care varies inversely with the need in the population served", I'd like to propose
"Those who need most, ask least"

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More for Less - NHS Growth Money is coming to an end

Submitted by Hugo_Minney on Wed, 06/03/2009 - 17:00

"All bets are off" as David Nicholson tells NHS to prepare for cuts (HSJ 4June - updated Pulse 27Nov09). Massive investment over the last 8 years hasn't improved productivity (HSJ 28May). PCTs aren't making use of the wealth of experience and enthusiasm available through Practice Based Commissioning (PBC) (Primary Care Today May/June 09). The same old ideas are put forward as the solutions to all our problems - more care out of hospital, more innovation, more work led by nurses, more Health centres, more salaried GPs. Why haven't these 'obvious' solutions delivered?

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Recent Additions and Updates

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 . . .

Getting GPs involved in GP Commissioning

Submitted by Hugo_Minney on Mon, 01/09/2012 - 23:07

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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

Submitted by Hugo_Minney on Tue, 01/03/2012 - 11:43

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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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