Client work

Work not reported in Reports or Publications, or further information which has not been published

Pathology Profiling Project - best staff for the role

Submitted by Hugo_Minney on Thu, 11/13/2008 - 20:53

The differences between practice for the same task performed in different hospital trusts is striking. Healthcare scientists decided to examine this issue in more detail, and my part was to use competences to determine what were the minimum competences required to perform a particular step on a science pathway (in this case, Pathology Laboratories), the minimum level of scientist with these competences, and compare this with actual staff performing the task in different Trusts.

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B12 deficiency

Submitted by Hugo_Minney on Sun, 10/19/2008 - 17:00

It's amazing how much impact a single vitamin can have, but that's why they are called Vitamins!
Dr Joe Chandy has been a GP in Easington in County Durham, UK for 40 years. I recently attended a presentation about the impact on the body systems of subclinical B12 levels in the tissue - not recognised by medical science because the blood levels were above the minimum required.

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Practice-Based Commissioning - engaging GPs and the public

Submitted by Hugo_Minney on Wed, 10/08/2008 - 11:47

the problem PCTs have a requirement to get GP practices engaged with the commissioning process, for two reasons:

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BME Network development

Submitted by Hugo_Minney on Sun, 10/05/2008 - 21:53

Mental health, or the empowering or disempowering of people in their homes; with their family, friends and co-workers; in their communities; and in the country they live in could be one of the biggest causes of ill health. It's said that the constant exposure to air-brushed beauties in magazines and impossibly perfect people in our soap opera "true to life" stories on Television causes people to be dissatisfied with their partners and dissatisfied with their lives.

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Consultancy: developing a case for investment for Community Matrons

Submitted by Hugo_Minney on Thu, 09/18/2008 - 21:20

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Community Matrons were asked to report on activity levels as a way of justifying their costs, but they wanted a more outcomes-based way of reporting. We developed a balanced scorecard aligned to the employing provider organisation and commissioning organisation’s own key priorities.

Process Redesign: Reception and Appointments booking for Community Clinics

Submitted by Hugo_Minney on Thu, 09/18/2008 - 21:16

A PCT requested myself and a colleague to run a programme to redesign the process of booking patients in for community services eg long-term conditions management (it covered all services delivered in PCT buildings). Involving staff, stakeholders and service users revealed that the overall community service could be run more cost-effectively, and more appropriately for service users at the same time supporting healthcare staff, by devolving administration to the community buildings rather than centralising. The PCT was extremely pleased with the result.

Long-Term conditions (Diabetes) – Value for Money.

Submitted by Hugo_Minney on Thu, 09/18/2008 - 21:14

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Review of a diabetes Locally Enhanced Service which identified the cost-benefit of the LES and worked with GPs to improve this.

Initiating joint working - cross sector forum

Submitted by Hugo_Minney on Sun, 01/20/2008 - 16:00

With New Ways of Working I initiated a core planning group to identify cross-sector issues (health, social services, childrens incorporating commissioners and providers from public, independent and voluntary sector) and share knowledge.
We all know that decisions on the funding and types of care in one sector often impact on others; staff and users want seamless care delivery, and of course transferability of skills and qualifications.

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Workshop: Developing Benefits Frameworks

Submitted by Hugo_Minney on Sat, 04/29/2006 - 17:00

The key to delivering benefits across a whole health community is to ensure that each project, each initiative is understood in context.
This is what is meant in World Class Commissioning terms by the whole stream of "assessing needs", "Review Current" and "Decide priorities" (WCC was presented in 2008).

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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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