efficiency

Is the NHS Cost-effective?

Submitted by Hugo_Minney on Tue, 11/01/2011 - 16:55

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Commonwealth Fund chart

What is the best way to know if NHS is effective and efficient?  And in particular, how do we know what reforms are needed and how we should bring them about?

I've pulled out a number of reports which compare NHS historically, and with other countries, to decide if it is effective and if not, what we need to do about it

Copenhagen talks –act on CO2

Submitted by Hugo_Minney on Sun, 01/10/2010 - 15:24

We need to consider what we, as organisations and individuals, can do to reduce our own carbon footprints. It’s all very well to talk about it, but this winter, this extreme weather, shows just how close global warming could be. For Britain, global warming doesn’t mean getting warmer, it means getting colder – we’re on the same latitude as Alaska, and we should expect that sort of weather.

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"The Efficiency Map" - Department of Health May 2005

Submitted by Hugo_Minney on Fri, 09/19/2008 - 22:25

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Department of Health produced a poster designed to show all of the ways of making efficiencies in line with the Gershon reviews.
It never really took off, but none-the-less I contributed the workforce aspects from Changing Workforce Programme

Workforce Reprofiling in Acute and Mental Health Environments

Submitted by Hugo_Minney on Thu, 09/18/2008 - 21:13

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Workforce is the single biggest part of the healthcare budget, and it's tempting to impose draconian measures such as recruitment freezes. But what will actually work best to improve quality at the same time as reducing costs?

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A moral dimension to consulting

Submitted by Hugo_Minney on Wed, 02/08/2012 - 22:11

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)

Submitted by Hugo_Minney on Sun, 02/05/2012 - 16:56

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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)

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 . . .

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