RoI

Emergency Care Practitioners, Case for investment

ECP from Bournemouth who saved two lives in one dayA national programme had the ambitious intent to reduce A&E attendance by 1 million.

Benefits realisation - good projects in public sector

Benefits Cycle for Patients/Service Users, Staff & OrganisationsBenefits Management is a key priority for all public sector projects, and none more so than NHS. With nearly £100billion of investment, we MUST deliver value for money. This section focuses on what you need to change to realise benefits, and how to plan it. . . .

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.

Earned Value Management and RoI - what it means to you

 

Equation for whole project Earned Value
Earned Value Management is not a new concept -- it's been around, but often not properly implemented, since the 1950s.
But what actually is it?
Earned Value Management (EVM) is a combination of continually realising benefits and performance managing a project.

Cost-Benefit Analysis - Domestic Violence pg 1

 I like to research thoroughly before responding to a tender, and a requirement came up that really challenged me. The client wants to know if their response to domestic violence represents value for money.  It's still early days for the service, but how it develops from here depends on the findings of the cost-effectiveness study, so we owe a really important duty of care for such a critical service.
For example: Which interventions work in reducing or preventing domestic violence? Is it enough to give women a place of safety, or does this just

Measuring the Benefits of the Emergency Care Practitioner

Measuring the Benefits of the ECP (Emergency Care Practitioner)"Measuring the Benefits" looks at the evidence for urgent care practitioners caring for patients effectively. It compares paramedics and advanced paramedics (in research from USA, Canada, Australia and Europe) with advanced nurse practitioners and ECPs (in UK pilots).

The ECP Report: Right Skill, Right Time, Right Place

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The ECP Report - Right Skill, Right Time, Right PlaceThis was one of the defining reports for the Emergency Care Practitioner. Launched by Prof Sir George Alberti in October 2004, it explains what ECPs are (or can be), where they were at the time, how much they cost to develop and what the Return on Investment is (these two were my bits).

Social Enterprise health + care providers

"Health free at the point of use" means health funded out of the public purse - but it doesn't mean public-owned providers. Social enterprise is one very viable option

Workshop: Developing Evidence-Based Business Case

A 1½ day workshop for people who need to prepare business cases, need more practice, or whose track record at having business cases approved is not all they would like. It helps delegates to gather the evidence and identify the impacts which contribute to a compelling business case; and explores alternative sources of funding.

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Recent Additions and Updates

The 10 Commandments in Professional Services (1-5)

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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)

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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