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Editorial Tuesday 2 February 2016: What do we do if the goodwill runs out before the money?

Publish Date/Time: 
02/02/2016 - 10:21

Dogs bark. Bears shit in the woods. And hogs whimper at some system leaders’ silliness as the money doesn’t magically stop being spent.

As I have previously observed, the doctots’ dispute is actually about pay, terms and conditions. There is nothing wrong with that.

Doctots are (for all the enjoyable nicknaming) mostly very hardworking, intelligent and dedicated people who do an awful lot of the work that happens in healthcare.

The Maynard Doctrine: How is Sir Galahad doing? A termly report

Health economist Professor Alan Maynard runs the rule over the Stevens regime

Who would want Simon Steven’s job? One can only admire the fortitude of Sir Galahad (better known as SS). He is mired in the bog that is Whitehall, with the natives running riot, practising planned parsimony voted for by no sensible citizen.

Sir G quests quietly and determinedly for the Holy Grails: leverage to facilitate financial solvency; avoidance of crises; and radical reform of NHS attitudes and practices.

The Maynard Doctrine: Management needs measurement: time for the NHS to do better

Health economist Professor Alan Maynard says that NHS activity and performance measurement need to improve significantly.

The NHS has three problems with ensuring managers are adept at measurement and thus able to deploy their skills efficiently, rather than haphazardly.

Firstly, there is a paucity of data, particularly in primary care.

Secondly, there is an enormous stock of secondary care data which managers neglect.

Editorial Wednesday 13 January 2016: On negotiating

Publish Date/Time: 
01/12/2016 - 16:59

Fingers crossed, yesterday's non-emergency junior doctors' strike has apparently passed without significant incident. There has clearly been minor silliness at Sandwell, but generally speaking, the planned consultant cover has gone safely and well.

The fact that this dispute about pay, terms and conditions has even got to the point of a strike should shame both sides.

Pay, terms and conditions

Editorial Tuesday 12 January 2016: Why a cross-party health and care funding commission probably won't happen or work

Publish Date/Time: 
01/12/2016 - 13:44

NHS funding arguments fall into three broad categories. In ascending order of usefulness, these are: how to fund; how much to fund; and what value the funding delivers. The first two categories are more political and philosophical; the third is more technical-economic.

Former Lib Dem health minister, mental health champion and good egg Norman Lamb recently proposed a cross-party commission on health and care funding.

Editorial Monday 28 December 2015: Interview with Samantha Jones, director, New Care Models programme, NHS England

Publish Date/Time: 
12/28/2015 - 14:00

Samantha Jones is director of the New Care Models programme, which is part of the NHS Five-Year Forward View. Interview by HPI editor Andy Cowper.

Health Policy Insight: How will you sustain the energy and enthusiasm with which Vanguards were launched as finances tighten?

Samantha Jones: I think the really powerful energy was generated by the Five-Year Forward View, with the direction it set and the care models it articulated being very widely welcomed.

Editorial Monday 21 December 2015: 'Joshua's Story' by James Titcombe

Publish Date/Time: 
12/21/2015 - 16:36

It would be far, far better for James Titcombe and his family if this book hadn't had to be written. Tragically, Joshua's Story did have to be written.

James Titcombe's powerful, pacy writing is all the more effective for being clear-eyed. The admirable strength of his character in wanting Joshua's avoidable death to be a catalyst for change, honesty and learning is a vivid contrast to the greyscale obfuscations, half-truths, insults and outright lies he repeatedly encountered.

Editorial Thursday 17 December 2015: The FYFV funding pantomime and the new Amy Winehouse Fund

Publish Date/Time: 
12/17/2015 - 15:19

The NHS Commissioning Board met today, and unanimously passed its latest tranche of documents. (That's passed as in agreed, obvs.)

The Government's Mandate to the NHS was also published.

Various things in these are noteworthy.

'We've funded the Five-Year Forward View in full.' 'Oh no you haven't!'