Health Policy Insight
Healthcare management online analysis and intelligence
The home of UK health policy

HPI Content

Editorial Tuesday 24 November 2015: Simon Stevens' Newtonian politics win front-loading of the NHS budget (objects in motion)

Publish Date/Time: 
11/23/2015 - 23:23

"For every action, there is an equal and opposite reaction" - Third Law Of Motion, Sir Isaac Newton

"Every object in a state of uniform motion tends to remain in that state of motion unless an external force is applied to it" - First Law Of Motion, Sir Isaac Newton

The Sun King Also Rises, you might say.

The Maynard Doctrine: Some friendly advice from Dave to Jeremy

Health economist Professor Alan Maynard imagines the contents of a memo from the Prime Minister to Jeremy Hunt

Dear Jeremy,

As you seem to be experiencing some local difficulties, I felt it was incumbent on me as your Prime Minister to offer some advice and how we might proceed with NHS and social care matters.

Social care problems
As you know, I am rather lazy and do not keep up with the minutiae of policymaking. Consequently, I was surprised to discover from local authority colleagues in Oxford about the scale of the cuts they are facing.

Editorial Tuesday 10 November 2015: The punishment beatings will continue until morale improves

Publish Date/Time: 
11/10/2015 - 19:59

There is a bitter symmetry between the incidence and the prevalence of the punishment beating in NHS culture.

The first reason why the culture of punishment beating exists?

Existential teleology.

There is a cadre of the managerial community whose purpose is to administer punishment beatings.

Therefore, punishment beating must have value: part of the management infrastructure exists to perpetuate punishment beatings. (Without such value, there would be no punishment beatings.)

This is a self-fulfilling prophecy.

Editorial Thursday 5 November 2015: Money, power and ownership in the NHS: the bonfire night of the vanities

Publish Date/Time: 
11/05/2015 - 15:22

Money, power and ownership are central to the politics and policy of the NHS.

They're also often misunderstood.

Money is back in the news this morning with Virgin toilet misuser Jeremy Hunt apparently offering junior doctors an 11% pay rise as part of changes to the junior doctors' contract.

Editorial Tuesday 20 October 2015: NHS Improvement - how the NHS can avoid getting Netflix-and-chilled

Publish Date/Time: 
10/20/2015 - 15:17

The appointment of Northumbria Healthcare FT/ACO leader Jim Mackey as the debut chief executive of NHS Improvement has been pretty much universally welcomed.

At the risk of going with the consensus, he does indeed seem to be an excellent appointment. The double-act with chair Ed Smith, a formidable NED of NHS England, is a good start.

The Maynard Doctrine: Come on, Sir Galahad Stevens, lance the nonsense!

Health economist Professor Alan Maynard calls for Simon Stevens' digital extraction on non-evidence-based policy initiatives

Sir Galahad (aka Simon Stevens) is in an “interesting” position at NHS England. Post my Lord Lansley’s daft reforms, Galahad and his merry persons are supposedly independent arbiters of NHS policy, subject to the Department of Health annual contract.

Editorial Thursday 15 October 2015: A Twitter chat with Andrew Lansley

Publish Date/Time: 
10/15/2015 - 09:35

Well, that was interesting.

Last night, Our Saviour And Liberator Andrew Lansley took exception to yesterday's post on feeling sympathy for Jeremy Hunt.

On Twitter.

Replying to my Tweeting the link. Mr Lansley wrote, "when you're not issuing childish abuse, do you think NHSE(ngland) should be independent; if so, why not offer credit?".

It's a perfectly fair question.

Editorial Wednesday 14 October 2015: Sympathy for Jeremy Hunt

Publish Date/Time: 
10/14/2015 - 16:16

Since working out yesterday that Sun King Simon Stevens is now the de facto Secretary Of State For Health and Jeremy Hunt is NHS director for patient safety, I've had an odd sensation bubbling through my giblets.

No, it's not wind. I've been feeling sorry for Jeremy Hunt.

And to be frank, it feels a little weird.

Editorial Tuesday 13 October 2015: Versailles, here we come; Sun King Simon Stevens is in charge

Publish Date/Time: 
10/13/2015 - 16:11

The current NHS landscape, polar ice sheets and tall buildings all have one thing in common. When they start to collapse, they seem to move at first slowly; then massively and fast.

Simon Stevens' speech to the Kings Fund's Integrating Care conference this morning confirmed the completion of what HPI identified as a longstanding shift in the Conservatives offshoring political power over the health service.