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The Maynard Doctrine

The Maynard Doctrine: Cut the horseshit: where’s the evidence?

Health economist Professor Alan Maynard wonder, not for the first time, why policymaking and management are still so often uninformed by evidence and evaluation.

The healthcare industry nationally and internationally is vast and expensive. Insurers and governments worldwide spend a lot of effort seeking to control expenditure growth, using rhetoric rather than evidence to improve the efficiency with which healthcare is delivered.

The Maynard Doctrine: The Sinking of the NHS Titanic

Publish Date/Time: 
03/30/2016 - 17:34

Health economist Professor Alan Maynard points to the parlous pricing function, cost and value

The admirable Steamship NHS Titanic is being driven into the iceberg territory of fragmentation and privatisation by Admiral The Hunt. After five years of parsimonious annual funding growth of 0.8 per cent, good ship NHS is in dire straits, with rivets pinging from previously robust component parts.

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.

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.

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.

The Maynard Doctrine: On Nero, and fiddling whilst the NHS burns

Health economist Professor Alan Maynard explores how workforce issues, funding and social care gaps amount to an NHS conflagration

On Nero and fiddling whilst the NHS burns
The Department of Health and NHS England continue to produce a plethora of what the charitable might call innovations. As the Comprehensive Spending Review progresses, ’bold’ notions, such as allocating more NHS funding to social care, echo through the corridors of Richmond House.

As ever, life in the real NHS emulates the old Chinese curse: “may you live in interesting times”!

The Maynard Doctrine: On Canute, mushroom management and digging holes

Health economist Professor Alan Maynard on tide-turning, mustroom management and hole-hollowing

The post-election logic of the Government NHS policy is as elusive as a piece of soap in the bath. But then, perhaps we are expecting too much of the Government’s attempts to keep the NHS show on the road.
Let’s review three areas of their post-election NHS “innovatory” activity.

The King Canute Problem of wishful thinking is no substitute for evidence based policy

The Maynard Doctrine:: Time for scepticaemia

Health economist Professor Alan Maynard suggests that it’s time for a little definition of what we actually mean by policy goals

Ministers continue to assert, in the true Thatcherite tradition, that they are interested in “value for money”.

However, when it comes to short-term political gain and favourable publicity in the press, they squander society’s scarce resources by funding schemes where evidence of cost-effectiveness is absent.

Likewise, they fail to ensure scientific evaluation of their usually evidence-free innovations.

The Maynard Doctrine 6 May 2015: Pre-electoral reflections - is the NHS going to hell in a handcart?

Health economist Professor Alan Maynard wonders what the bloody hell’s going on with electioneering health policy, and is mildly sceptical about the reality of £22 billion efficiency gains

Aneurin Bevan smashed through a myriad of institutional obstacles to create the NHS in 1948. His underlying concern was income protection: ensuring that citizens were not bankrupted by unpredictable life events that required medical care. Bevan’s NHS was to remove the price barrier to use of medical care, removing fear of the financial consequences of ill-health.

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