Discharges

I thought this blog from the Kings Fund provided some much needed balance in the current debate about the impact of adult social care on the pressures in the NHS. Well done for keeping it factual. Delayed discharge: ‘It’s not just about the money’ Delayed transfers…

The Disturbing Whiff of Better Care

Whenever a piece of national guidance suggests in its opening that local folk are ‘invited to agree a target’ and then proceeds to explain what the exact target should be and exactly how it will be calculated, and how there will be a penalty attached to…

Empower the CCGs to do what they are being asked to do …

I so appreciated this post in April 2014 from Jonathan Shapiro – who blogs regularly here: http://gurudox.com – that I have copied it in its entirety below. Kudos, Jonathan. “Dear Simon Despite the fact that most open letters probably never get read by their addressees, I thought…

Why we’re not smart enough to run the business of health

It’s simple, it’s too complicated. Consider just some of the elements of the health business – workforce, developing the organisation, creating teams, managing teams and people, predicting demand, population, need, the latest advances in practice, managing across multiple organisations, within the moving target of national policy,…

What difference can CCGs make?

The fan on the wall nearest me is blowing the edge of my papers causing them to shift across the desk in a hovercraft-like way every time it sweeps towards me on its repetitive arc. It’s distracting me. We are giving colleagues in the regional office…

GP Commissioning: A brief review of the literature

With the establishment of NHS Clinical Commissioning Groups (CCGs) in April 2013, General Practitioners (GPs) in the United Kingdom are now fulfilling leadership roles in healthcare in addition to their traditional roles as clinicians. In taking up formal roles in CCGs, individual or groups of GPs…