Comments on: Martin McShane: A new dynamic?

By: Richard Smith

Richard Smith — Thu, 29 Mar 2012 13:21:00 +0000

I find it very gratifying to read your blogs, Martin, and get some sense of what’s happening on the ground in the NHS rather than in the overheated political stratosphere. I had the chance to meet informally with a CCG recently, and they described the strong pressure they had experienced from the “centre” to do things in a particular way. They were determined to resist and do what they thought best for their community, but they also thought that many CCGs would succumb. What do you think?

By: Martin Mcshane

Martin Mcshane — Tue, 27 Mar 2012 18:19:00 +0000

Thanks. It is a good point. This is only one particular dynamic and, as you rightly point out, the interaction with the Health and Well Being Board is another important new dynamic in the system. The CCGs are well engaged, locally, with the Health and Well Being Board. Other colleagues participate but I don’t and so feel constrained from making observations.

By: notactualsize

notactualsize — Tue, 27 Mar 2012 14:02:00 +0000

You don’t mention Health and Wellbeing Boards: are these not involved at all in the processes you describe?