I walked into a room recently which was jam packed with secondary care clinicians and managers. I was the lone commissioner. The meeting was a peer review visit to support […]
Martin McShane
Martin McShane: Substantially amend
“If you feel confused you probably know what is going on.” Out in PCT land it is fascinating to watch and listen to all the noise and thunder in the […]
Martin McShane: The calm
As a child I remember standing on a beach and marvelling at how unnaturally still and calm everything seemed. It was a few hours before a hurricane hit the coast. […]
Martin McShane: Evolution or revolution?
The announcement of a pause in the progress of the legislative process has been serendipitous for me. It coincided with a series of events where I could listen to a […]
Martin McShane: Consciously unconscious
I was in a meeting last week with the seven chairs of the new consortia, two other executives from the new PCT cluster, and an external consultant who was giving […]
Martin McShane: Patients as customers
Sometimes you get a sense of cultural change: someone tells you a story and simultaneously you think “that’s a good idea” and “times they are a changin’.” […]
Martin McShane: A confusion of choice.
I chaired the specialised commissioning group last week which was fascinating (and intense work). Ranged around the table were people skilled and experienced in public health, planning, procurement, finance, and […]
Martin McShane: Development through delivery and delivery through development.
Almost all our emergent consortia have completed their elections. Chairs are being identified and the process of change and transition is accelerating. Someone asked me last week whether the process […]
Martin McShane: Phoenix – myth or reality?
I attended, what I think, was the last National Patient Safety Forum last week. I have been a member since it was set up following the publication of Safety First. […]
Martin McShane: One organisation?
In a recent letter Sir David Nicholson began to make clearer how he sees the NHS commissioning board and GP commissioners working together. It is a very important letter and […]