Monday to Friday, for weeks now, there has been a teleconference bringing together the leads from all the major organisations across Lincolnshire involved in health and social care. The ambulance […]
Martin McShane
Martin McShane: A nation or the profession?
I sat down with a manager who has an in depth knowledge and experience of commissioning services for people with learning disabilities, as I wanted to understand why we seemed […]
Martin McShane: Little things
The reforms grind on. In the stratosphere there is a lot of noise and turbulence—people arguing passionately and polemically. Meanwhile the architecture of a new system is being constructed around […]
Martin McShane: Doing the maths
We are now constantly discussing the transition process and the programme of work we have mapped, which we need to follow to deliver the structural changes demanded by the reforms. […]
Martin McShane: Does commissioning need an incentive?
I became interested in commissioning through Fundholding. Like the majority of GP practices that got involved we did so because we wanted to improve the experience and the services our […]
Martin McShane: Tipping point
The announcement last week of the design of the NHS Commissioning Board is critically important. It signals the end of the prolonged period of ambiguity which managers have experienced since […]
Martin McShane: Incentives to transform primary care
I was fortunate to be able to listen to Danna Safran from Blue Cross Blue Shield (BCBS) of Massachusetts at a recent King’s Fund conference. She was talking about the […]
Martin McShane: Compliance and membership
The year ahead will be important for the NHS. It will be a year that determines if the leadership across the system inverts and changes. Currently it is based on […]
Martin McShane: Networking
“We need to think about networks and define if they are commissioner or provider led.” I heard this said a few weeks ago. I also heard it said 3 years […]
Martin McShane: Adapting
Every two months I get to sit down with the GP Chair and Chief Operating Officer from each of the Clinical Commissioning Groups (CCGs) in Lincolnshire. Ever since the reforms […]