Back in May 2010 the professional executive committee and NHS Lincolnshire board agreed to delegate the management of the minor surgery local enhanced service to the practice based commissioning (PBC) […]
Tag: NHS reforms
Martin McShane: Nietzsche and commissioning
As part of the development of our Clinical Commissioning Groups (CCGs) the seven GP CCG chairs now have a place at the NHS Lincolnshire Board meetings. The agenda was not […]
Kailash Chand: The Health and Social Care Bill remains flawed and unpopular
The government has set out its stall in detail on the changes it will make to the Health and Social Care Bill. Many of the BMA’s concerns were addressed by […]
Douglas Noble on reforming the reforms
The pause ended in dramatic fashion last week with the publication of the NHS Future Forum’s recommendations. Most interesting was the orthopaedic surgeon at Guys Hospital who confronted the prime […]
Richard Smith: The NHS debate – missing most of what matters
I’ve stayed out of the NHS debate. These days I spend lots of time in countries like Bangladesh, Kenya, and Guatemala, and viewed from those countries – where health workers and […]
Martin McShane: Appeasement
The changes the government is proposing in response to the NHS Future Forum might satisfy most of the people for some of the time but their implementation immediately struck me […]
Edward Davies: NHS Reforms – be careful what you wish for
David Cameron’s speech on NHS reform this week should have marked a substantial victory for doctors’ leaders. In recent months they have been even more outspoken than usual in their […]
Peter Davies: Is it time to scrap the primary-secondary care divide?
Suppose a pathologist was to say, “Because I am not a GP I do not belong here.” Or a GP was to say, “Because I am not a cardio-thoracic surgeon […]
Martin McShane: No rules
I read the King’s fund paper on management in the NHS. It should be read widely. Some politicians and professionals understand that successful organisations have good management. Some even understand […]
Annabel Ferriman: What a way to decide the future of the NHS
Suddenly Health Secretary Andrew Lansley’s proposals to “reform” the NHS look safe. For more than nine months, since the publication of Liberating the NHS last July, doctors, nurses, think tanks, […]