With the pause button still firmly pressed on the NHS reforms in England, one former Tory health secretary claims this week that the debate is losing touch with reality. Stephen […]
Tag: NHS reforms
Martin McShane: Multilayered commissioning
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: 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 […]
Kailash Chand: No confidence in Andrew Lansley
With the Royal College of Nursing’s (RCN) no confidence vote in Andrew Lansley, it is generally accepted that it is no longer possible to have a rational debate on the […]
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 […]
Domhnall MacAuley: The day the brakes went on
The consortia dream screeched to a halt. As I watched breakfast TV in the airport lounge on my way to the GP forum, the controversial health reforms were unravelling. The […]
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 […]