{"id":33182,"date":"2015-01-19T12:00:09","date_gmt":"2015-01-19T11:00:09","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=33182"},"modified":"2015-01-19T12:46:37","modified_gmt":"2015-01-19T11:46:37","slug":"the-bmj-today-management-consultants-are-like-marmite","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/19\/the-bmj-today-management-consultants-are-like-marmite\/","title":{"rendered":"The BMJ Today: Management consultants are like Marmite"},"content":{"rendered":"

\"rich_hurley\"<\/a>\u201cIt must be comforting to live in a Manichaean world where management consultants are devils and doctors are angels,\u201d posted Stephen Black, a confessed management consultant<\/a> for a \u201cmajor management consulting firm that often works for the NHS,\u201d on thebmj.com<\/a> yesterday.\u00a0\u201cIt makes solving the many problems of the NHS so easy.\u201d<\/p>\n

He was responding to a recent Personal View by David Oliver<\/a>, a visiting professor, at London\u2019s City University, which was his call to \u201cStop wasting taxpayers\u2019 money on management consultancy for the NHS.\u201d<\/p>\n

Oliver had argued, \u201cThose with relevant experience of the sector rarely have a better track record of delivery than those they are advising.\u00a0Consultants often sell back the solutions offered to them by the staff they speak to. Or, in glossy reports, they tell service leaders what they want to hear when they haven\u2019t the courage to take ownership of their own decisions.\u201d<\/p>\n

And he continued his criticism, \u201cConsultancy firms are unaccountable and can walk away from bad or damaging advice with no consequences.\u00a0I have lost count of the number of reports that model drastic reductions in urgent activity or cost, based on no credible peer reviewed evidence. Recommendations are often not implemented before the panic button is pressed, and another consultant\u2019s report requested.\u201d<\/p>\n

But Black accused Oliver\u2019s condemnation as \u201cknee-jerk,\u201d \u201cnaive,\u201d and \u201cchildish.\u201d<\/p>\n

\u201cI don’t want to be a naive apologist for the consulting profession,\u201d Black wrote. \u201cSome work done by my fellow consultants is rotten and naive, but no self-respecting consulting firm would shy away from a proper evaluation of whether its work was any good.\u201d<\/p>\n

\u201cMoreover, no firm would get any repeat business if the people paying for the work were not at least a little satisfied with it. The industry can’t force the NHS to buy its wares,\u201d he assured.<\/p>\n

\u201cI’d certainly vote for more accountability and transparency for the outcomes of the work done by management consultants. Perhaps adopting the same levels of transparency as that for medical consultants, where the outcome of their interventions are widely published for all to see.\u00a0Oh, wait. Sorry: I\u2019m guilty of living in a dream world. Many medics . . . have bitterly opposed transparency around measures of outcomes. Their lobbying bodies have argued that simple measures of, for example, surgical mortality would be too complicated to be interpreted fairly by outsiders.\u201d<\/p>\n

And, elsewhere in the journal, Max Pemberton, mental health doctor, author, and Daily Telegraph<\/em> columnist has also had a recent dig at the consultants.<\/a><\/p>\n

If I Ruled the NHS is a new series that invites guest contributors to offer their remedy for problems in the health service. And were Pemberton in charge, he said, \u201cI\u2019d also ban management consultants from working in the NHS. We have managers already, and if they are unable to evaluate and restructure their services then they have no business being employed in a managerial role.\u201d<\/p>\n

\u201cSpot on, Max!\u201d concurred David Levine, retired consultant physician, in a rapid response<\/a>.<\/p>\n

\u201cNo one will be surprised if management consultants dislike your suggestions; if they did, it might even cause concern.\u201d<\/p>\n

Where do you stand on the issue of a doubling in annual NHS spending on management consultancy from \u00a3313m to \u00a3640m between 2010 and 2014 despite politicians\u2019 promises to reduce such spend? Let us know by sending<\/a> a rapid response to either article<\/a>. We republish the most interesting and useful as formal letters to the editor. If you are interested in submitting an If I Ruled the NHS column, please email Gareth Iacobucci<\/a> or call +44 (20) 7874 0738.<\/p>\n

Richard Hurley<\/strong>, deputy magazine editor<\/em>,\u00a0The BMJ. You can follow him on Twitter\u00a0@rich_hurley<\/span><\/a>.\u00a0Email rhurley@bmj.com<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cIt must be comforting to live in a Manichaean world where management consultants are devils and doctors are angels,\u201d posted Stephen Black, a confessed management consultant for a \u201cmajor management […]<\/p>\n

More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-33182","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"\nThe BMJ Today: Management consultants are like Marmite - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/19\/the-bmj-today-management-consultants-are-like-marmite\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: Management consultants are like Marmite - The BMJ\" \/>\n<meta property=\"og:description\" content=\"\u201cIt must be comforting to live in a Manichaean world where management consultants are devils and doctors are angels,\u201d posted Stephen Black, a confessed management consultant for a \u201cmajor management [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2015\/01\/19\/the-bmj-today-management-consultants-are-like-marmite\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2015-01-19T11:00:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-01-19T11:46:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/08\/rich_hurley.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/19\\\/the-bmj-today-management-consultants-are-like-marmite\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/19\\\/the-bmj-today-management-consultants-are-like-marmite\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"The BMJ Today: Management consultants are like Marmite\",\"datePublished\":\"2015-01-19T11:00:09+00:00\",\"dateModified\":\"2015-01-19T11:46:37+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/19\\\/the-bmj-today-management-consultants-are-like-marmite\\\/\"},\"wordCount\":619,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/19\\\/the-bmj-today-management-consultants-are-like-marmite\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2012\\\/08\\\/rich_hurley.jpg\",\"articleSection\":[\"The BMJ today\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/19\\\/the-bmj-today-management-consultants-are-like-marmite\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/19\\\/the-bmj-today-management-consultants-are-like-marmite\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/01\\\/19\\\/the-bmj-today-management-consultants-are-like-marmite\\\/\",\"name\":\"The BMJ Today: Management consultants are like Marmite - 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