Monday, April 25, 2011

NHS Posts: Monitor, A & E, Parliament & Market Forces.

A selection from the archive.

Thursday, March 17, 2011
Dr Bennett: On the armies of accountants point, Anna is right that one of the things that is needed is a more detailed and even clearer understanding of the costs of all these different services and how they interact and so on.

Dr Singer: Designation has to come in because you have to have the A&E open. My problem is everything around it.

…….Dr Bennett: On the designation question, the issue there is what happens if the provider of the service is the only provider of that particular service that is available to its local community but the provider gets into difficulty. Designation is all about making sure that there is continuity of the provision of the service even if the provider themselves gets into difficulty where there is no alternative provider.

On the integrated care for A&E, yes, there are similarities. I think the critical issue is where you draw the boundaries. If you finish up in a situation where you define the boundaries around A&E as being the whole of the DGH, then you have somewhat frustrated the policy, but I don’t think that should be necessary.

Dr David Bennett is NOT a medical doctor.

Wednesday, March 16, 2011

Q 22 Phil Wilson:  So is it revolutionary or evolutionary? 
Sir David Nicholson: I think it is neither. I think it is bold and imaginative.

Q 23 Phil Wilson:  Bold and imaginative; a very nice way of putting it. So we are essentially going from first gear to fifth gear, missing out second, third and fourth, really. You have said yourself it is the largest reorganisation ever—you can see it from space. 

Tuesday 8 February 2011

Sunday, March 13, 2011

First, Palmer argues that market forces are unlikely to deliver desirable service reconfiguration, and only ‘strong commissioning’ stands a chance of bringing about the changes needed to improve quality and drive down costs.

Read the full summary here>>>>>

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