Blair McPherson was Director of Community Services at Lancashire County Council. He has worked as a Deputy Director in social services and as a senior manager in a large Housing Association. He has been a member of the Professional Executive Committee of three Primary Care Trusts and works closely with a range of organisations in the voluntary, community and not for profit sector. His management career started in Birmingham City Council where he acquired his passion for equality and diversity and his recognition of the need for high quality management. He is a regular contributor to the professional press with over 500 articles published. He is author of four books An Elephant in the Room: An Equality and Diversity Manual, UnLearning Management: Short stories on modern management , People Management in a Harsh Financial Climate and Equipping Mangers for an Uncertain Future published by www.russellhouse.co.uk
Blog Posts (239)
Combine the business know-how of the private sector with the social ethos of the public sector
Governments have a history of imposing what hasn’t quiet worked in one area of the public sector on to another
What’s the real agenda at all expenses paid health conferences?
Whether at the World Cup or in your office, leaders are not always good team players
With a vote on the way, no any party will allow the NHS to struggle more than it has too
Blair Mcpherson contributes to:
Commissioning is part of a tighter budget control process with in the NHS, a process that is not driven by an assessment of need but is finance led, it's about what we can afford, economies of scale and encouraging the private sector where they say they can do it cheaper.
Comment on: Happy staff mean a healthy business
In the long term particularly in the carding business then happy staff may well lead to a healthier business but in the short term in a climate of budget cuts, redundancies and proposed mergers fear seems to be effective. Of course that is assuming you regard health care as a business.
There are a lot of questions the NHS has yet to find answers to. Should Commissioners continue to use a Trust that is in special measures? If they withdraw their support the Trust is no longer financially viable. If they continue to commission services from the Trust despite a damming inspection report then what was the point of introducing a commissioning led NHS? How does a Trust get put of special measures? Is it inevitable that the chief executive, chair and most of the board have to go I order to restore confidence? This looks like another case of balancing the budget and making the efficiency savings at the expense of undermining the confidence of staff that the Trust is genuinely committed to providing even an acceptable level of care. But is this increasingly an impossible ask? What does the government really want the CQC to do , light touch resulted in unacceptable and dangerous care in depth tell it like it is reports seem be equally unwelcome and problematic! Are Trusts to be run as business or should the NHS be practise led rather than finance driven?
The NHS does have a number of equality and diversity issues to address. It is not just concern about the snowy white peaks but evidence from Trade Unions that black staff are more likely to be disciplined and less likely to be promoted. How the NHS treats staff has an influence on how staff treat patients and there are well documented cases of the neglect of older patients and the abuse of people with learning disabilities. Add to this the belated recognition of a criss in mental Heath services and what you have is an erosion of the Values that the NHS and public sector in general stood for. These values are dignity, respect and fairness. They are being replace by the values of the market place, competition,cost and profit . Blair McPherson author of An Elephant in the Room- about equality and diversity in the public sector organisations www.blairmcpherson.co.uk
Comment on: Fashion fades but the equality conundrum remains
Kosta This article in HSJ may go some way to answering your question. http://www.hsj.co.uk/comment/blogs/the-politics-of-language/5069946.blog