Patrick Newman's Comments
Will this end up as a mini CfH with the usual money sink for the private suppliers?
Comment on: Live Q&A: integrated care
To what extent will the new competition rules (SI 2013/500) disable, limit, exacerbate, lengthen, confuse the project to build a local implementation of integrated care. Are there inherent difficulties for this project in the purchaser - provider separation. Will the requirement for individual CCG's to cooperate on integrated care be a foretaste of CCG's merging? Is integrated care and devolving acute care to the community always complementary?
Comment on: A surgical approach to value-based commissioning
Clearly in the development of this project the all important patient dimension has been considered sensitively and extensively. Setting treatment/surgical thresholds can be intensely political especially in current circumstances of creeping stealth cuts to the spendable NHS budget.
Comment on: Will being in a CCG change anything?
Make the most of it, Dr Kell, you will be merged with a neighbouring CCG within the next two years. East and North Herts CCG actually allow the public to ask questions at the end of each public board meeting. Every CCG should adopt this good practice. The main conflict of interest which has already resulted in casualties is the time as a GP, practice lead and CCG board member. No mention of the statutory competition regs which I believe will be a headache for GP's on CCG's. Top sliced budgets will also not be fun!
Is IT project management still in its infancy in the NHS. Presumably Rotherham weren't pioneers of this system and validated its quality and performance during procurement? - please tell me they did!
I thought the Sir Bruce intervention and the debate it precipitated was open and productive. We need more like this but not in such a frenzied context. Honesty or confessionalism has to start at the top so Sir David and Dame Babs out thyselves on 111 and Mid Staffs et al. The buck goes no higher because SoS's are genetically endowed with deniability reflexes. Disciplinary procedures and no fault compensation may also have a contribution.
And the answer is?
To criticise Harmoni is the same as complaining about your cat when he kills a bird.
Centralisation of NHS services has been the pre-occupation of health planners for many years but few question the assumptions or bother to look at historical evidence especially in patient experiential terms.
Comment on: Health adviser to prime minister appointed
Do follow Bronwen's link. What is interesting is that Cameron seems unconcerned about the obvious interpretation of this appointment or perhaps he gave it the same attention as that was given to employing Coulson!