Has devolution improved NHS performance?
Health and health care policy have been a matter for the devolved administrations in Scotland, Wales and Northern Ireland since devolution in the late 1990s. Among the cocktail of policies pursued acr...
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Signing up to safety - lessons from Virginia Mason
Jeremy Hunt has asked all the English NHS to ‘sign up to safety’. He has been to Seattle to see how it can be done – for it is certainly true that Virginia Mason Medical Centre in Seattle is a remarka...
We’ve discovered a shortcut to innovation…go outside the box
Ask people if they think they are innovative. Go on, see what they say. The reality is that we are very competent using innovations, but not very innovative ourselves. This could not be more true for ...
Fergie, football and the NHS: building a leadership team for the future
Simon Stevens’ recent maiden speech as Chief Executive of NHS England was received positively. In it, he reminded us of his familiarity with the machinations of the NHS but also humble acceptance of t...
Data and patient safety - are we asking the right questions?
It’s been quite a year in patient safety policy. We have seen: Don Berwick conclude a review of patient safety in England recommending the use of local measures to act as ‘early warning signals...
Twelve tips for measuring improvement
Understanding what works to improve health care is vital in order to share and spread success and to ensure we learn from our mistakes. These tips will help you embed effective measurement into your p...
Piercing the illusion
Probably most of us think we are doing a good job. We have the right experience, attitudes, values, knowledge, character. We go to work every day. We make progress. We do good. Or so we think. But ...
Does the system put patients first?
recently lost both of my parents in less than three weeks. Both had had long-term illnesses so we’d had lots of experience of the care that the NHS can offer – of the excellent staff that work so hard...
Could holding the NHS dear be stifling innovation?
A few weeks ago I attended the annual conference of the International Partnership in Innovation in Healthcare Delivery. The conference brought together over 30 entrepreneurs meeting the health care ne...
Intrapreneurship can get innovation in the NHS unstuck
Innovation is the most exhausted word in the health care vernacular. Everyone seems to be doing it, but who’s doing it right? Historically, the NHS has taken Schumpeter’s later view of ‘big is better’...
