The funding formula: age vs deprivation
Recent press reports (such as in The Independent and the HSJ) float the suggestion that NHS funds in England should be distributed to local areas solely on the basis of the age of the local population...
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Aligning clinical and corporate services to improve care
This month we’re starting work with the organisations selected for our Shared Purpose programme, and we’re really excited about some of the work that they’ll be doing. The aim of the programme is to s...
Bullying, healthcare and human factors
Bullying is very topical. Every time it’s discussed on TV or the radio, people queue up to say ‘yes, it happened to me’. But surely it’s something we grow out of as we enter the world of work? I’m not...
So, what does quality improvement mean for me?
I’ve been working in mental health for 20 years and, in all this time, I can’t remember hearing as much about quality of the care we provide as I have in the last five years. Early in my career, I ...
Shared decision making: a common understanding
There is an emerging consensus amongst professionals, patients and politicians that patients have a central role in the decision making process about their health. But scratch the surface of that c...
The Bill is now an Act - what next?
Now that the fun and games are over, what will the future bring? Let me clarify – I am not referring to the Olympic Games, for we have yet to experience the thrills and spills of the Paralympics. No, ...
What patients want
At Macmillan, we have for several years had an ambition statement which said we want to reach and improve the lives of everyone living with cancer. We know now (though we did not when we wrote the amb...
Human factors, the DH and me
After my first wife died during a routine operation in 2005 I had many things to contend with. But in common with most people who’ve lost someone at a young age, I wanted to try and understand what ha...
We’re all whistleblowers now
Last year, I wrote a special report for Private Eye with the journalist Andrew Bousfield. It was called ‘Shoot the Messenger – How NHS Whistleblowers are Silenced and Sacked’ and had some extraordinar...
Self management: it’s easy, isn’t it?
My colleagues often laugh at my mantra for integrating self management skills into mainstream health: ‘it’s like pushing water uphill’. But for those of you who have worked in this area it must feel t...
