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The alternative to ring-fencing

By Rob Worth on June 18, 2010 - 0 Comments
Categories: Health, Local Government

Age UK has called for the social care budget to be ring-fenced like the money for the NHS has been. They claim that social care has an effect on the NHS and cutting its budget will drive demand into the NHS. They are no doubt right, but they are using a classic silo-thinking trick. They [...]

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Rewards will worsen attendance

By Rob Worth on June 7, 2010 - 0 Comments
Categories: Local Government

North Lincolnshire Council is to consider rewarding staff for good attendance and it won’t help a bit. In fact it will make things worse.
If you read the agenda for the 9th June 2010 cabinet that will be held this coming Wednesday, you will see it is full of things like “implement check list”, “targets [...]

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Welsh Ambulance Response Rates Show No Improvement

By Rob Worth on June 4, 2010 - 0 Comments
Categories: Health

It is reported by the BBC that the Welsh Ambulance Service has improved its response times for Category A emergency calls. These calls are targeted to have an ambulance arrive within 8 minutes 65% of the time. The BBC article states that the percentage has been above 65% for the last three months and that [...]

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Have targets improved the NHS?

By Rob Worth on April 16, 2010 - 0 Comments
Categories: Health, Uncategorized

In the run up to the election the King’s Fund have written a series of articles to assist the voter to evaluate the state of the NHS. One of these is entitled, Have targets improved NHS performance? The article hedges a lot and describes the pros and cons as they see it. They [...]

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PDSA applied to PDSA

By Rob Worth on December 21, 2009 - 0 Comments
Categories: Uncategorized

I was once at a meeting of consultants and we had got to the end of an interesting day learning about new ideas regarding organisations and how to improve them. The volunteer chair of the meeting got to the part of the meeting where we would suggest things that were good and things that we [...]

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Can’t get no dissatisfaction

By Rob Worth on December 15, 2009 - 2 Comments
Categories: Uncategorized

The light works in my girlfriend’s kitchen.
I bet the light works in your kitchen and you don’t even think about it. Well the strip light in this kitchen hasn’t worked properly for ages. For the want of 99 pence worth of a new starter, we have both been getting up on a chair to fiddle [...]

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  • Recent Blog Posts

    • Why do NHS managers want to keep targets?
    • Soldiers kill civilians for bonuses
    • Outsourced call centre rethink
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    • The alternative to ring-fencing
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