A very broken process
They must do this thousands of times a week all across the world and yet the process beggars belief. They are Ikea and the process is selling a kitchen to be delivered. It starts out promisingly. You can use an online, 3D design program to position your desired cabinets, drawers and appliances with the doors [...]
Local Council Legal Challenges Mean Waste on Waste
The Birmingham Post reports that High Court rulings in two cases about the budget cuts by Birmingham City Council, mean changes have been halted. Referring to the social services case, the article says that, The financial implications from the latest court case could be serious. The council expects to save about £53 million by 2014 [...]
NHS information – local decisions
On the 18th May The King’s Fund published a report entitled “The future of leadership and management in the NHS – No more heroes”. It is the result of nine months of research, seminars and consultation into the state of management in the NHS. Broadly, it is supportive of NHS managers and it is against [...]
The alternative to ring-fencing
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 [...]
Rewards will worsen attendance
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 [...]
Welsh Ambulance Response Rates Show No Improvement
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 [...]
Have targets improved the NHS?
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 list the [...]
PDSA applied to PDSA
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 [...]
Can’t get no dissatisfaction
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 [...]
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