Does Pickles understand systems?
The Observer reports that Fly-tipping is on the rise as council charges for skips soar. From the article, A survey of 148 council boroughs across the UK reveals that they have raised the cost of skip permits by as much as 650% over the past five years, rises that have corresponded with increases in illegal [...]
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 [...]
Surgery targets endanger patient safety
The BBC reports that About one in five of the nearly 600 surgeons questioned by Bournemouth University reported being involved in incidents, during a two-week period, where patients were harmed. Using the figures further on in the article of 549 surgeons questioned and 19% seeing harm, that means that in two weeks, 104 surgeons saw [...]
Local Gov Camp Review – Part Two
This is the second part of the report of the Local Gov Camp – Yorkshire and Humber event. You can read the first part here. I wanted to break it into two since the first part is quite positive, I was very impressed with the enthusiasm of the attendees to firstly come in their own [...]
No such thing as a justified target
No Justified Targets Before the election in May, the three health spokesmen for the major parties debated on television. Obviously the question of targets came up and Andrew Lansley said he would scrap “politically motivated” NHS targets but keep those that were “clinically justified”. The problem is that there is no such thing as a [...]
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 [...]
Jim Womack Reflects
In Jim Womack’s latest e-letter he describes a visit to the Arsenale in Venice where they pioneered flow systems in building war ships way back in the 15th century. All this looking backward made him wonder why Lean is not more widespread than it is. Reflecting on the spread of Lean he says, …we haven’t [...]
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