1st December 2016

Live Health News  |  Weather  |  Archive 

Fab Change-Day Do-Athon
Come to a FREE workshop day with Helen Bevan, Roy Lilley and friends and help turn Change Day into a year of change.
Top speakers, great venue, join-in, help write some good practice guidelines and make a difference.  
What's not to like!  If you are coming - book now.
Jim Reaper
News and Comment from Roy Lilley
The Jim Reaper sends a chill down my spine.  When I type his name I sit up straight...

The thing is; he is a thoroughly nice chap, ran a superb
Trust, staff love him and the relationships he forged with primary care...  exemplary.

Who else do you know who would be able to persuade his local authority to buy-out his PFI deal.

I watched his first performance at the Select Committee.  His directness, his searing honesty about what could and couldn't be achieved... a masterclass.  

He made not-knowing-the-answer an art form.  A demonstration of the blinding obvious... 'of course I can't answer that, it is a stupid question'. (Sub-Text)

I claim no credit for this but it would seem his present thinking aligns with my postbag and in consequence, what I have recently written about.

The number of CCGs is little short of an outrage.  The legacy of Andrew Lansley's disaggregated mess.  Over two hundred organisations doing, pretty much, identical things and no resource to create differentials... even if they could think of one.

Two hundred chairs, two hundred boards, two hundred overheads, two hundred lecky-bills.  Two hundred meetings about two hundred more meetings, thousands of sub-groups, huddles and get togethers.

Thousands of people doing identical things, never in step and can't even hear the same tune.

Costs?  If their admin costs come to 300k a year each, you can wave goodbye to 60m.  Add to that costs-in-flow around contracting, commissions and the rest.  Plus, the cost of Trusts and others, engaging with them and we must be looking at well over 1bn.

A billion for what?  There is no evidence a market in healthcare improves anything and anyway, everyone is running on empty.

I'm sure the good people working in the CCGs do their best but I have to reveal, my inbox is something of a confessional; people working in them write about the ludicrous waste CCGs have evolved into.

So when the Jim Reaper, speaking at a recent event, said;

"(STPs) could lead to a major rationalisation of back office costs... we'll be working through... what extent can we devolve the arm's length body resource to you, the ability to harness all the back office costs in that area, CCG, CSU costs and corporate back office costs in providers... which you all know, in each community, is absolutely huge.

If we can get to a point where ... you want to rationalise...  turn it into money to invest in patient care, fantastic. 

We haven't worked out how to do it yet, there will still have to be some accountability, but let's slim it down."

I'll go for that...

But, dare I mention it?  There is something being overlooked...

There are three other organisations that could do with bashing together.  

In my view, it serves no purpose to have the huge overhead costs of the Department of Health, waz-Monitor and NHSEngland.

In the quest for finding the last shilling down the back of the NHS sofa, how does anyone justify the enormous costs of three chairs, three boards, three bosses, triplicated staff, overheads and coffee cups.

To repeat the Reaper; "We (I) haven't worked out how to do it yet, there will still have to be some accountability, but let's slim it down."

It is possible to fiddle our way around the legislative requirements by setting up another organisation with a vowel.  We have NHSYou,  NHSE and NHSI... let's crunch them into NHSO... operations.

A joint group, chaired by a local authority boss; sending the message of joint working; amalgamated back office costs, whistling one tune that everyone can march to. 

Crazy? Maybe, but STPs do create a real opportunity to shake things up.

The Jim Reaper is talking of 'rebooting' STPs, shifting emphasis to communications and buy-in.

STPs are too important to ignore, too easy to trash but too new to dismiss.  

That's why we are arranging the STP summit on the 10th January at the RCN Conference Centre.   

STPs are part of our future and we should be part of their plans.  STPs are on top of the day job but they are likely to become our regular work.

Come and drill down into the opportunities STPs create, dig into what they are up to and decide for yourself...

I look forward to seeing you on the 10th...  I'll leave it to you to have a word about head-office overheads with the Jim Reaper!
  Contact Roy - please use this e-address
Know something I don't - email me in confidence.
Leaving the NHS, changing jobs - you don't have to say goodbye to us! You can update your Email Address from the link you'll find right at the bottom of the page, and we'll keep mailing.
Medicine for Managers

Dr Paul Lambden
'...a lot has happened since we last covered this topic....'
Academy of Fabulous Stuff 

Full report and links here by
Phil Hawthorn.
The Great Change Day 
Really exciting day
Helen Bevan
Roy Lilley 
and other top Speakers and workshops featuring the top 5 Change Day topics.  Come and help write some good practice guides.
11th January
RCN Conference Centre, 
Cavendish Sq
Tickets are free.
Dont get stumped for a good idea.  They are all
Doin' some good stuff?
The Academy is the largest repository of free, workable, shareable good ideas in the NHS.
Follow us on Twitter
Please share your good stuff!
News and Stuff
News boy
Dr Phil's Health Revolution
Dr Phil Hammond 
back on tour 
For a full listing and tickets
STP Summit

The IHM have commissioned a report on their progress and prospects; taking to the people doing the job.
Published on 10th January; launched at the 
STP Summit 
RCN Conference Centre 
Cavendish Sq., London
Expect contributions from... 
  • Free copy of the report
  • Simon Tarzan Stevens, 
  • The Jim Reaper Mackey, 
  • Chair of NHSI, Ed Smith 
  • STP Leads, 
  • Local authority leaders
  • Workshops and an action plan report
 10th January 2pm-6pm 
followed by a drinks reception 
Come and find out what is the truth of STPs and their plans, what happens next.
Tickets limited, special IHM deal
Tickets are flying out!  Book now!
Peter Wyman
Chair of the CQC
24th January 2017
Yes, really, me and the CQC!
King's Fund
Dr Rodney Jones
This week's great analysis
Using social groups to identify high areas of utilisation.
You will struggle to read anything more interesting
Must read
This is what I'm hearing;
if you know different,
tell me here
>>  I'm hearing - STPs having trouble getting traction; they are not part of the day job and a lot of other things trusts are measured on and come first.
The Great Gooroo 
writes exclusively for us.
Should we just give up on waiting times?
This is a very good read!
Need inspiration, a good idea or solve a problem
New Health-Tec Award

'Nominate your technology that is making a difference to your patients 
for a Health Tech and You Award!'
We thought this was a really good idea so we are partnering the Professional Choice category
Nominate someone and make their day!