Is the PM’s Challenge Fund a lifeline for GPs?

The Prime Minister has put up £50m for innovative schemes to improve access in general practice for half a million people.  The logic goes like this: It’s hard to get an appointment with your GP. More opening hours would make it easier. Let’s provide 12 hours 8-8, 7 days a week. We’ll have to pay […]

Michael Porter, you tell them

Professor Michael Porter of Harvard Business School is coming to Britain to talk to political and NHS leaders. The label “American business guru” tends to provoke a tissue rejection from the NHS, but let’s listen for a minute to what he’s saying, (Dave West in HSJ)  He is not advocating “the wrong kind of competition” […]

Our vision for 2014: more stories like this.

Our vision for 2014 is to transform access to medical care.  It’s the same as it was in 2013, 2012 and 2011.  W Edwards Deming called it constancy of purpose.  We’ll be working constantly to improve what we do, and we have some very exciting developments in the pipeline.  Have you tried the new Navigator […]

NHS Choices review of Phoenix Surgery, Swindon, launched 9/12/13, by “Sam”

New System I firstly have a bad case of White Coat Syndrome and do not visit my GP unless I really have to. Today was that day, I called the very helpful receptionist who explained the new system and that my own GP was on duty at 10am and would call me within the hour. […]

Why change doesn’t start

Much has been written on why change fails, and I’m not going to add to the literature. But why doesn’t change start? Click to see what happens next.  Press square at lower right for full screen.

Variation, the dead giveaway of poor performance

One of the difficulties in trying to compare different bodies doing the same thing is that we don’t know what good is.  What is a good standard of timekeeping for trains?  The answer is rather different in Switzerland from Britain.  Theirs aren’t faster, just much closer to the stated time, which happens to be what […]

Machiavelli on innovation. He gets it.

“And it ought to be remembered that there is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things, because the innovator has for enemies all those who have done well under the old […]

Putting Targets First

Sorry, NHS England, I know your 2013-14 business plan is called “Putting Patients First” but there seems to be a misunderstanding.  We’ve just learned from HSJ that Jeremy Hunt has called the 10 chief execs of hospitals who have the highest percentage of patients failing the 95% target to leave A&E within 4 hours. What’s […]

The GP climate is changing. And the weather?

The new GP contract signals important changes, and we are positive about the direction. Telephone consultations are integral to BMA guidance for the new enhanced service.  Sarah Montague seemed incredulous when Jeremy Hunt claimed on the Today programme that patients would be able to speak to their GP on the same day.  News for both: […]

Keogh review - it’s the system!

We welcome Sir Bruce Keogh’s determination to look at the urgent and emergency care system as a whole, in his report written with Professor Keith Willett.  That is at the heart of the Urgent and Emergency Care Review, published yesterday - read it on the link. Through our clinical advisor Dr Steve Laitner we have […]