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3 days ago by mattedgar
Using management consultancy brings inefficiency to the NHS | British Politics and Policy at LSE
Using management consultancy brings inefficiency to the NHS

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The spending on management consultancy services for the NHS has more than doubled in recent years, reaching £640m in 2014 alone. Is this money well spent? A new study by Ian Kirkpatrick, Andrew Sturdy and Gianluca Veronesi finds that, instead of improving efficiency in English NHS hospital trusts, the employment of management consultants is likelier to result in inefficiency.


Ander Broadman March 13, 2018 at 8:46 am - Reply

Any half competent manager with a decent grounding in economics would realise that £6 return on £1 spend is an on offer too good to be true.
Either management consultants charge far too little for they services (a functioning competitive market should bring returns to a ‘natural level’, in which case you have to question their competence at missing the perfectly justifiable opportunity), they are doing it out of the goodness of their hearts (make your own judgement there), or its a false claim.
I work for a large organisation and once questioned a consultants claim that a new muktimillion pound IT system for procurement would lower turnover by 30% (turnover at the time being in the order of £1billion, and dominated by construction and engineering work). He rather clammed up and could only offer the evidence that was what all the management gutus promised from the IT revolution.
Naturally the complete hogwash it was never marialises, and any one who applied even a moments scrutiny to what he was saying would realise that was the case. But of course, great careers in large companies aren’t built on careful scrutiny of the facts.
I’m afraid the cult of managerialism is alive and well.


John Mortimer March 10, 2018 at 12:40 pm - Reply

As a consultant who has been working with the NHS and local authorities, my observation is in agreement with the main thrust of this article. What I would like to offer are some answers to your questions. But I do have to challenge your assumption of efficiency gains in the local government compared to the NHS, because both systems are fundamentally different.
In true consultant style I will list my points;

1. The NHS is an organisational system that is not designed to operate as a workflow – it consists of functions that create barriers to this workflow. No amount of innovative and operational redesign is going to remove the waste, management behaviours and lack of integrated working unless the causes of the problem is addressed. The correct design of the path of patients and their knowledge surrounding their need, has to be the starting point for NHS organisational design. This has been demonstrated when a person centred workflow has been trialled, that has been given temporary permission to avoid the main functional barriers.

LSE  blog  economics  NHS  management 
5 days ago by ndf
Number of child and adolescent psychiatrists falling - BBC News
The number of child and adolescent psychiatrists has fallen by 6.3% in England over the past four years, their professional body has warned.
NHS  mental  health  crisis  CAMHS 
7 days ago by asterisk2a
Economist Paul Johnson: ‘We are nowhere near out of austerity' | Business | The Guardian
Even without Brexit, the challenges facing the UK would be formidable. With Brexit, they look cataclysmic. “The economics are obvious,” he says. “If you make trade with your biggest, nearest and richest trading partner more expensive, you will make yourself worse off. The truth is there is no dispute about that. Of course there is a case for Brexit. It’s just not an economic case. It’s a controlling-immigration case. With everything – and this is what’s frustrating about a lot of political debate – there are trade-offs. Do you want control of your borders or do you want to avoid taking a hit of a couple of per cent of GDP? You can’t have both.
economics  economy  UK  austerity  policy  cuts  publicServices  tax  NHS  welfareState  HammondPhilip  politics  democracy  Brexit  JohnsonPaul  IFS 
9 days ago by petej
RT : staff set to "win" another *pay cut* in real terms (pay to go up 6.5%). Bank of England forecast for CPI infla…
NHS  from twitter
10 days ago by scottkeir
Hundreds of mental health patients died after NHS care failures | Society | The Guardian
Coroners are obliged under the Coroners and Justice Act 2009 to issue a notice if they believe shortcomings by a person, organisation or public body such as a hospital trust, council or government department, are so serious that other people may die unless urgent action is taken to tackle them.

The Guardian’s analysis of all the notices issued between 2012 and 2017 involving people receiving NHS care for mental health conditions uncovered a total of 706 failings across the 271 deaths. In many cases patients took their own lives.
dj  coroners  mentalhealth  Guardian  nhs  scrapingeg 
12 days ago by paulbradshaw
NHS trusts accused of creating ‘dozens of Carillion-style meltdowns’ | Denis Campbell | Society | The Guardian
Thousands of non-medical staff are being transferred to subsidiary firms in a bid to cut tax bills and reduce salaries and pension payments. // outsourcing back office will not be better for patient safety.
NHS  Privatisation  outsourcing  Austerity  Crisis 
13 days ago by asterisk2a
NENCLACCN | Training for critical care
North East and North Central London Adult Critical Care Network
NHS  Clinical  criticalcare 
13 days ago by drstevo
As surgery centers boom, patients are paying with their lives
Interesting point: everyone has hoisted-in the point that surgeons do best on the procedures they do most often, but this cuts both ways. If you don't handle emergencies you aren't going to be very good at emergencies. ISTCs were a Tony Blair wheeze that Gordon Brown killed off and haven't come back.
istc  nhs  healthcare  tradeoffs 
13 days ago by yorksranter
NHS England treats too many patients as an emergency, watchdog warns | Society | The Guardian
firefighting // failure to put in place enough services outside of hospitals to keep patients healthier.
NHS  Crisis  chronic  sick  population  premature  ageing  sickcare  demand  prevention  public  health  CVD  diabetes  Cancer  obesity  overweight  COPD  Disease  Diseases  GP  A&E 
17 days ago by asterisk2a

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