NHS budgets

Health care costing and the Kaiser Pyramid

ONS logoKaiser pyramidHow much does each man, woman and child cost in NHS?  On average?  Why is this important?  For two reasons:

  1. As the population ages, we can see the impact on total costs.  Per person costs rise with age and especially dramatically above 65 years old, so as the population ages and a higher proportion are above this age, total costs are going to go up even if cost per person at each age group stays the same
  2. If we know how much a specific group costs (eg mothers who abuse drugs or alcohol), then we can work out how much we will save NHS if that behaviour is changed, which gives us a basis for how much we want to invest in treatment.

 

Primary Care and GP Engagement

Nuffield Trust prepared reportThe NHS budget is protected from cuts under the new government. But the rise in Emergency Admissions over the last few years threatens to use up all of the protection and more. And yet, until we invest in care outside of hospital, we can’t change this rise.
I have to declare an interest – well two actually.

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Judicial System - If I were running the country

Scales of JusticeHow do we make the courts run more smoothly?  Cases take too long and are too expensive, mired in endless argument and counter-argument that are the hallmarks of our adversarial system.  What if we were to set time limits?  Would that work?

Well, let's try it.  Each side presents their best evidence, and if magistrate or jury isn't convinced, they can ask for more time from each side.  If it works for Cricket, that most venerable of British institutions, it should work for courts.  Who knows, they may even become spectator sports?

If I were running the country - encouraging business

Minimum wage

Fantasy government - what would I do if I were in government?  Well how about reduce corporation tax, increase income tax, increase minimum wage and invest in job creation in the regions?  That would be a good start - create jobs where there are workers, then make sure that the right amount of tax is collected and at the same time reduce spend on benefits which are only used to increase profits of selfish organisations.

Would it work?  Have your say.

PwC Report on the Current State of Project Management

PwC Project Management ReportPwC found that successful companies are getting more mature in their project management ability.  This raises the game – successful companies have lower costs from fewer failed projects, and less successful companies have to work harder to catch up.  There are some important lessons to take this report for everyone – Read more…

Joy instead of tedium

The Office

Every office has them - the tasks that have to be done that nobody likes doing.  Whether it's the audit, the wages, standard letters, whatever it is - someone has to do it and it feels like a waste of time and money.

Why should you care?

So you employ somebody, so why do you care about how tedious the task is? Well they are costing money, to do something that could be done far more effectively.

Learning from the Past

Evidence for service improvement

Many public service changes have little basis in evidence. Their success (or otherwise) does not appear to depend on how 'good' the policy itself is, but rather on how it has been implemented. This relies on staff attitudes and relationships. My research falls into a number of broad categories: finding out what is currently happening; what people think about it; and what people think it will mean.

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