efficiency

Is the NHS Cost-effective?

Commonwealth Fund chart

What is the best way to know if NHS is effective and efficient?  And in particular, how do we know what reforms are needed and how we should bring them about?

I've pulled out a number of reports which compare NHS historically, and with other countries, to decide if it is effective and if not, what we need to do about it

Copenhagen talks –act on CO2

We need to consider what we, as organisations and individuals, can do to reduce our own carbon footprints. It’s all very well to talk about it, but this winter, this extreme weather, shows just how close global warming could be. For Britain, global warming doesn’t mean getting warmer, it means getting colder – we’re on the same latitude as Alaska, and we should expect that sort of weather.

"The Efficiency Map" - Department of Health May 2005

Department of Health produced a poster designed to show all of the ways of making efficiencies in line with the Gershon reviews.
It never really took off, but none-the-less I contributed the workforce aspects from Changing Workforce Programme

Workforce Reprofiling in Acute and Mental Health Environments

Workforce is the single biggest part of the healthcare budget, and it's tempting to impose draconian measures such as recruitment freezes. But what will actually work best to improve quality at the same time as reducing costs?

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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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