Learning from the Past

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.
It's revealed important lessons about leadership and engagement. Crucially, I've been able to illustrate these lessons in time to apply them to the policy or change within the implementation timescale.
Of course universities and think-tank bodies are the ideal repositories for research - they have vast resources and rock-solid processes. Sometimes you need a quick answer, one that tells you whether it's worth pursuing this line of information, or a creative approach where the initiative/policy/change is basically new and nobody really understands what the expected ramifications are likely to be. My study on Payment by Results was one of these - where all of the statistical and financial measures had already been applied and turned up "no change" - i used that evidence, for sure, but then got under the skin by asking those most involved what they thought would actually happen, based on their own (considerable) experience; and they managed to highlight evidence that the numbers people had not been able to find.
Speaking of universities, I'm an associate at Liverpool John Moore University (LJMU) and speaking at Institute for Employment Studies.

Recent Additions and Updates

New pages added in the last 45 days (max 5)

More for your money? Private healthcare vs Publicly funded

Life expectancy vs %GDP health spend

Which is better - private funding or public? Which gives a better outcome for the individual (* clinical outcome, * user experience, * cost-effective, * sustainable) and is there a clear picture?

One way to examine this question is to look at different countries in the world and see what works for them.  I tackle this in the latest blog on Technorati.

UK Parties, Politics and Healthcare

Your politicians - listening to you?I ask you - if you were to design a new national health service from scratch, would you really design it with nobody to think ahead and make decisions on resources?

So why are the main political parties in UK engaging in their favourite sport of manager bashing?

Gossip - friend or foe?

How stuff works - Gossip

Do you see gossip as a waste of time? Do you suffer from spiteful or destructive rumours, disrupting the team and destroying team spirit? Do you find it impossible to control - chop off one head and two more appear somewhere else?

Read how Minney.org helps organisations to use this social glue for good ...

Winter Olympics - Downhill Skiing is like Management Consultancy

One chance, 100 seconds in 4 yearsYou only have one chance to make a first impression. 

In fact, you only have one chance each time, to make a first impression that sets the scene for that day, that job, that opportunity.

Capacity Planning - Flexibility

What of those toilet cubicles which allow for both sexes - they have a little notice on the outside saying "either"?