Publication

Published document

"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

"10 High Impact Changes for Service Improvement and Delivery" - NHS Modernisation Agency

"10 High Impact Changes" presaged the NHS Institute for Innovation and Improvement style of publications - documents written to be accessible and useable for the NHS at large and the public, which gave shortcuts to the achievement of service improvement. It was naturally followed by a whole spate of spin-off documents - "10 High Impact Changes for Primary Care", "10 High Impact Changes in Mental Health", etc

Measuring the Benefits of the Emergency Care Practitioner

"Measuring the Benefits" looks at the evidence for urgent care practitioners caring for patients effectively. It compares paramedics and advanced paramedics (in research from USA, Canada, Australia and Europe) with advanced nurse practitioners and ECPs (in UK pilots). The evidence is overwhelming - there are no shortcuts to delivering better care. Paramedics and advanced paramedics don't have the confidence nor training to diagnose, treat and refer a significant number of patients away from Accident & Emergency safely; result is they aren't cost-effective.

ECP Competence and Curriculum Framework

The Competence and Curriculum Framework defines what an ECP is and what training they require. At present (July 08) the title is not a restricted title so anyone can, technically, use it; this is being taken through the long process to help it become a restricted title.
As this document is quite large the link to the document is here http://minney.org/Publications/SfH_ECP_88pp_CCFW.pdf

The ECP Report: Right Skill, Right Time, Right Place

This was one of the defining reports for the Emergency Care Practitioner. Launched by Prof Sir George Alberti in October 2004, it explains what ECPs are (or can be), where they were at the time, how much they cost to develop and what the Return on Investment is (these two were my bits).

Benefits Driven Change - ISIP LHC Practical Guide (Oct 2007)

The Integrated Service Improvement Programme (ISIP) (2005 - 2008) was a process which enabled whole health and care communities to plan together, and deliver services that met the needs of the community whilst making best use of resources. In project management terms, PRINCE managed a single project, MSP supported management across a work stream, and ISIP managed the interdependencies between workstreams for a whole region or health community.

Report on Payment by Results (PbR) Dec 2006

South Yorkshire, with five Foundation Trusts within 35 miles, was selected as a pilot or "Laboratory" to try out Payment by Results before the rest of England inherited it.
Download the Strategic Health Authority report “Shared Responsibility - an answer to Payment by Results: a study on behavioural and attitude change in the South Yorkshire Payment by Results Laboratory” (SHA report, Dec 2006)

The future for the Ambulance Service - July 2005

2005 saw the publication of "Taking Healthcare to the Patient: Transforming NHS ambulance services" by Peter Bradley CBE. I carefully researched the impact that differently trained paramedics could have for patient quality of care, and for the use of follow-on services. My specific brief was to determine whether it was possible (at that time) that 1 million emergency attendances (attendance at hospital A&E) could be avoided.

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"?

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