Recent blog posts


Blast from the past! What’s changed in 15 years of leadership and service improvement?

by on August 19, 2012 in General

Back in the late 1990s, I was fortunate enough to find myself working as a programme manager in a district general hospital in Ipswich, Queensland, Australia. I was there for a year to support the hospital’s contribution to phase 2 of a national improvement project, the National Demonstration Hospital Programme. The hospital had initiated three [...]

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Book review: Thinking, Fast and Slow

by on July 20, 2012 in Book Reviews

Thinking, Fast and Slow by Daniel Kahneman Hardback, 499 pages, ISBN: 978 1 846 14055 6, published in 2011 by the Penguin Group Daniel Kahneman, described as the world’s most influential living psychologist, won the Nobel prize in Economics in 2002 for his pioneering work in behavioural economics – exploring the irrational ways we make [...]

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Webinars and webchats this summer

by on June 27, 2012 in General

Here is a quick reminder of some interesting healthcare and management related webinars and webchats coming up over the summer which may be of interest. All times UK/London, unless otherwise stated. If you know of any other interesting online web chats that readers may be interested in, please feel free to add them via the [...]
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The ethics of healthcare rationing and waste avoidance

by on May 27, 2012 in General

[View the story "The ethics of healthcare rationing and waste avoidance" on Storify]The ethics of healthcare rationing and waste avoidanceRationing of finite healthcare resources has always been an emotive political issue as well as an economic one. Those against the idea of rationing have argued that it is unethical. But surely it is ethical to [...]
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HBR: The science and art of great teams

by on April 27, 2012 in General

[View the story "The science and art of great teams" on Storify]The science and art of great teamsHarvard Business Review, April 2012, includes a Spotlight on ‘The New Science of Building Great Teams’. Their tweets include an article by and a video featuring Alex ‘Sandy’ Pentland – director of MIT’s Human Dynamics Laboratory. He talks [...]
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Webinars and webchats in April

by on April 16, 2012 in General

Here is a quick reminder of some interesting healthcare and management related webinars and webchats coming up this month which may be of interest. All times UK/GMT, unless otherwise stated. If you know of any other interesting online web chats that readers may be interested in, please feel free to add them via the comments [...]
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Hospital mergers – bigger, brighter, better?

by on April 2, 2012 in General

So London will now have a hospital merger worth over £1billion. But will it save money and lives? On 16 March, the largest hospital merger in the English NHS was given the go ahead. The merged organisation, Barts Health NHS Trust in east London, will have an annual turnover of £1.1 billion. But do mergers [...]
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Can the consultant contract help the NHS achieve better value for money?

by on March 23, 2012 in General

This post was inspired by a conversation I had recently with a fellow NHS consultant. It went like this: She: We start at 8am and work a two session day in the operating theatre. It amounts to 2.25 PAs.Me: So you finish at 5pm?She: No, we finish at 3.30pm.Me: So, how does that work? 2.25 [...]
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