Category Archive: Service delivery

  1. Is a ‘can do’ attitude a problem? Sir Robert Francis thinks it is

    I am always drawn to the counterintuitive and this statement from Sir Robert Francis stopped me in my tracks. He was responding to a question from James Naughtie on the Today programme about what attitudes have to go to put things right in the NHS. He said the ‘can do’ attitude has to go.

    To put this in context, it was an interview about the recent Care Quality Commission allegations. The discussion had moved on to the enormity of […]

    Read more...
  2. Hospital ratings will set the regulator up to fail

    The recent media storm over the Care Quality Commission should make the Secretary of State for Health think again about hospital ratings. They will not give the public the infomation they need and will be used to discredit the regulator should future poor care be identified in a so called 'good' or 'excellent' hospital.

    In all the furore over the Care Quality Commission, my thoughts are with the current staff. Between the legal challenges that providers jump to if […]

    Read more...
  3. Proud of the NHS?

    I have witnessed many instances of fantastic care, both as a doctor and as a family member. I can also think of instances of care that was not so good but they have been minor and small in number. Until now.

    I am passionate about the NHS, so very proud that my country provides healthcare free at the point of delivery and regardless of means. I […]

    Read more...
  4. Better integrated systems or common sense?

    No one can argue against better integrated care but we need to be aware of what problem we are wanting it to solve and whether there are other solutions.

    Integrated care is usually put forward as an antidote to fragmented, unco-ordinated care.  The Nuffield report Commissioning integrated care in a liberated NHS (2011) says […]

    Read more...