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The Maynard Doctrine: Time to deal efficiently with poor doctors and redundant senior managers?

Professor Alan Maynard discusses the need for efficient systems to address poorly-performing consultants and redundant managers.

The Department of Health management team are increasing their carbon footprint by touring the country and encouraging SHAs and PCTs to lead the revolution outlined in the Darzi report.

Whilst greater attention to outcome measurement and the reduction of unacceptable clinical practice variations is most welcome albeit very late, some fundamental issues are being ignored - in particular, job tenure of clinicians and senior managers.

Which? survey finds pharmacies' advice may not always be good for your health – Health Policy Today, 25 September 2008

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09/25/2008 - 17:15

A new report from Which? is based on an ‘undercover investigation’ into advice dispensed from pharmacies . Which? researchers posing as patients asked questions about emergency contraception, migraines and traveler’s diarrhoea.

They received ‘unsatisfactory advice in 48% of independent pharmacies, 28% of national and regional changes and in 26% of the biggest supermarkets. The results do not bode well for plans to pass more clinical work to pharmacies from GPs.

Editor’s blog 25th September 2008 – Labour policy and a Crisp rejoinder to top-ups

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09/24/2008 - 23:34

So, what do we have in health policy terms from the last few days, during which the Labour Party has had its conference?

First things first: we still have Gordon Brown in Number 10 Downing Street. This was by no means a foregone conclusion even a week ago. Synchronised resignations within Labour (maybe an event for the 2012 Olympics?), and dismal poll ratings and a hostile media without, had Kircaldy’s favourite son looking like a distinctly sub-prime minister.

GB talks about “tough choices”, but not the choices to be made - Health Policy Today, Wednesday 24th September 2008

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09/24/2008 - 22:00

Reports that Gordon Brown’s speech saved the day are wide of the mark. It was not brilliant rhetoric or piercing analysis that has staved off a challenge to his premiership, but the shift in global economics giving him the opportunity to take a political lead in uncertain times. Having pleased everyone from the Mail to the Mirror , Brown must now set out the substance of the tough choices he talked about - by elucidating what these are.

TALKING THE WALK ON TOUGH CHOICES

The sea, the weather and the skipper: the economic tide turns in Gordon Brown’s favour – Health Policy Today, 22nd September 200

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09/22/2008 - 18:20

In recent weeks and months, much of the media has formed a conclusion that Gordon Brown is unsuited to modern politics. Last week’s economic events may mean, however, that in the last week politics has changed to suit Gordon Brown.

THE ECONOMIC TIDE CHANGES, AND GORDON BROWN FINDS HIMSELF ON MORE FAMILIAR SHORES

What do you mean by greater local accountability? Health Policy Today, 17th September 2008

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09/18/2008 - 22:03

The Labour Party want to devolve power in the health service to those best placed to make decisions. The Conservatives criticise the centralizing tendencies of the government and favour greater localism. The Liberal Democrats remain strong advocates of local accountability and decisions made locally.

Today’s HPT wonders, what are we all arguing about? All united in a common desire to empower local people, it should be straightforward to achieve. No? Just what do the parties mean by achieving greater local accountability and is it the same thing?

Editor's blog 18th September 2008: thoroughly modern Milly?

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09/18/2008 - 05:50

Just when you were thinking that nostalgia isn't what it used to be (oil price spike; credit tightening; house prices off a cliff; unemployment and inflation rising - let's party like it's 1974 / 1981 / 1991!), some great news breaks.

The Quiff Of Doom is back.

And he's using the word "change" (copyright Barrack Obama) a lot.

In fact by the look of this, policy-wise Alan Milburn has joined the Lib Dems .

Editor's blog 17th September 2008: Moral hazard in healthcare

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09/17/2008 - 16:33

Standing in the Halifax today, waiting to pay in a cheque (I love to swim against the tide), I was reflecting on the current havoc of the financial markets and some things that it means for healthcare.

One thing that it means is that a lot of highly numerate graduate calibre people will be looking for jobs due to the contraction of the investment banking and private equity businesses.

Changing in front of our very eyes: the Lib Dems strike a new political pose – Health Policy Today, 16 September 2008

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09/16/2008 - 16:33

Tom Smith returns with a discussion of the day's political and policy vogue.

Editor's blog 16th September 2008: Lord Carter, chair of NHS Co-operation and Competition Panel

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09/16/2008 - 13:16

So what's new today? Apart from the downfall of free market capitalism and the end of the world as we know it? And no, I don't feel fine, I've got a slight ache in my wrist.

Well, I thought it would be good to find out a bit about the background of Patrick Carter - Lord Carter of Coles, the inaugural chair of the new NHS Co-operation and Competition Panel. So I did, and you can read it here.