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The Maynard Doctrine: is competition 'The Answer'?

Alan Maynard is professor of health economics, University of York

Monday 7 July 2008

During the Wilson government in the mid-1970s, clinical practice variations were identified as a major problem. They remain so today, with the Darzi report, High-Quality Healthcare For All, demanding change because similar patients with similar needs get very different treatment.

Is the government serious about clinical engagement? Health Policy Today, 3rd July 2008

Publish Date/Time: 
07/03/2008 - 17:00

3 July 2008 - Tom Smith on clinical engagement

On the one hand, the Darzi review places great stress on clinical engagement; on the other health minister Ben Bradshaw seems determined to maintain political pressure on GPs. Every newspaper today reports his comments that in some places GPs have a “gentleman’s agreement” not to take on each other’s patients. If it were true, it would undermine choice in the NHS, making it difficult for patients to move practices.

Editor's blog update 3 July 2008: New feature on BMA-Government row

Publish Date/Time: 
07/03/2008 - 13:13

An update: this has gone on in features, but may as well go here too.

A gentlemen’s agreement, or a gentleman’s excuse-me?
Round 4,371 of the BMA-Government row over access to primary care. Seconds out.

Richard Vautrey, David Stout and Michael Dixon discuss what can be done to make progress between the Government and the BMA.

by Andy Cowper

A gentlemen’s agreement, or a gentleman’s excuse-me?

Publish Date/Time: 
07/03/2008 - 13:11

A gentlemen’s agreement, or a gentleman’s excuse-me?
Round 4,371 of the BMA-Government row over access to primary care. Seconds out.

Richard Vautrey, David Stout and Michael Dixon discuss what can be done to make progress between the Government and the BMA.

by Andy Cowper

Editor's blog 2 July 2008: New balls, please

Publish Date/Time: 
07/02/2008 - 17:33

Just a very quick one today, as there are more bits of Darzi to read, digest and pontificate about here later on - or more probably, tomorrow.

In this weekend's 'Colloquium', Tom Smith and I will be disagreeing about the Darzi review (see editor's blog yesterday for my take on the first document) - which should be fun. If you have any interjections, queries, thoughts or other stuff you'd like to contribute, please email them to editorial@healthpolicyinsight.com by Saturday mid-morning. Oh, and do let us know whether you want to be anonymous or named.

Health Policy Today 2 July 2008: a step towards NHS-funded health tourism?

Publish Date/Time: 
07/02/2008 - 18:24

Health Policy Today - 2 July 2008

by Andy Cowper

With apologies to Garrison Keillor, it has been a busy day in the health policy village.

Parlez-vous NHS?
The Guardian reported a potentially major development, in the form of the European Union’s draft legislation on a right to travel to any of the EU’s 27 member states for free treatment (www.guardian.co.uk/uk/2008/jul/02/euro.health).

Editor's blog 1 July 2008: 'High-quality care for all': thoughts on the Darzi review

Publish Date/Time: 
07/01/2008 - 15:00

Editor's blog: Reviewing the Darzi review

Andy Cowper, editor, Health Policy Insight

If you agree that clinical engagement is the main aspect needed to improve the NHS’s performance, then the launch of the Darzi review High-quality care for all (www.dh.gov.uk) might give you some hope.

Yet that hope is more about the document’s rhetoric and tone than about its content. Its hugely ambitious aim is to change culture, and to see the NHS being locally led.

Greatest hits

Alan Johnson questioned over his commitment to locally led change - Health Policy Debate, 30th June 2008

Publish Date/Time: 
06/30/2008 - 17:45

Alan Johnson questioned over his commitment to locally led change

Tom Smith on today’s heath policy debate

Alan Johnson has had a busy day: one he has spent all year building up to, in many ways. He was on the Today programme at 8am and spent the afternoon in the House of Commons, taking part in a debate on the Next Steps Review and the new Constitution announced today. All day long he’s had to answer questions on the balance between local and central power.

Alan Johnson interview with Evan Davis on Radio 4’s Today Programme

Colloquia: talking about Darzi

Publish Date/Time: 
06/29/2008 - 19:49

Health Policy Insight’s editor Andy Cowper and associate director Tom Smith discuss whether the Darzi review can “lead local change from the centre”

AC: So Tom, your latest Health Policy Today suggests that "the publication of the Darzi report, with its focus on local innovation and opportunities for clinicians may be able to move debate on from the current political impasse". That's pretty much tantamount to optimism. What makes you optimistic about this?

Interview - Mike Farrar, chief executive, NHS North West: clinical input and measuring outcomes

Publish Date/Time: 
06/28/2008 - 06:06

INTERVIEW – MIKE FARRAR

Clinical input and measuring outcomes

Why PBC needs a stimulus and why regulation needs to understand its limitations
Mike Farrar, chief executive, NHS North West
Interview by Andy Cowper

There’s a great photo of Mike Farrar from his semi-pro footballing days, getting punched in the face with both hands by a goalkeeper who, we must presume, is going for the clearance of a cross.

Farrar vs GoalieFarrar vs Goalie

It’s not just a great photo because of the punch - which must have stung a bit at the time. It’s a well-taken picture, which also encapsulates ambition, determination and guts.