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Editorial Monday 20 June 2016: A reflection on politics and choice

Publish Date/Time: 
06/20/2016 - 11:25

"The first day after a death, the new absence
Is always the same; we should be careful of each other,
We should be kind
While there is still time."
Philip Larkin

The killing of Jo Cox MP last week overshadows the political landscape. The personal grief and loss for her family and friends is as evident as it is massive.

Editorial Tuesday 14 June 2016: On attending the NHS Confederation Conference in Manchester

Publish Date/Time: 
06/14/2016 - 21:47

Health Policy Insight is nothing if not tirelessly helpful.

With this in mind, readers will benefit from our considerable wealth of experience in attending the NHS Confederation's annual conference, which we have refined into the following etiquette guide for surviving the next few days.

Confed is the Glastonbury for NHS managers, with more deficit one-upsmanship, less trench foot and about the same amount of Dolly Parton.

A note on climate
Manchester is noted for its Mediterranean climate. Sunblock, misting sprays and portable air conditioners are much recommended.

The Maynard Doctrine: Continuous Revolution (again)

Health economist Professor Alan Maynard wonders, not for the first time, whether we shouldn't perhaps be evaluating some of the latest round of NHS redisorganisation

You will recall that Comrade Lansley’s 2012 Health and Social Care Act redisorganising the structures of the NHS and was described by Comrade Sir David Nicholson as, like the Great Wall of China, being visible from outer space.

Editorial Thursday 19 May 2016: Churchill conciliation in junior docs' strike, financial chaos & STP WTF (Business As Usual mix)

Publish Date/Time: 
05/19/2016 - 15:15

Pyrrhic victories all round in the 'junior' doctors' dispute. The deal on offer, recommended by the BMA, looks like some tweaking of pay rates at the margins (it's still cost-neutral overall). It turns out that, in Churchill's dictum, "it is better to jaw-jaw than to war-war".

Oh, and the BMA have 'won' invitations to sit on some committees. As victories go ...

The Maynard Doctrine: Cut the horseshit: where’s the evidence?

Health economist Professor Alan Maynard wonder, not for the first time, why policymaking and management are still so often uninformed by evidence and evaluation.

The healthcare industry nationally and internationally is vast and expensive. Insurers and governments worldwide spend a lot of effort seeking to control expenditure growth, using rhetoric rather than evidence to improve the efficiency with which healthcare is delivered.

Editorial Tuesday 26 April 2016: The Waste Land - on the NHS and recent Conservative Health Secretaries

Publish Date/Time: 
04/26/2016 - 11:52

A significant theme is emerging with recent Conservative Secretaries Of State For Health, talking to the BBC about their job in April.

Editorial Monday 25 April 2016: The revolution will not BMA televised, as the junior doctors' dispute turns hysterical

Publish Date/Time: 
04/25/2016 - 14:27

I have previously borrowed the words of a doctor of divinity, Hunter S Thompson, to describe health policy silliness: "when the going gets weird, the weird turn pro".

The 'junior' doctors' dispute has long since passed the point of mere workaday weirdness.

The Maynard Doctrine: The Sinking of the NHS Titanic

Publish Date/Time: 
03/30/2016 - 17:34

Health economist Professor Alan Maynard points to the parlous pricing function, cost and value

The admirable Steamship NHS Titanic is being driven into the iceberg territory of fragmentation and privatisation by Admiral The Hunt. After five years of parsimonious annual funding growth of 0.8 per cent, good ship NHS is in dire straits, with rivets pinging from previously robust component parts.

Editorial Monday 21 March 2016: NHS funding, Schrödinger's cash and refuting the the gravity of Laws

Publish Date/Time: 
03/21/2016 - 10:43

Not only has Mark Britnell written a book, so too has the former Liberal Democrat MP for Yeovil David Laws.