Health Policy Insight
Healthcare management online analysis and intelligence
The home of UK health policy

Regular Columns

The Maynard Doctrine – A pause for thought

Health economist Professor Alan Maynard offers some reflections on the current state of transition in the NHS.

Some items to ponder in the bath, or whilst Eastenders or Match of the Day are on TV, or wherever you think about the enigmas and quaint old NHS fashions that continuously entertain us.

......................................................................

The Maynard Doctrine - Reforming the NHS in reality: in praise of Frank 'The Dosh' Dobson

Health economist Professor Alan Maynard lets the political confections go where they may, exploring real NHS reform and finding good reasons to praise former health secretary Frank Dobson.

......................................................................

Click here for details of 'PM Cameron - Mr Lansley's "as one" or assassin?', the new issue of subscription-based Health Policy Intelligence.

......................................................................

The Maynard Doctrine: Teen pains - time for the prospects and challenges of real NHS reform

Professor Alan Maynard looks forward to the real reform conversations and challenges that will start once the Health Bill becomes law.

After an interminable debate about the NHS reform bill, it will be law in May. Not that that is very relevant: CCGs are already up and running in many places. The NCB is cutting and slashing (i.e. re-disorganising) so-called “bureaucracy” by creating five layers of management to control CCGs.

The Maynard Doctrine: Clinical practice variations and improving NHS productivity: mirages or realities?

Health Policy Insight, 3 January 2012

Health economist Professor Alan Maynard has spent much of his career highlighting the differences in clinical practice. In his first Health Policy Insight column of 2012, Professor Maynard examines the history of the subject and asks whether the reduction of variation is in fact a mirage – and if so, then is ‘The Nicholson Challenge’ of £4 billion annual productivity savings actually a euphemism for cuts? He concludes that if QIPP is no mirage, then hospitals must cut beds and dismiss staff.

The Maynard Doctrine: Ten NHS Commandments for 2012.

Health economist Professor Alan Maynard acknowledges the festive season of goodwill with the generous provision of ten commandments for the NHS in 2012

The expensive diversion of NHS reform will drag on until April-May as their Lordships scrutinise their backsides. Of course the NHS is in turmoil of wasteful change, and the pressures from this will accelerate as 2012 matures.

So how to keep your head above the waters of Whitehall drivel? Here are ten commandments for NHS managers in 2012. Ignore them at your peril.

The Maynard Doctrine: Now for some real reform, Mr Lansley

Publish Date/Time: 
10/31/2011 - 12:03

Health economist Professor Alan Maynard greatly increases his chances of a knighthood with calls for the NHS Information Centre to be funded adequately to deliver the data to drive real improvement in NHS productivity and quality; less ‘leadership’ guff and more analytics; and more in-house NHS bureaucracy to replace management consultancies.

Feeble old Parliament has now nearly done with 'gasbagging' the NHS reform bill amidst a media frenzy which has largely ignored how to improve NHS productivity.

The Maynard Doctrine: The opportunities and constraints of managing a clinical commissioning group in the new NHS

Health economist Professor Alan Maynard dissects the direction and dentures required for CCGs to stand a chance of success.

The purchaser-provider split in the NHS has failed because PCTs have been price and quality takers rather than price and quality makers. This failure is caused by Whitehall controls and a reluctance to invest in analytical skills in most wannabe commissioning organisations.

......................................................................

Health Policy Today 3rd October 2011: Labouring over late diagnosis

Publish Date/Time: 
10/03/2011 - 17:57

Health Policy Insight associate editor Dr Tom Smith continues his series from the party conferences, reporting on the debate from Labour on late diagnosis.

Would direct access to specialists result in earlier diagnosis of health problems and save money, or would it swamp the system and cost us a fortune? Would it weaken the ability of the NHS to manage patients in a co-ordinated fashion? These were the issues at the heart of a fringe debate at the Labour Party conference.

Health Policy Today 26 September 2011: Responsibility for early diagnosis

Publish Date/Time: 
09/26/2011 - 08:54

Dr Tom Smith, associate director of Health Policy Insight, returns to the fray with this report on the first of the three events at the main party conferences, which asked delegates 'whose responsibility is it to ensure early diagnosis of health problems?'

Although delegates weren't allowed to vote on health resolutions at the Liberal Democrat conference last week there was plenty of associated debate in the halls, conference rooms and bars of Birmingham. Some of the best debate took place at fringe meetings organised at the Health Hotel.

The Maynard Doctrine: Time to abolish Payment By Results

Health economist Professor Alan Maynard suggests that PbR has outlived its usefulness, and that management has failed to act meaningfully on variation.

The initial purpose of PbR was sensible. Is the system now past its sell-by date?

......................................................................

Syndicate content