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The Maynard Doctrine

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.

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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.

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

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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.

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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?

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The Maynard Doctrine: Tackling obesity - know your enemy!

Professor Alan Maynard looks at the growing health problems created by obesity, and wonders when Government will start to get serious about addressing it.

Companies make money out of making people fat and unhealthy. International organisations such as McDonalds, Nestles, Kraft, Walkers Crisps (owned by Pepsi) and Coca-Cola feed our desire for sugar, fat, salt and indolence, inducing over-feeding.

Thus we, the people, are getting steadily fatter.

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The Maynard Doctrine: What’s the alternative to Lansley’s reforms?

We have been inundated by protests about the NHS reforms championed by Andrew Lansley.

A media frenzy has followed the (sometimes parochial) bleating of trade unions - the most vociferous of which has been the BMA - and professional associations such as the RCP, RCGPs and the RCN; all of which have some tendencies to be what George Bernard Shaw entitled “conspiracies against the laity”.

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