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The Maynard Doctrine

The Maynard Doctrine: Lessons from America - can we bend the cost curve?

Health economist Professor Alan Maynard looks at the integration panacea hypothesis, and points the finger at where we need to act to alter the cost curve.

The Americans spend 16 per cent of their GDP on healthcare i.e. about twice as much per capita as the UK. When President Obama was elected, 46 million Americans had no health insurance and illness could bankrupt them: it is suggested that over 60% of US personal bankruptcies are caused by healthcare costs.

The Maynard Doctrine: Killing patients is wrong!

Publish Date/Time: 
07/13/2011 - 09:55

Health economist Professor Alan Maynard outlines recent research into changeovers of the new staff – the July effect – and suggests that killing patients is wrong.

The mortality and morbidity effects of being admitted to hospital as a patient out of usual working hours in the week and over the weekend have been well chronicled for decades, At those times, you have a higher risk of dying and having serious morbidity effects if you survive. This is a product of staffing, delays in diagnostics and delays in treatment.

The Maynard Doctrine: Competition and duty

Health economist Professor Alan Maynard on proper design and regulation of any competition system, David Nicholson’s bullshit and Adam Smith’s truth.

Ray Kroc, the founder of the McDonalds obesity-inducing (if eaten incessantly) fast-food chain, was once asked asked what he would do if he saw a rival drowning. He is alleged to have replied, “stick a hose in his mouth”.

This is a nice example of competition red in tooth and claw which opponents use to throw the competition baby out with the bathwater.

The Maynard Doctrine: After U-turns and Utopia, reality bites - fiddling while Rome burns

Professor Alan Maynard gets back to the real issues of NHS reform: funding and quality control.

The protracted “listening exercise”, with everyone paying too much attention to the trivia of reform and the protracted machinations of the Forum and sundry pathetic politicians offering ambiguity, has disguised two underlying maladies: funding and quality control.

These twin forces could seriously undermine the NHS.

The Maynard Doctrine: Changing the NHS

Professor Alan Maynard suggests that Health Secretary Andrew Lansley is not so bad, and that the current financial crisis means pay and pharma prices need much closer attention.

Is the current Secretary of State For Health so bad?

Reviewing the history of the NHS over the last 15 years, you can identify Secretaries of State who actively sought to improve the NHS. Three figures stand out, although you may not particularly like them and the policies they pursued: Alan Milburn, Patricia Hewitt and Andrew Lansley.

The Maynard Doctrine - In The Land Of Blah, the Policy Zombies thrive!

Health economist nonpareil Professor Alan Maynard looks into the Steve Field and Mark Britnell interventions, in search of susbstance.

This past week has demonstrated that madness is rampant in health policy debates. There is clearly a need to be concerned about the condition of some noisy health policy wonks.

The Maynard Doctrine: Snot rite!

Publish Date/Time: 
04/19/2011 - 12:42

Professor Alan Maynard explores choice, the ‘listening pause’
comedy governeance and competition through the prism of a new conceptual framework.

The journalist Lucy Mangan, apparent creator of the “Tory boy” phrase in her long-running column in The Guardian’s Saturday colour supplement, was writing recently about the “snot right” problem in higher education policy and the NHS.

Taking this useful concept, let’s analyse the current “content” of the “listening exercise” on NHS reform.

The want of choice

The Maynard Doctrine: The Ten Efficient Commissioning Commandments

Health economist nonpareil Professor Alan Maynard considers how we might do something really radical, like focusing on how to make commissioning more efficient. And he seeks your input.

’The current “pause” will be used to sell the proposals, with much sucking-up to the professions and other lobbies, but no real changes in policy.’

The Coalition is likely to plough on with its reforms of the NHS. The current “pause” will be used to sell the proposals, with much sucking-up to the professions and other lobbies, but no real changes in policy.

The Maynard Doctrine: Has anyone seen those NHS efficiency savings?

Publish Date/Time: 
03/17/2011 - 09:36

Professor Alan Maynard on the specious McKinsey Report, mushroom management and the whereabouts of £4 bilion a year over the next four years

Comrade-In-Chief Nicholson has decreed that the NHS has to re-cycle £20 billion over the next 4 financial years, following his absorption of McKinsey’s so-called report, with its several references to McKinsey data! President Lansley has concurred.

With neither of our bold leaders apparently capable of a critique of the McKinsey alchemy, NHS managers are busy seeking to meet the demands of these latter-day Stalinists.

The Maynard Doctrine: Time to plug data and analytical gaps?

Professor Alan Maynard on data use, incentives, PROMs, private sector HES and a 1974 Burlington.

The reformed NHS has some “nice” data gaps which need to be plugged quickly, if performance management and transparency are to be improved.

Without improvements in data collection and analysis, NHS managers will not be able to manage efficiently and the NHS Commissioning Board will not be able to commission efficiently and equitably.

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