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Cash the Crooked King

The solvent business operates under the realism that cash is sanity and profit is vanity. You cannot pay the bills with profit. So, cash is (and has always been) king, in business, but is it the same in healthcare? Frontline professionals or services generate cash, and they consume it. A single service can influence financial … Continued

The Big Announcement

The Big Announcement Seismic Shift or Cosmic Fantasy In late March 2018, Theresa May announced that the NHS would get a multi-year funding settlement and that it “could not wait” until the Autumn, setting it up nicely for a 70th Birthday release. That announcement was met with what can only be described as near-complete apathy … Continued

The Service Transformation Chronology Trap (Part 2)

In the first part of this 2-part explanation of the importance of chronology in transformation, we examined transformation first by splitting it into 3 distinct forms, so that we could understand the chronological relationship of those forms. On closer examination, it becomes patently obvious why Trusts are constantly fire-fighting when they have not undertaken the … Continued

The Service Transformation Chronology Trap (Part 1)

There is a very real and worrying common reality emerging across the Acute Trust sector, in that many are facing concurrent deficit positions and/ or declining financial health, coupled to variable or declining clinical quality. Whether we have a system sliding  towards financial failure or clinical failure (or both) and whether one is a worse … Continued

When Leaders Compete – A Recipe for a Lose-Lose Disaster

Party season is upon us. No, not festive parties but political ones. With those, especially in sight of a general election, comes a stark illustration of the importance of collaboration in leadership and a difficult lesson about what it might take to produce a win-win solution. More importantly, this week’s competitive posturing suggests that not … Continued

No New Settlement for Healthcare

This week saw the release of the final report by the Commission on the Future of Health and Social Care in England, an initiative sponsored by The King’s Fund and led by a respected economist, Dame Kate Barker CBE. Having expended considerable effort in calling for greater debate on the sustainability of our health and … Continued