Category Archives for "Uncategorized"

The Real Challenges Of Leading In The NHS

Leading in any organisation is a challenge. The NHS in no exception. From the outside looking in, it might seem obvious what needs to happen. When I first worked in the NHS in the early 80’s things were very different. Hospitals were a whole lot smaller. Life expectancy a whole lot shorter and of course […]

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Great Service When You Need It Most

The NHS is a massive organisation. Like all organisations most of the time it does an outstanding job, even when faced with some huge pressures. A lot of discussion centres around emergency treatment and whether it works as it should. Based on a recent personal experience I can personally say that it does. I was […]

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Is Your Leadership Team Playing Pass The Parcel?

As someone who worked at Board level in the NHS, I know that it is a tough and challenging environment to work in. Over the last 5 years with real pressures on government spending it has got even tougher. Of course the true test of leadership comes when faced with really difficult situations.  We all […]

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Is It Time To Scrap The Internal Market In The NHS?

The abolition of District and Regional Health Authorities led to the establishment of Primary Care Trusts who took over responsibility for buying care for their local population. At that time there was a lot of talk about Patient Choice.  The idea was that patients would look at where they might have their treatment and choose […]

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The #1 Question NHS Leaders Need To Be Able To Answer

Long waits in A&E, financial deficits, cancelled operations and high cost of temporary staff are once again all the news. Just like they were 10 years ago when I was working in the NHS at Board level. As anyone who has worked in the NHS knows there is always a challenge between delivering on the […]

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Why A&E Departments Are Doing An Amazing Job

The NHS and emergency care is really under the spotlight.  Some hospitals are under such pressure that they are having to declare major incidents. Anyone who has ever worked in the NHS will tell you that the decision to declare a major incident is one that you don’t take lightly. As well as a lot […]

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A&E Pressures: Short Term Problem or A Long Term Reality

In the run up to Christmas it was reported that few A&E departments in England were managing to hit targets around how long patients should wait to be seen.   It’s easy to assume that this is just down to what was historically called winter pressures.  On the other hand is this the reality.   […]

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The Harsh Reality Of Tackling Financial Performance Issues In The NHS

Healthcare Finance, the Healthcare Financial Management Association (HFMA) magazine carried the results of the latest financial temperature check. It does not make pleasant reading.  At the same time the position as it stands is not really that surprising. With more people accessing services and reduced levels of funding in real terms, sooner or later a […]

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What People Look For In A Good Manager

In the NHS managers often get a bad press.  Whenever I am training people from a clinical background, they are often at the start very critical of managers. Sometimes this simply comes down to a lack of understanding of the role or perhaps just going along with what everyone else says about managers. Yet what […]

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Take Time To Acknowledge Others

As we approach the Christmas period, those in the NHS know that they are moving into an extremely busy period.  I still remember being an On Call Director during that time.  What we all know is that staff will rise to the challenge and deal with whatever comes their way.   When you are in […]

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