Service Transformation

Developing a CQUIN Commissioner-Provider Contract

Submitted by Hugo_Minney on Tue, 12/01/2009 - 20:21

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North of Tyne PCTs (the management team for two PCTs in NHS North East) needed a contract for the Addictions service developed in line with the new model contract 2009, in place before end of March 2009 (ie before the start of the new financial year). Time was limited, so they engaged Minney.org to provide extra resource.

Making time to make a change

Submitted by Hugo_Minney on Wed, 09/16/2009 - 21:54

"Edward Bear Coming Down StairsHere comes Edward Bear now, down the stairs behind Christopher Robin. Bump! Bump! Bump! on the back of his head. It is, as far as he knows, the only way of coming down stairs. He is sure that there must be a better way, if only he could stop bumping for a moment to think of it.“[1]
 

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Quality is the new buzzword

Submitted by Hugo_Minney on Mon, 07/06/2009 - 22:31

medium_QualityMark.jpgQuality is the new buzzword (HSJ 25 June 2009). I return to my original thesis, that all care is delivered by people and therefore innovation, and quality, is predicated on the motivation of staff, volunteers and carers.

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World Class Commissioning could save PCTs £3bn over 5 years

Submitted by Hugo_Minney on Sun, 05/31/2009 - 17:00

medium_WCC_cycle.pngWith savings like these, NHS could become a net contributor to the Treasury! £50,000 per QALY (Quality Adjusted Life Year - the value assigned by statisticians that an individual puts on being healthy for a year) is a reasonable figure, but lets not get mixed up - nobody gets £50,000 in their hand, least of all government (who may have to pay for statins or insulin during that extra year of life).

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Innovation - Case for Investment in Social Care

Submitted by Hugo_Minney on Wed, 07/30/2008 - 17:00

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Skills for Care (SfC) New Types of Worker programme wanted to help third sector organisations make the leap from using development grants to sustainable funding, in other words for commissioners to buy the services they provided at a price which enabled them to continue to provide the service.

SfH "Baseline Report for the National Governance Group for New Ways of Working" - (Sep 2007)

Submitted by Hugo_Minney on Sun, 09/30/2007 - 17:00

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Skills for Health's New Ways of Working governance group commissioned this report and the enclosed appendices to understand what service improvement is going on at the moment (2007).

Process Redesign using Care Pathway Simulator

Submitted by Hugo_Minney on Mon, 02/27/2006 - 16:00

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Simon Dodds, a surgeon in Good Hope Hospital, developed an excellent piece of software to model the flow of patients/service users through a care pathway given constraints of staffing, equipment and facilities.

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Recent Additions and Updates

If I were running the country - encouraging business

Submitted by Hugo_Minney on Tue, 05/21/2013 - 09:33

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Minimum wage

Fantasy government - what would I do if I were in government?  Well how about reduce corporation tax, increase income tax, increase minimum wage and invest in job creation in the regions?  That would be a good start - create jobs where there are workers, then make sure that the right amount of tax is collected and at the same time reduce spend on benefits which are only used to increase profits of selfish organisations.

Would it work?  Have your say.

PwC Report on the Current State of Project Management

Submitted by Hugo_Minney on Fri, 05/17/2013 - 10:44

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PwC Project Management ReportPwC found that successful companies are getting more mature in their project management ability.  This raises the game – successful companies have lower costs from fewer failed projects, and less successful companies have to work harder to catch up.  There are some important lessons to take this report for everyone – Read more…

Joy instead of tedium

Submitted by Hugo_Minney on Fri, 05/10/2013 - 21:04

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The Office

Every office has them - the tasks that have to be done that nobody likes doing.  Whether it's the audit, the wages, standard letters, whatever it is - someone has to do it and it feels like a waste of time and money.

Why should you care?

So you employ somebody, so why do you care about how tedious the task is? Well they are costing money, to do something that could be done far more effectively.

Learning from the Past

Submitted by HugoM on Fri, 05/10/2013 - 20:27

Evidence for service improvement

Many public service changes have little basis in evidence. Their success (or otherwise) does not appear to depend on how 'good' the policy itself is, but rather on how it has been implemented. This relies on staff attitudes and relationships. My research falls into a number of broad categories: finding out what is currently happening; what people think about it; and what people think it will mean.

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Consumer Price Index (CPI) Calculator for SROI

Submitted by Hugo_Minney on Tue, 04/16/2013 - 10:05

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CPI components

When calculating a Social Return on Investment (SROI) evaluation or SROI forecast , sometimes you have to rely on published figures from reports.  But if these are from a few years ago, then they probably need adjusting for inflation.

There are calculators on the web to do this for you, but I found them cumbersome and it was difficult to keep a record of what calculator I'd used, and how, for which value - auditability and transparency is vital for SROI.  So here's a spreadsheet to do this properly!

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