Political football

Political manifestos that promise to spend more money are failing to grapple with the powerful underlying forces at work in healthcare. Indeed, they may be ignoring these in order to score (cheap?) political points with voters. There is clear evidence… Read More »Political football

Ant hills: design logic

The direction the NHS is now taking is evidence that some aspects of NHS performance arise from fundamental design flaws. The mistake was likely made in 1948 to separate healthcare and social care. Today, as care processes shift into the… Read More »Ant hills: design logic

No skin in the game

NHS England and other English health organisations have produced a five year ‘forward view’ [here]. The refreshingly short and precise document establishes a new approach to the English health service, something political reform has failed to achieve since perhaps the… Read More »No skin in the game

Thinking like a virus

Ebola¬† is really quite a horrible little bit of DNA. Its route to humans is via the fruit bat and between humans through body fluids. So much for the public health model. The virus is taking advantage of humans with… Read More »Thinking like a virus