Mike Tremblay June 24, 2016

The British public in the Referendum on the EU has voted for the UK to relinguish membership in the EU. This, in time, will be seen as a mistake for various reasons and of course it will take some time to come to pass. While I have been from time to time critical of the […]

Mike Tremblay April 24, 2016

It is in the interests of the Commission to play countries off against each other in order to demonstrate the inescapable logic of the “European project”. The Commission suffers from the so-called “secretariat problem”: it is not a member state but a “secretariat” for the member states, and in this way pursues its own interests […]

Mike Tremblay March 26, 2015

With the release of the latest analysis from the King’s Fund (here), heightened attention is being paid to NHS performance. It may only be a coincidence that an election is looming in which the NHS may be an election puppet. The King’s Fund report includes in the title that it an assessment of the NHS […]

Mike Tremblay March 15, 2015

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 of failure to use good practice, of time-wasting clinical workflow and excessive political and bureaucratic […]

Mike Tremblay March 11, 2015

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 community and the early forces of consumerisation in healthcare emerge, the underlying separation logic is […]

Mike Tremblay October 26, 2014

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 beginning in 1948, namely the realisation that top-down reform really doesn’t work. This is a […]

Mike Tremblay October 12, 2014

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 poor lifestyle, illiteracy, folk medicine, weak healthcare systems and lack of awareness. If it is […]

Mike Tremblay October 8, 2014

Right now, there is the proposed NHS Reinstatement Bill, a lobby document which lays out a way to reverse many NHS reforms. This lobby document, which is what is it, is familiar reading, and brings back various structures that in the past have failed. You can find information on it at this link. What is […]

Mike Tremblay September 9, 2014

Measuring Up: the health of NHS Cancer Services is a report from Cancer Research UK. I have no difficulty accepting much of what they have discovered and the report’s key points are sensible. But, two main conclusions are unsurprising and disappointing: more money¬†and better leadership. There will never be enough money, so we need to […]