Mike Tremblay July 5, 2018

From the UK Guardian:¬†private healthcare providers. The research on comparative performance of for profit and not for profit healthcare providers is well developed, so it is surprising to see such a weak quality assessment about private providers in the NHS. The NHS is a very difficult customer for a number of reasons, primarily the glass […]

Mike Tremblay October 29, 2017

Dr Tim Oliver posted on the LSE Blog a thoughtful item on the various ways to understand the negotiation structure of Brexit [link to item] He puts forward four key ones, and what I want to do is briefly comment on each. Neoclassical Realism: This is about power relationships. The UK’s position within the EU […]

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 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 […]

Mike Tremblay September 4, 2014

Sir Andrew Dillon, the erstwhile leader of NICE as said that it is irrational for the Cancer Drug Fund to pay for drugs that NICE has turned down. He’s right of course, it is irrational but is it wrong? The problem for Sir Andrew, and like-minded people, is that there is another logic that trumps […]

Mike Tremblay August 20, 2014

This report on the regulation of private hospitals in England from the Centre for Health and the Public Interest is important, but 15 years too late. The UK has had and continues to have a love/hate relationship with the private (or independent as it is termed) healthcare sector. This has created a significant fault line […]