Tag Archives: NHS

Burdensome regulation of the NHS

The chief executive of the Nuffield Trust has written an insightful and concise overview of some of the regulatory problems affecting the NHS.  ISO/UKAS accreditation escapes mention, but its importance will grow as it metastasizes from laboratories into physiological measurement … Continue reading

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Don’t picket; reject inspections

In the BMJ this week: Hospitals are “gaming” data on common operations, leading surgeon says.  They are contacting patients just before questionnaires are due to be returned.  Just like the car dealerships do. GPs call for an end to CQC inspections. GPs at a … Continue reading

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Crumbling into the hands of Big Inspection

NHS services crumble into the hands of healthcare corporations and the politicians they have pocketed to ensure growth beyond the USA.  UKAS tells how it suckered the Royal College of Physicians into diverting more money from patient care to the quality cartel, … Continue reading

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Since we keep failing to meet them – shall we get rid of targets?

This forum discussion on failing to meet targets is worth reading.  The first post ends with the proposition, “Are targets a waste of time – they must be if no one tries to meet them – so rather than reducing people … Continue reading

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The just-make-them-do-it mindset – more oversight leads to less accountability

James Falk has described beautifully some aspects of the bureaucratic mentality.  He does not mention UKAS or the NHS, but he understands the issues at work.  Mmm, you can almost taste the condensation running down the walls at the accountability … Continue reading

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Homeopathy is worthless and unethical

Substitute “accreditation” where this article reads “homeopathy.” Pathology leaders: understand the connection between the romantic fictions of alternative medicine and accreditation, and why unvalidated laboratory accreditation is unethical. Homeopathy is worthless… says an expert in the subject as he claims it is unethical … Continue reading

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Pareto approximately

Dr Gordon Brown thought investment meant expenditure of borrowed, fraudulent money. He “invested” copiously in the NHS amongst other places.  One aspect of it was the Private Finance Initiative (PFI). The concept was initiated by Conservatives to enable the current government … Continue reading

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Gold plated

So the unions’ day of action was a damp squib, out of touch with modern times. Why did journalists start reporting “gold-plated” pensions for public sector workers?  Is it because the editors and syndicated columnists invested in houses that “can … Continue reading

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Regulating doctors and medical practice

The Witchdoctor’s colleague thinks “about 50%” of his working time was wasted.  This sounds to me like a more productive career than most.  For many people the work they did that was useful to others could be an order of … Continue reading

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The Perils Of Obsessive Measurement

You didn’t click the link about obsessive measurement in the last post?  Read it now.  I’ll spoon-feed you.  Learn about Goodhart’s Law –  a target cannot be a measure.  Can an outcome be a target? The Perils Of Obsessive Measurement … Continue reading

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