Tag Archives: VanguardInHealth

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

Posted in Bureaucracy, Economics, Management, Medicine, NHS, Politics | Tagged , , , , , , , , , , , , , | Leave a comment

The end of quality improvement – again

This blog previously drew attention to Robert H. Brook’s article in JAMA regarding the end of quality improvement.   Value is replacing expensive dreams of quality.  Accreditation certificates paper over the loss of quality caused by management following plausible but wrong … Continue reading

Posted in Bureaucracy, Laboratory medicine, Management, Medicine, NHS | Tagged , , | Leave a comment