Let’s Rethink Health Services

Lets Rethink HealthCare: Reforms, Fragmentation and a Paradox.

There’s a line often attributed to the Roman army: “The only constant is change.”

If that doesn’t describe the NHS, nothing does.

And during the 1990s, when yet another restructure rolled in, someone in a Birmingham hospital taped a follow-up note to the management accounts department wall: (this was in a time before email -…

Lets Rethink HealthCare: Why Competition would Never work.

STRUCTURE, ECONOMICS AND INCENTIVES

In Part I we saw how the internal market emerged.

Part II explains why it never achieved what its architects intended.

The answer lies not in ideology, but in economics and structure.

Lets Rethink HealthCare: What Other Countries Do.

AND WHAT THE UK COULD LEARN

The UK is not alone in running a universal health system. But it is almost unique in constantly rebuilding its health architecture.

Other countries rearrange their health systems about as often as they repaint post boxes. We rebuild ours like a kitchen remodel every election cycle.

So let’s explore…

Lets Rethink HealthCare: Another Broken Promise.

Ok so I ended the last post saying I wasn’t going to do this –

But I then got interested in investigating a few possibilities – so here we are.

WHAT A STABLE, MODERN, NON-FRAGMENTED NHS SHOULD LOOK LIKE FOR THE NEXT 30 YEARS Other countries rearrange their health systems about as often as…

Lets Rethink HealthCare: Doctors, Demand, and the Cost of Not Planning.

Lets Rethink HealthCare: Doctors, Demand, and the Cost of Not Planning. We’re often told the NHS struggles because demand is unpredictable, people don’t want to be doctors anymore, or because training more staff is simply too expensive.

None of that is really true.

Demand has been rising for decades, driven by an ageing population and…