Richard Vize Public Policy Media Ltd
LATEST ARTICLES
CV
Commissioners grapple with role 25 April 2013 At the first conference of NHS Clinical Commissioners — an independent group launched by the NHS Alliance, NHS Confederation, and National Association of Primary Care — introspection was refreshingly absent. While there were concerns about workload and the risk of conflicts of interest as commissioners invest in primary care, the focus was very much on the big picture of their new role. In particular, fears voiced by the BMA that commissioning could lose GPs the trust of their patients did not surface as a major issue. Read the full article at the British Medical Journal ____________________________________________________________________ The localist flirtation is over 19 April 2013 Anyone needing to be convinced that the coalition's flirtation with localism is over only has to look at the last couple of weeks. As well as trying to secure unwarranted changes to planning rules, the government is imposing ministerial control over council publishing and has admitted it has abandoned any monitoring of Whitehall departments' progress towards localising powers. Read the full article on the Guardian local government network ____________________________________________________________________ What can CCGs learn from PCTs? 18 April 2013 Next week the NHS Confederation, supported by NHS Clinical Commissioners, is launching Reflections on a Decade of Commissioning, which looks at the experiences, difficulties and achievements of primary care trusts and analyses what it all means for the new regime. (Disclosure: I wrote the report). The most powerful message is that the success or failure of a clinical commissioning group will in many ways be determined by how well it engages with both the public and its member practices. Read the full article on the Guardian healthcare network ____________________________________________________________________ Public health is big local chance 5 April 2013 Amid the cuts and redundancies, local government's new responsibility for public health is a great opportunity. While public health is hardly new territory for councils – more than 80 public health directors were joint appointments between councils and primary care trusts – formal assumption of the powers is momentous. Read the full article on the Guardian local government network ____________________________________________________________________ Leeds suspension is taste of the future 4 April 2013 The suspension of children's heart surgery at Leeds general infirmary and the subsequent battle to restart operations is a foretaste of what will become a familiar chain of events in the NHS post Mid-Staffordshire. In his final report, Robert Francis QC is unequivocal on the requirement for services to meet fundamental standards to be set out in the NHS constitution. Expressions such as "no tolerance of non-compliance" and "rigorous policing" make clear that managers or clinicians hoping to make do could lay their organisation – and possibly themselves – open to prosecution if death or serious harm results. Read the full article on the Guardian healthcare network ____________________________________________________________________ Goodbye to PCTS - good riddance? 2 April 2013 Did primary care trusts improve healthcare? It took just 13 years for them to be created, merged, clustered, and abolished. During that time they were responsible for about 80% of the NHS budget in England. The original 303 PCTs across England began taking over from district health authorities and primary care groups in 2000. In 2006 they were merged to form 152 organisations and instructed to begin withdrawing from running community services-known in the artless syntax of Whitehall as "separating out their provider arm"-to focus on commissioning. Read the full article in the British Medical Journal ____________________________________________________________________ Osborne doesn't see public sector role 22 March 2013 The Budget left local government squeezed in a vice of another funding cut and a refusal to unleash its potential to encourage economic growth. With additional cuts to most departments of 1% a year for the next two years – although councils are spared any new cuts in 2013-14 – the hope had been in the runup to the budget that any misery from further reductions would be offset by good news in the government's response to Lord Heseltine's review of economic strategy No Stone Unturned. Read the full article on the Guardian local government network ____________________________________________________________________ Pressure mounts on CCG leaders 21 March 2013 Many clinical commissioning group leaders will need to see their GP in the next few weeks. The pressure they are now under, just days away from assuming their new powers, is immense. Even for the 43 CCGs the NHS Commissioning Board has authorised without conditions among the 211 groups, there are difficulties. Read the full article on the Guardian healthcare network ____________________________________________________________________ Social media turns fire on councils 20 March 2013 Last year, as more and more local and regional newspapers closed, a council meeting trended on Twitter. Local papers are still read by millions, but their contraction, and the growth of online and citizen journalism, social media and above all online investigative tools mark a profound change in the public scrutiny of local government and other public services. Read the full article at page 62 of the Centre for Public Scrutiny book, The State of Accountability in 2013 ____________________________________________________________________ Welfare cuts drive up costs and poverty 8 March 2013 Welfare reform has the potential to become a complex and deep-seated crisis for local government. These ill-thought-through proposals will strip disposable income out of struggling high streets, promote a culture of non- payment and drive up councils' arrears as they are forced into the futility of trying to collect small sums from poor people. The prospect of a return to routine non-payment of local tax thanks to cuts in council tax benefit is a major reverse for councils. Read the full article on the Guardian local government network ____________________________________________________________________ NHS needs Nicholson to lead - for now 7 March 2013 Should Sir David Nicholson quit? In his three-hour interrogation at the health select committee on Tuesday the chief executive of the NHS commissioning board did enough to survive in the short term. But the big issue is not the past but the future. Nicholson should not be forced out because of the campaign being run by the Daily Mail, or as a public sacrifice for the failings at Mid Staffordshire. What matters is whether he is the right leader for what lies ahead. Read the full article on the Guardian healthcare network ____________________________________________________________________
March to April 2013
Richard Vize Public Policy Media Ltd
LATEST ARTICLES
CV
Commissioners grapple with role 25 April 2013 At the first conference of NHS Clinical Commissioners — an independent group launched by the NHS Alliance, NHS Confederation, and National Association of Primary Care — introspection was refreshingly absent. While there were concerns about workload and the risk of conflicts of interest  as commissioners invest in primary care, the focus was very much on the big picture of their new role. In particular, fears voiced by the BMA that commissioning could lose GPs the trust of their patients did not surface as a major issue. Read the full article at the British Medical Journal ____________________________________________________________________ The localist flirtation is over 19 April 2013 Anyone needing to be convinced that the coalition's flirtation with localism is over only has to look at the last couple of weeks. As well as trying to secure unwarranted changes to planning rules, the government is imposing ministerial control over council publishing and has admitted it has abandoned any monitoring of Whitehall departments' progress towards localising powers. Read the full article on the Guardian local government network ____________________________________________________________________ What can CCGs learn from PCTs? 18 April 2013 Next week the NHS Confederation, supported by NHS Clinical Commissioners, is launching Reflections on a Decade of Commissioning, which looks at the experiences, difficulties and achievements of primary care trusts and analyses what it all means for the new regime. (Disclosure: I wrote the report). The most powerful message is that the success or failure of a clinical commissioning group will in many ways be determined by how well it engages with both the public and its member practices. Read the full article on the Guardian healthcare network ____________________________________________________________________ Public health is big local chance 5 April 2013 Amid the cuts and redundancies, local government's new responsibility for public health is a great opportunity. While public health is hardly new territory for councils – more than 80 public health directors were joint appointments between councils and primary care trusts – formal assumption of the powers is momentous. Read the full article on the Guardian local government network ____________________________________________________________________ Leeds suspension is taste of the future 4 April 2013 The suspension of children's heart surgery at Leeds general infirmary and the subsequent battle to restart operations is a foretaste of what will become a familiar chain of events in the NHS post Mid-Staffordshire. In his final report, Robert Francis QC is unequivocal on the requirement for services to meet fundamental standards to be set out in the NHS constitution. Expressions such as "no tolerance of non-compliance" and "rigorous policing" make clear that managers or clinicians hoping to make do could lay their organisation – and possibly themselves – open to prosecution if death or serious harm results. Read the full article on the Guardian healthcare network ____________________________________________________________________ Goodbye to PCTS - good riddance? 2 April 2013 Did primary care trusts improve healthcare? It took just 13 years for them to be created, merged, clustered, and abolished. During that time they were responsible for about 80% of the NHS budget in England. The original 303 PCTs across England began taking over from district health authorities and primary care groups in 2000. In 2006 they were merged to form 152 organisations and instructed to begin withdrawing from running community services-known in the artless syntax of Whitehall as "separating out their provider arm"-to focus on commissioning. Read the full article in the British Medical Journal ____________________________________________________________________ Osborne doesn't see public sector role 22 March 2013 The Budget left local government squeezed in a vice of another funding cut and a refusal to unleash its potential to encourage economic growth. With additional cuts to most departments of 1% a year for the next two years – although councils are spared any new cuts in 2013-14 – the hope had been in the runup to the budget that any misery from further reductions would be offset by good news in the government's response to Lord Heseltine's review of economic strategy No Stone Unturned. Read the full article on the Guardian local government network ____________________________________________________________________ Pressure mounts on CCG leaders 21 March 2013 Many clinical commissioning group leaders will need to see their GP in the next few weeks. The pressure they are now under, just days away from assuming their new powers, is immense. Even for the 43 CCGs the NHS Commissioning Board has authorised without conditions among the 211 groups, there are difficulties. Read the full article on the Guardian healthcare network ____________________________________________________________________ Social media turns fire on councils 20 March 2013 Last year, as more and more local and regional newspapers closed, a council meeting trended on Twitter. Local papers are still read by millions, but their contraction, and the growth of online and citizen journalism, social media and above all online investigative tools mark a profound change in the public scrutiny of local government and other public services. Read the full article at page 62 of the Centre for Public Scrutiny book, The State of Accountability in 2013 ____________________________________________________________________ Welfare cuts drive up costs and poverty 8 March 2013 Welfare reform has the potential to become a complex and deep-seated crisis for local government. These ill-thought- through proposals will strip disposable income out of struggling high streets, promote a culture of non-payment and drive up councils' arrears as they are forced into the futility of trying to collect small sums from poor people. The prospect of a return to routine non-payment of local tax thanks to cuts in council tax benefit is a major reverse for councils. Read the full article on the Guardian local government network ____________________________________________________________________ NHS needs Nicholson to lead - for now 7 March 2013 Should Sir David Nicholson quit? In his three-hour interrogation at the health select committee on Tuesday the chief executive of the NHS commissioning board did enough to survive in the short term. But the big issue is not the past but the future. Nicholson should not be forced out because of the campaign being run by the Daily Mail, or as a public sacrifice for the failings at Mid Staffordshire. What matters is whether he is the right leader for what lies ahead. Read the full article on the Guardian healthcare network ____________________________________________________________________