Partnership is the most over-used word in the NHS, and quite possibly the least delivered. Every strategy has it. Every board paper genuflects to it. Every reorganisation promises more of…
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One of the things I find myself reflecting on when talking to practices, PCNs and federations is how often conversations about the future focus on structures rather than capability. We…
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Neighbourhood Readiness One of the things I've learned over the years is that major changes in the NHS rarely arrive with a neat starting gun. There is no moment when…
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Neighbourhood Readiness Over the past few months, I've found myself having variations of the same conversation with practices, PCNs and federations across the country. Waiting is a Strategy. Just not…
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Put a well-run multi-service business alongside an NHS neighbourhood and they look like different species. One has customers, a chief executive, employees and a board. The other has patients and…
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Once upon a time, a health provider could deliver good services, keep its head down and expect the contract to roll over. Those days have quietly left the building. Across…
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Mention CQC and the reflex is much the same across the country: check the policies, tidy the shared drive and quietly trust that the practice manager knows where everything lives.…
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Ask any neighbourhood partnership how they are doing and you will hear about good work. Committed teams, genuine collaboration, real progress on the ground. All true, and none of it…
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There is no shortage of neighbourhood health policy. Frameworks, plans, ten-year visions and guidance on the guidance. What there is a shortage of is anyone to help you actually do…
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After a couple of weeks to reflect on NHS England’s consultation, my thoughts have started to crystallise. The proposed Multi-Neighbourhood Provider and Single Neighbourhood Provider contracting models may sound technical,…
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