Mike Gill BBC Radio 4's recent series Magic Consultants didn't pull its punches. Management consultants were portrayed as overpriced illusionists, revealing savings that were "always there" while obscuring their methods…
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The private sector has partnered with our health and government sector for many years, innovation in technology, estates functions and state of the art asset and equipment through to GP…
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The NHS and social care workforce crisis is often described as a vacancy problem. But at neighbourhood level, it’s something more fundamental: the loss of experience, relationships and judgement as people quietly leave, while…
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After yet another stint with Radio 4, I found myself grumbling about GIRFT and marvelling at the genius of those who repackage 1970s quality control as ground-breaking in the public…
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Mike Gill is Director at At Scale Limited and author of “How to Survive Austerity: A Field Guide for Public Sector Managers” Every generation thinks they’re living through the apocalypse.…
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Across England, systems working on neighbourhood models, population health and out-of-hospital redesign are experiencing a familiar frustration. National momentum has slowed, guidance has yet to land, and key contractual frameworks…
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We're now in 2026, and NHS leaders responsible for network transformation still lack clear national direction on neighbourhood working. Pioneer sites were meant to be implementing integrated neighbourhood teams, yet…
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"How to Survive Austerity" was Mike Gill's field guide for public sector managers who suddenly found the ground shifting under their feet. Written in the aftermath of the 2008 financial crisis,…
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Let’s start with the good news. Despite everything you hear, primary care isn’t in decline. It is busy, yes, and stretched, certainly, but it is also full of ambition and creativity. Across…
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The evolving ambition for neighbourhood working seeks to bring services closer to home and within communities, foster collaboration, and promote wider health and wellbeing. These interventions support key health ambitions;…
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