Co-Chair NHS Assembly, Emeritus Prof Uni of Birmingham. Health policy and management wonk. Walking, cycling, reading, thinking. Also on chrisham@bsky.social
the NHS has been in decline since 2010 because successive govts have failed to heed the warning signs of deteriorating performance kingsfund.org.uk/publication…
📢We are proud to share the news that our chief executive, Samantha Allen, has been appointed Commander of the Order of the British Empire (CBE) in His Majesty the King’s 2026 Birthday Honours for her outstanding contribution to the NHS.
Read more here👇
northeastnorthcumbria.nhs.uk…
This week I start a major project to analyse Govt's response to the Covid Inquiry (the largest in UK history) - for @CovidJusticeUK
Looking back at 30 public inquires into health scandals & over last 3 decades - its alarming how few recommendations were ever implemented
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A reminder from our recent report that one of the areas that the UK is a true (negative) outlier on health system performance is on capital spend.
Huge drop off in capital investment in 2010s explains more of our present woes then slow(er) growth in day to day spend...
@DHSCgovuk made this point in a 2021 policy document 'The risk of legislative overreach and of an excessive specification of detail, spelling out the exact conditions under which specific organisations can and cannot work together, can lead to burdensome bureaucracy' (1)
The NHS has a name for stranded costs. It still doesn’t have a strategy to deal with them. By Andi Orlowski, Nigel Edwards, Emma Knowles and Gwyn Bevan bit.ly/4vtp2JZ
Each department in government will now have its own delivery unit, led by a senior civil servant. And every Secretary of State and Minister of State will be given a new “delivery advisor” in their private office to support this work.
These new delivery functions will be accountable to both their Secretary of State and to my team.
This builds on my recent work setting up the new joint No10 and Cabinet Office Delivery Unit.
Read more: civilserviceworld.com/profes…
Totally surreal situation now:
1) Wes Streeting was preparing to launch today but may now delay because he is said to be struggling to get the numbers. His people deny this - they say he has the numbers - but say that things have changed and more cabinet ministers are going over the top and pressing for Starmer to go. But...
2) Keir Starmer insists he is going nowhere. The number calling for him to go remains at 92 - where it's been for the last 24 hours - equivalent to nearly a third of backbenchers. His allies say that good news on economy and NHS makes his case for him. He is going fo fight on
3) Enter Angela Rayner. The former Deputy PM says she has been cleared by HMRC and doesn't rule out a challenge is Streeting succeeds in triggering a contest
3) None of this is remotely sustainable. How can you have a senior Cabinet minister publicly positioning himself for a run at Number 10? How can you have a third of backbenchers publicly calling for the PM to go.
4) Someone - either Streeting or Starmer - will have to give. Otherwise the government is going to be paralysed for the forseeable future, with Starmer in office but fighting for his life and Streeting ready to go but refraining from firing the starting gun.
There is an escape route for Labour from certain disaster at the general election: use their Commons majority to ram through PR. It’s cynical, they’d never govern alone again, but it locks Reform out of No10. The left (Lab, Gr, LD) still have a majority over the right in the UK
must read on the politics of public health reform
Inside Number 10: The Politics Behind The Smoking Ban | The King's Fund kingsfund.org.uk/insight-and…
"Escribir es pensar". Escribir nos obliga a pensar, no de forma caĂłtica y desordenada, sino de manera estructurada e intencionada. ArtĂculo de Nature que señala que es una herramienta para descubrir nuevas ideas nature.com/articles/s44222-0…