Reforming the NHS reforms

Reforming the NHS from within CIMA NHS Working Group

A fundamental shift in performance often needs a radical change in the way an organisation is managed.Today’s NHS faces significant challenges, not least the need to maximise the use of the available resources and to demonstrate sound financial management. Recent developments such as payment by results and the introduction of a national tariff have only added to the pressure.To exacerbate this,...

Reforming the NHS: necessary and achievable?

Competition based on prices rather than quality is on the horizon also in Italy with a system named CReG (Chronic Related Group) just similar to DRG (Disease Related Group) in hospital setting, care for chronic patients based on low price offers by different providers (“any willing provider” as Clare Gerada underlines in her letter to RCGP members) already not only GPs but mainly coming from th...

Reforming science: methodological and cultural reforms.

Contemporary science has brought about technological advances and an unprecedented understanding of the natural world. However, there are signs of dysfunction in the scientific community as well as threats from diverse antiscience and political forces. Incentives in the current system place scientists under tremendous stress, discourage cooperation, encourage poor scientific practices, and dete...

Stormy weather for Labour's NHS reforms.

The problem with rational approaches to reforming the NHS.

Several papers with a common theme published between May and August 2002 are drawn together to present a research-informed critique of economic logic present within recent NHS reform. They attempt to persuade the reader that excessive faith in predictive systems of thought that are underpinned by theories of rational behaviour is misplaced within the NHS. They suggest rational economic theory m...