Read/skimmed the new Darzi report and it is not saying anything that is a real surprise. The real surprise will be if the government can make changes without making things worse. There is a lot of wasted time in the NHS where the focus is on picking up the pieces rather than making sure that … Read more
The simple answer is No – sometimes they confuse things even further, especially when you are providing joint care and needing to access other organisations systems. A simple Standard Operating Procedure (SOP) and a strong Starters, Movers and Leavers process owned between organisations can be enough.
… the technical one that only the geeks read and understand and the non-technical one that is designed for the non-geeks and is in plain English. At lot of time and effort is getting wasted on discussions where everyone is right but trying to get a consensus opinion. @151024 I have started looking at a … Read more
…has now been launched and I think that NHSE has undersold the step change that is needed to comply with it. It is a totally different way of looking at things and there has to be a lot more senior management involvement and sign off. In reality if you are a Tier One organisation, you … Read more
…when something goes wrong they are not after compensation but just want the opportunity to have things put right. Maybe if we started off on that basis a lot of complaints would not progress further and service users would really start to be seen as stakeholders. Let’s be honest – a lot of NHS users … Read more
…is always needed but it needs to be balanced out with keeping knowledge in the organisation. Some changes can go so far that you end up having to reinvent everything simply because change was made for the sake of change.
…when people start saying “we need to protect the organisation” after they wrote things into HR records and they never thought that the member of staff may be able to see what they wrote. In the public sector records should be written in a way that recognises that the staff they are about may ask … Read more
At this point I really have no idea – the expectations when something is not to their liking seems high but there seems to be no personal responsibility linked to not giving up to date information. Not everything that goes wrong is due to the organisation but the other side is that we need to … Read more
Yes – and the main reason is because they have moved away from ownership to advice and guidance. If you simply say “I only advise” people are going to learn that nothing ever gets done.
There does not seem to be any pride in the work that people do – both in terms of factual quality or in terms of the quality of the work itself. If you are implementing new processes or providing advice and guidance in areas from employment law to data protection law, there has to be … Read more