Have some fun with Google. Type in “British Medical Association says yes.” It will give you about 650,000 results. Typing in “British Medical Association says no” gives you nearly 12 million! Of course this is entirely specious, irrelevant nonsense. Or is it? Having crossed the floor from front line clinical practice to full time management, […]
Category: Martin McShane
Martin McShane: Pathways don’t fit
The buzz word of late has been “pathways.” I guess that has been brought about by Michael Porter and Elizabeth Teisberg’s article in the Harvard Business Review and their book Redefining Health Care. The problem with commissioning along pathways, as one of my General Practice colleagues put it so succinctly, is that they don’t fit. […]
Martin McShane: Specialised
Commissioning of specialised services is done across the region. I had to drive to another county for the meeting where we were going to decide what to invest in. These are low volume high cost services currently costing about £600 million for our region. Historically it has had double digit inflation. That isn’t sustainable. […]
Martin McShane: Tick
In 2008 the National Patient Safety Agency set a deadline for acute trusts to implement the safer surgery checklist. By? Well, now actually. If you don’t know what the checklist is about it then read Atul Gawande’s latest book or a review of it. It would appear from a survey done by the Patient Safety […]