Entwinement: the options

The big NHS story of the year was the news that NHS England and NHS Improvement are to be joined in a partial merger. To satisfy the requirements of a jealous Health and Social Care Act, they will move in together but may not marry. Among the many items to be resolved before the national […]


This Week’s NHS News

Does the job… Norfolk and Suffolk FT are having a torrid time. The Board are struggling with legacy, geography and the local health economy. The CQC have been frequent visitors… in and around the place for six months or more.  The decline continues.  If that doesn’t tell you something of the fruitlessness of inspection, nothing […]


Sir Trevor – why freedom is overrated

Who did NHS England and NHS Improvement turn to for advice when it came to drafting the chapter on integrated care systems in the long term plan? Sir Trevor Longstay is too discreet to say, but a playful sneer appears on his lips when the question is posed. Responding to our request for an interview, […]


NHS News and Comments by Roy Lilley

Get busy… Number 18 is discovering, being the Secretary of State for Health isn’t much of a job.  Oh, it’s an honour and all the rest but thanks to his predecessor, Andrey Lansley, the role is pretty emasculated. The management of health care is through a distributed leadership model, carved up, principally between NHSE and […]


Making time for sidelines

In case you missed it, this week the Royal College of General Practitioners announced that it would like to support GPs to become successful entrepreneurs, turn their good ideas into hard cash and make a very real, very digital difference to the lives of patients. Now read on… RCGP has launched an initiative to tackle […]


This Weeks News

Can we agree to that…   There are a lot of rules about having difficult conversations.  Here are some ideas that might give you a soft landing… Make sure you have all the facts, stay calm.   Talk eye to eye, not one standing and one sitting Do it in person, in private, not over […]


This Weeks News and Comment

I visited… Enfield in London, has a long and distinguished history, tracing its roots back to Roman times. In the 14th Century, Edward I, granted the first market charter giving the right to hold a weekly market, and two fairs annually.   Later in the century, the Black Death struck the parish and killed one tenth […]