Managing the Maelstrom Mike Pollard, Chief Executive

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Managing the MaelstromMike Pollard, Chief
Executive
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• I will be judged by my Governments success in
  improving our countrys health service.
• Tony Blair, Prime Minister, 2000

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What is the NHS?

• There are 4 NHSs
• The interface between health and social care is
  unclear
• Standards are not equal
• Funding is not equitable
• Is the longest surviving state bureaucracy?
• Now involves the private sector

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• The NHS Plan a plan for investment, a plan for
  reform
• July 2000

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• 61 billion
• 1.2 million staff
• 45 of building stock pre WW2
• Low base of IMT
• The problems of growth

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• The clinical-managerial-political interface
• Modernisation
• Expansion and the effect on markets
• The target culture
• Public-patient involvement - PPI

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The clinical-managerial-political interface

• Reduction in layers of management
• The phone call!
• Top-down policy and managerial alienation
• Why are doctors so unhappy?

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Modernisation

• The Modernisation Agency
• Collaboratives
• National Service Frameworks (NSFs)
• Single-issue Czars

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Expansion and the Effect on Markets

• Workforce
• IMT
• The PFI Market
• Capital Equipment

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The Target Culture

• By 2004 the National School Fruit Scheme will
  entitle each 4-6 year old to a free piece of
  fruit
• Access targets by 2005
• Pen to knife times will be a maximum of 9
  months

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Public-Patient Involvement

• Patient empowerment
• PALS
• Alliances and concordats
• NHS Foundation Trusts

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• How does Essex Rivers Healthcare NHS Trust
  respond?

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• Highly focused on core business
• Has to be creative in the HR field
• Has to empower its staff
• Has to work in partnership

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• Has to have effective performance management and
  monitoring arrangements
• Has to be astute in media relations
• Has to campaign for extra resource and chase
  the money

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Will we succeed locally, nationally?

• The NHS the last drink in the Last Chance
  saloon
• Probably but will we recognise it?
• The NHS publicly funded but provided through a
  diversity of supply
• From the Prime Ministers Vision for Public
  Service (2002)