Opinion – NHS told to fill only essential vacancies due to ‘almost unprecedented’ finances | Society | The Guardian

This is an important article from the left-leaning Guardian newspaper. It’s a must read.

via Opinion – NHS told to fill only essential vacancies due to ‘almost unprecedented’ finances | Society | The Guardian.

Normally, the crises come in the Winter but such is the weak state of NHS finances that alarm bells are being rung in the Summer recess from Parliament.

Once again, the strategic weaknesses  of the NHS are being highlighted.

Irrespective of your politics or bias, the NHS is not sustainable. According to the Guardian article the current year’s financial plan cannot be attained.

When I was mid-career, I took some time out and completed a part-time doctorate in three years. My doctorate examined the Japanese approach to strategic cost reduction and to what extent this best practice had been transferred to top private sector companies in the UK. Some years later, I spent about five years in the public sector, UNESCO in Paris and UK public sector organizations – here I pondered the applicability of Japanese and wider private sector best practice to the public sector. What I found was a complex context, with multiple stakeholders, all fighting for their own best interests. For a good insight open this highly popular article on adopting shared services in the UK local authorities. For another interesting insight look at how Australia is ready to shorten the approval process for new drugs.

Sadly, the UK’s NHS and other vast public sector organizations will not reform, until there is a comprehensive independent review of performance against best practice. I suggest that this needs to be done by an independent team, outside of the ‘conventional advisors’, like big consulting firms or UK universities. The stature of the review needs robust terms of reference, and their findings must not be watered down by the political classes. George Osborne was canny enough to poach BoE governor, Mark Carney, from Canada. Perhaps, we should follow Angela Merkel‘s excellent example and look for a team from the IMF?

Let me pose this as an open question:

Should UK Chancellor, George Osborne, invite the IMF to conduct a special competitive review of the UK public sector?



Opinion – Why a Germany of robust debate would be better for Europe | Timothy Garton Ash | Comment is free | The Guardian – John Gelmini


Garton Ash in this post from Dr Alf, is talking nonsense. It’s like the pot calling the kettle black.

We have an NHS about to implode, far to many local authorities, stuffed with people doing non jobs, the lowest productivity in the EU outside of Greece, and an emasculated Army and Tri-Forces.

We are also £1.65 trillion gbp in debt, have been running a trade deficit of £3billion gbp per month since 1981 and have a police force which can only catch and bring to justice 22% of criminals, whilst only dealing with 50% of reported rather than actual crime.

We are now the number one capital for money laundering and by backing Saudi Arabia,Qatar, Kuwait and Jordan with arms sales we are assisting ISIS by default.

We have robust debate but inequality grows to the point where Times 1000 CEOs now earn up to 450 times the average wage of £27,000 gbp a year. The comparable figure in Germany is just 25 to 1.

Germany has problems within Europe there is no doubt and it has problems globally. To tackle that it needs intelligent thought, the money and some collective will. That sounds like consensus to me, rather than our endless debates to discover reasons why no-one can agree and find new reasons to do nothing about our problems.

Whilst I have no desire to live in Germany, we have much to learn before we start pontificating about other countries as this insufferable Oxbridge man is won’t to do.

John Gelmini