Opinion – ‘Fat and lazy’ Britain is ill-prepared to secure future outside EU, says Fox | Politics | The Guardian – John Gelmini

English: Dr Liam Fox MP with Mayor Rudolph Giu...

English: Dr Liam Fox MP with Mayor Rudolph Giuliani and The Rt Hon. The Baroness Thatcher (Photo credit: Wikipedia)

Liam Fox is to quote Dr Alf “On the button”; UK CEOs and managing directors are almost to a man and woman, barring perhaps 10% of them, “fat, dumb and happy”,they are largely culturally unaware and they seem to believe that by occupying a chair in a boardroom and doing very little they are entitled to pay themselves 11% to 15% more each year, earn up to 450 times average salaries once bonuses and other emoluments are factored in.

They do as Dr Fox has remarked, spend too much time on the golf course and too little time getting into cars and planes and trying to sell things let alone export anything.

Frankly they are, as my former partner who went to the same school as Mrs Thatcher would say, “Neither use nor ornament” and like the dinosaurs of the prehistoric age they need for the sake of the country to be replaced with better educated, entrepreneurial “streetfighters” who can sell, who have language skills and lead by example.

The evidence for this is the fact that in 1994 we had just 250 world class companies out of 4.8 million registered at Companies House, Cardiff and today the figure sits at 400 out of 6 million. Germany in contrast had 2000 in 1994 and now has 2,500 plus a Mittelstand.

Headhunters and Big 4 Management Consultants, who are fixated by commissions and fees for too many of their waking hours, need to take some responsibility for this state of affairs and the Government instead of trying to marginalise Dr Fox needs to be backing him.

The country needs a German style Mittelstand and the financial incentives to make it work not MEPS, blather from gin soaked civil servants who live in a “Far Pavilions” time warp.

We are going to live and die based on selling things that people want and are willing to pay for and by earning our way to prosperity. Only then should financial engineering and the sort of fiscal gymnastics that latter day Dr Alf’s can undertake in their sleep be applied.

John Gelmini

Opinion – The National Health Service – Accident and emergency | The Economist

Health care systems

Health care systems (Photo credit: Wikipedia)

 

 

This outstanding, must-read Economist article highlights that the NHS is in a mess. It suggests that reformers believe that new models of health care, many pioneered in other countries, can fix it.

Source: Accident and emergency | The Economist

The Economist explains:

Then there is a more radical option: ditch the taxpayer-funded model altogether and replace it with health insurance. Typically the French, Swiss or German model of universal social insurance is pitched, as opposed to the American model. This is not a new idea; William Beveridge, who proposed a national health service during the second world war, preferred it. Its supporters argue that in countries that mandate health insurance, more money is spent on health and outcomes are better, partly as a result of competition between providers. One recent paper calling for social insurance in Britain is entitled: “What are we afraid of?”

Earlier I reblogged another excellent article published in the Guardian, arguing that this blog has long argued in favor of scrapping the NHS and replacing it with a Best Practice model public healthcare system, for example based on Germany.

As a former expert in delivering strategic change, let me try to articulate the challenge which is political.

Let’s use some simple notation:

A = NHS current status

B = New UK Best Practice public healthcare system

The challenge is to move from A to B, minimizing disruption to patients and one-time transition costs. Most importantly, there would be a need for B to be completely new and not a re-badged or reformed A.

For B to be effective, there would need to be more competition and completely new contracts with health workers and suppliers.

Even if the UK government had the guts to introduce B, I fear that it would be burdened with legacies from A.

Perhaps, the only effective solution is for UK public healthcare to be completely outsourced to the private sector?

Thoughts?