Common purpose / How care is organised
Productivity and finance
Carter, Darzi and the national plans treat unwarranted variation and weak productivity as a quality problem. The risk, named since Francis, is that finance crowds out safety.
7 reviews · 5 recommendations
Reviews, most recent first
- 2024Darzi investigation
Lord Darzi of Denham
- 2019NHS Long Term Plan
NHS England
- 2018Liverpool Community Health
Dr Bill Kirkup
- 2016Carter review
Lord Carter of Coles
- 2014Dalton review
Sir David Dalton
- 2014Five Year Forward View
Simon Stevens
- 2010Marmot review
Professor Sir Michael Marmot
What they asked for
Treat productivity and capital as quality issues, not only as finance issues.
Government and NHS
Treat bullying and an unrealistic savings programme as patient-safety risks.
Boards and regulators
Use a model-hospital dataset so boards can see where they are outliers.
NHS trusts
Consolidate pathology, procurement and estates functions where local duplication wastes money.
NHS
Resource action in proportion to need, rather than offering the same input everywhere.
Government and NHS