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Jacques Daviel Jacques Daviel
1748 - France 1748 - France
Private Sector to carry out more operations
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NHSNHS
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I would be I would be good if we good if we could do thiscould do this
1.1. Clear objectives, definition of rolesClear objectives, definition of roles
2.2. Clear cost reduction matrix Clear cost reduction matrix
3.3. Franchising – price based specification, incentives Franchising – price based specification, incentives for unit cost reductionfor unit cost reduction
4.4. Fragmentation – lack of ‘who is in charge’Fragmentation – lack of ‘who is in charge’
5.5. Predict, manage and provide, whole system solutionsPredict, manage and provide, whole system solutions
6.6. Streamline planning, devolve decision makingStreamline planning, devolve decision making
7.7. Service interfaces – working together to reduce costsService interfaces – working together to reduce costs
8.8. Infrastructure management – supply chainInfrastructure management – supply chain
9.9. ComplexityComplexity
10.10. Push for change – safety, innovation, evolution not Push for change – safety, innovation, evolution not ‘big bang’‘big bang’
11.11. Focus on utilisation – demand managementFocus on utilisation – demand management
12.12. Accelerate use of technologyAccelerate use of technology
13.13. Asset managementAsset management
14.14. Whole system programme managementWhole system programme management
15.15. Employee relationsEmployee relations
16.16. Local involvementLocal involvement
Sir Roy McNulty
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Are we Are we preparing preparing for the for the right right thing?thing?
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3% Managers
48% Hospitals
9% GPs10% Prescriptions
5% Other, dentists and opticians etc
10% Mental Health
15% Community and CSUs
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DemandDemand
FundingFunding
20102010
20152015
Funding Flat-LineFunding Flat-Line
ProblemProblem
Funding ResumesFunding Resumes
Bigger ProblemBigger Problem
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DemandDemand
FundingFunding
20102010
20152015
Funding Flat-LineFunding Flat-Line
Funding ResumesFunding Resumes
Self PaySelf Pay
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5. The Committee also looks forward to the findings of the Francis Committee ofInquiry into Mid Staffordshire NHS Foundation Trust and what it may have to sayabout the conduct of professionals there. (Paragraph 15)
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PowerResponsibility
Responsibility
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8282%%
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