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Author Archives: steve adshead

RNMH, MBPsS, UCU, UNISON, Basildon CLP,

You won’t often hear many good things coming from a socialist about the current healthcare market reforms – but I think people need to be made aware of at least one potential benefit. NHS accounts are currently based on analyses of single variables, e.g. the number of people with cardiac problems in a given area, or the number of people with a mental health problem. The government tends to demand action on one of these targets, e.g. the mortality rate for a certain hospital. The problem is that these performance indicators are never integrated. That means that you as a […]
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Theory: The healthier we are the more productive we will be; but increased productivity does not necessarily entail increased health. Assumptions: 1. Health = quality of life x life expectancy 2. Clinical commissioning is based on the value of an average unit of health. 3. Human capital = intellectual capital + social capital + material assets. 4. Productivity (GDP) is an estimate of the value of an average unit of human capital. 5. Like health, the value of your human capital depreciates over time. 6. Like health, the rate of depreciation is faster the lower the value of your human […]
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In response to the Francis report this week, the Health Secretary is expected to say that the cause of the high mortality rates at Mid-Staffs’ was a management culture that permitted poor lines of accountability and traded operational targets for compassionate care on the front-line (Calkin 2013). However, while the Francis report lists the evidence of failure, I believe it fails to tell the narrative that we all know: that while there remains no official guidance on staff/patient ratios (RCN 2010) cost cutting will continue to be achieved through a reduction in qualified staff and an increase in untrained staff; […]
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