Tag Archives: commissioning

Trusts are cowering as GPs take on commissioning powers

By , Monday, 23 April 2012, Be the first to comment
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One of our local GPs has ended up with a lead position on our clinical commissioning group. He’s a wily character, been a GP a long time and usually cuts through mist to the truth pretty easily.

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What if the Health Bill falls at the final hurdle

By , Monday, 5 March 2012, Be the first to comment
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Close your eyes and breathe deeply. Concentrate on the breath entering your body and as it flows out imagine the Health Bill being voted out of Parliament. What would you do? Have a party? Celebrate by seeing some patients? Read more »

What happens when you say no to the NHS wise men?

By , Monday, 14 November 2011, Be the first to comment
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It is a very serious question that’s been taxing my brain this week.

A friend of mine is a clinical commissioning group (CCG) chair in a different region (yes truly, it is a friend, this isn’t one of those ‘condoms for a friend’ issues). Anyhow, he’s been very brave/stupid, by saying no.

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When two NHS tribes go to war

By , Monday, 17 October 2011, Be the first to comment
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I was talking to a cardiologist this week. We’ve got lots of them in our neck of the woods.

There is talk of a merger between the units because apparently it would produce ‘efficiencies’. My colleague was vehemently opposed to it.

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The seas of commissioning

By , Tuesday, 2 August 2011, Be the first to comment
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I met with our GPCC/CCG/CCC chairs this week. They are both very smart, experienced GPs who have steered their crafts through uncharted waters. Apparently the map they should be using is due out ‘at the end of the month’. The authorisation process will explain to our intrepid explorers whether the vessel in which they have commenced the journey is to be allowed to progress further.

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Spooky presence at the NHS Confederation conference

By , Monday, 11 July 2011, Be the first to comment
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I enjoy the odd jolly about. I like the travel, usually first class, I like the catching up with old friends, the odd drinky poos in the hotel bar. In short I enjoy a good conference. This week I went ‘oop north’ to the NHS Confederation in Manchester.

Granted it was cold, wet, and took place in an old railway station, but this conference was remarkable.

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Last manager standing – about to have his legs chopped off

By , Monday, 27 June 2011, Be the first to comment
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We have a particular member of the team here at the Black Tower who is capable, dependable, does detail, always completes and always finishes.

He has a wide range of experience having only ever worked in the NHS since leaving school, but having worked in hospitals, primary and community care, and been present through locality purchasing groups, PCGs and PCTs.

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Andrew Lansley – my part in his downfall

By , Monday, 23 May 2011, Be the first to comment
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Okay, here’s the deal, I’ll let you into a secret if you promise not to tell.

The thing is, my source has said that the listening exercise that Steve Field is running was just a scam to get us through the local elections.

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So what will happen to your data when PCTs depart?

By , Tuesday, 3 May 2011, Be the first to comment
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In the week that sees the end of Osama, the Black Tower is
still struggling with ORSA.

No, ORSA is not Osama’s cousin but is actually the son of AQMAR, an assurance
tool designed to help the SHA accept that the PCTs are on target with
revalidation.

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Regime change has left the Black Tower eerily quiet

By , Wednesday, 27 April 2011, Be the first to comment
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It’s been a fascinating week at the Black Tower
while the schools are off.

The few remaining skeletal staff are huddling around the
photocopier to keep warm. Senior colleagues are getting news that they have
been given interview dates for jobs that are not real jobs, in organisations
that are not real organisations.

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