DR ROBERT ROYCE @DRROBERTROYCE
Independent Healthcare Consultant and Writer. Previously a Visiting Fellow at Kings Fund and a battle scarred NHS Director. Now retired. All views are my own. Swansea, Wales Joined September 2012-
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@pash22 @brucejgray @drvk_voice @RCEMvp_Salwa @Molly2323232323 @RCollEM @HelenMorganMP @LibDems @DannyVet @BrianMathewLD @NHSEngland @HSJnews My theory is that both the NHS and political leadership have lost touch with the reality of the NHS front line and believe that grand policy documents and structural reorganisations are what drives change not the dirty detail of operational management...
The NHS used to have a good grasp of operational management. This was how it once managed to sustain short queues in A&E with fewer than 2% of arrivals taking >4hr to leave (for 5 years!)...
August 2025 was the worst month since records began for patients enduring more than four hour waits in major Welsh Emergency Departments, according to the latest @WelshGovernment stats. Only around half (52%) of patients were seen within four hours that month, even though…
Makes one wonder if the target audience of these League Tables is the general public? Michelin ratings of restaurants don't take account of whether they are making a profit.
Makes one wonder if the target audience of these League Tables is the general public? Michelin ratings of restaurants don't take account of whether they are making a profit.
What has this government done to ensure there is not a repeat of previous winters? Rhetoric aside has Streeting put in place any practical actions to improve performance? None come readily to mind.
What has this government done to ensure there is not a repeat of previous winters? Rhetoric aside has Streeting put in place any practical actions to improve performance? None come readily to mind.
They deliver just over 14% of England's births. Some are large (Leicester,Leeds, BHRUT), some small (QE, Yeovil) & some in between (Bradford, Gloucester). Some serve large cities, some quite rural. Common thread? My guess-toxic cultures fuelled by professional rivalries.
They deliver just over 14% of England's births. Some are large (Leicester,Leeds, BHRUT), some small (QE, Yeovil) & some in between (Bradford, Gloucester). Some serve large cities, some quite rural. Common thread? My guess-toxic cultures fuelled by professional rivalries.
If this is now the level of ambition, @hmtreasury will go ballistic. Reducing list size to 6m is nowhere near delivery of 18wks. Tho says something about the lack of progress over the last yr that this low ambition still requires an acceleration in activity from what we have now
If this is now the level of ambition, @hmtreasury will go ballistic. Reducing list size to 6m is nowhere near delivery of 18wks. Tho says something about the lack of progress over the last yr that this low ambition still requires an acceleration in activity from what we have now https://t.co/aYP5CyRq9Z
Ahead of the announcements about which trusts will be in the Amos maternity review, I wonder how many of these will feature? All had higher than expected neonatal deaths/stillbirths over the last few years (details from MBRRACE)
“It’s not a staffing crisis. It’s a collapse in productivity.” In Ep 8 of the #FabStuffPodcast, Professor Lord Darzi shares what truly shocked him during his NHS review and what must change... ow.ly/6mHv50WOKgl #FabStuffPodcast @RoyLilley @Ara_Darzi @DicksonNiall @gbtpo
The waiting list change was +33,627 in July, worse than the latest trajectory for restoring 18 weeks which required -60,526. So the waiting list size went decisively in the wrong direction. #nhswaits
Ultra long waits over 104wk were up 62 to 244; over 78wk up 326 to 1,429; over 65wk up 1,433 to 11,950 #nhswaits
What rating does the CQC get? Ascertaining the correct rating is hardly Fermat's Last Theorem.
What rating does the CQC get? Ascertaining the correct rating is hardly Fermat's Last Theorem.
The NHS Wales Performance Framework sets out the targets for the NHS in Wales in 2025-26, which state that no patient waits more than 52 weeks for their first outpatient appointment and no patient waits more than 104 weeks for treatment. Now lets compare to England For the NHS…
The NHS Wales Performance Framework sets out the targets for the NHS in Wales in 2025-26, which state that no patient waits more than 52 weeks for their first outpatient appointment and no patient waits more than 104 weeks for treatment. Now lets compare to England For the NHS…
Unsurprising that history is repeating itself as NHS 'reform' continues its 77 years obsession with structures.
Unsurprising that history is repeating itself as NHS 'reform' continues its 77 years obsession with structures.
So the expectation was that the costs of this latest ill thought through re/dis organisation of the NHS should be met by reducing monies available for patient care?
So the expectation was that the costs of this latest ill thought through re/dis organisation of the NHS should be met by reducing monies available for patient care?
Roy Lilley doesn't hold back on why the new NHS league tables are a bad idea in a well reasoned article. Why then have they been produced? They fit with Wes Streeting's modus operandi of 'managing' the NHS via media headlines. The beatings will continue until morale improves.
Roy Lilley doesn't hold back on why the new NHS league tables are a bad idea in a well reasoned article. Why then have they been produced? They fit with Wes Streeting's modus operandi of 'managing' the NHS via media headlines. The beatings will continue until morale improves.
Specialist trusts come out with top rankings. No surprise. Suspect rest of the NHS thinks they are overfunded and largerly avoid the problems associated with emergency care and blocked beds.
Specialist trusts come out with top rankings. No surprise. Suspect rest of the NHS thinks they are overfunded and largerly avoid the problems associated with emergency care and blocked beds.
Seems a reasonable question.
Seems a reasonable question.
I worked in what was East Dyfed, then Dyfed, then Dyfed Powys Health Authority(s) c.35 years ago. Proposals for a new hospital were probably a decade old in 1990! Those HA's ran a deficit because of inefficient/unviable acute services. Nothing has changed much since then.
I worked in what was East Dyfed, then Dyfed, then Dyfed Powys Health Authority(s) c.35 years ago. Proposals for a new hospital were probably a decade old in 1990! Those HA's ran a deficit because of inefficient/unviable acute services. Nothing has changed much since then.
I am not sure if what passes as a health service in N Ireland can be described as a 'deliberate policy choice'. It seems more like a zombie health system.
I am not sure if what passes as a health service in N Ireland can be described as a 'deliberate policy choice'. It seems more like a zombie health system.
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