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23 February, 2010 by James Lawther Leave a Comment

waiting

I love the Daily Mail; it always has such inflammatory articles.  Today I found one that I agree with whole heartedly. Apparently the London NHS has engaged some management consultants to tell them how to save money.  One of the solutions they have come up with is to cut appointment times between GPs and their […]

Filed Under: Blog, Employee Engagement Tagged With: bureaucracy, medicine, purpose, targets

Old Hindu Proverb

8 February, 2010 by James Lawther Leave a Comment

Doctor

“No physician is really good before he has killed one or two patients” I am not suggesting you kill somebody, but a bit of test and learn goes a long way. There is no substitute for experience. Image by Erik Veland

Filed Under: Blog, Employee Engagement Tagged With: learning, medicine, test and learn

Stupid Lazy People

8 January, 2010 by James Lawther Leave a Comment

The problem with most businesses is that they employ people who are too stupid or lazy to do the job properly.  Let me give you an example: According to the World Health Organisation “hand hygiene is the single most important factor in reducing and preventing avoidable illnesses”, yet a survey by the National Audit Office […]

Filed Under: Blog, Process Improvement Tagged With: accountability, error proofing, medicine, video

Brain Scan

8 December, 2009 by James Lawther 3 Comments

Ambulance

Glasgow’s Western infirmary owns a £500,000 CT scanner (computerised tomography if you must know, though I am not much wiser).  Apparently it is used to scan patients’ brains if they are thought to have had a stroke. Unfortunately it has been idle for the past six months as the radiographer who operated it left the […]

Filed Under: Blog, Operations Analysis Tagged With: capacity, medicine, silo management, transportation waste

Running out of Doctors

4 December, 2009 by James Lawther Leave a Comment

The British Medical Association claims to have uncovered department of health data that shows that there was a shortfall of 3,000 junior doctors at the end of 2008.  Two factors are being blamed for this, changes to immigration legislation that prevents people from outside the EU coming to train as doctors and also the European […]

Filed Under: Blog, Process Improvement Tagged With: bureaucracy, capacity, capacity planning, medicine, recruitment

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