There's a difference between noticing something and radically changing your behaviour because of that thing.
-----Original Message-----
From: "Popay, Jennie" <[log in to unmask]>
Date: Wed, 8 Jun 2011 17:39:31
To: <[log in to unmask]>; <[log in to unmask]>
Subject: RE: NHS
I'm sorry coming in late (as always) but there is very little empirical
evidence to support Julian's claim the NHS workers take little notice of
'shake ups' - they may not take the notice politicians and their
advisers want them to, react in the way they are expected to or deliver
the outcomes that are hoped for but most research finds that the chronic
shake ups that the NHS has been subjected to over the past 3 decades are
definitely noticed by workers.
Jennie
-----Original Message-----
From: Anglo-American Health Policy Network [mailto:[log in to unmask]]
On Behalf Of Adam Oliver
Sent: 07 June 2011 18:21
To: [log in to unmask]
Subject: Re: NHS
...or you could risk shaking things up a lot. The people actually
delivering the service probably don't, for the most part, take a blind
bit of notice anyway.
-----Original Message-----
From: Oliver,AJ
Sent: 07 June 2011 18:15
To: [log in to unmask]; [log in to unmask]
Subject: RE: NHS
Julian,
Tell us, do politicians search for evidence that supports their
convictions, or do they search the evidence first and arrive at a
balanced point of view? Actually, I already know the answer.
Does competition work? It might, but its advocates overlook the possible
harms.
Does competition fail? Possibly, but its detractors overlook its
possible benefits.
On balance, is it a good thing for the NHS? I don't know, but personally
I wouldn't risk shaking things up too much.
-----Original Message-----
From: Legrand,J
Sent: 07 June 2011 17:40
To: Oliver,AJ; [log in to unmask]
Subject: RE: NHS
If you read the speech (on Downing St website), Zack Cooper's LSE study
is mentioned.
Julian
-----Original Message-----
From: The European Health Policy Group [mailto:[log in to unmask]] On
Behalf Of Adam Oliver
Sent: 07 June 2011 17:20
To: [log in to unmask]
Subject: NHS
The latest on the NHS plans can be found here:
http://www.bbc.co.uk/news/uk-politics-13675619
I don't really know what the head of the RCN is talking about - I didn't
think there was proposed competition on the basis of cost.
Anyway, seems to be a mix of competition, command and control,
collaboration, and everything else. Much the same as usual, then.
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