healthcare

Government’s social responsibility, citizen satisfaction and trust

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P&p blog authorsEran Vigoda-Gadot, Shlomo Mizrahi and Nissim Cohen

How much do we trust the government? To what degree do we feel that it has a responsibility to ensure that its citizens are healthy? Do these issues have any relationship with our satisfaction with the services the government provides?

These are important questions, particularly when we face major issues like pandemics. We know that when we trust people or institutions, we are more willing to cooperate with them, take risks, commit to them and share information with them. In contrast, when we don’t trust people or institutions, we may fear them, be defensive in our interactions with them, not cooperate with them and distort the information we give them. Continue reading →

Policy & Politics authors call for a moratorium on the use of management consultants in the NHS until effective governance is established

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IanKirkpatricketalIan Kirkpatrick, Andrew Sturdy, and Gianluca Veronesi

A recent study on the impact of management consultants on public service efficiency, published in Policy & Politics, prompted this letter from the authors calling for a moratorium on their use until effective governance is established.

 

Open letter to the Rt Hon Jeremy Hunt MP, Secretary of State for Health and Social Care

 2nd July, 2018

Dear Mr Hunt,

Re Calling for a moratorium on the use of external management consultants in the NHS until effective governance is established

We recently conducted independent research on the use of external management consultants in the NHS in England. This was subjected to peer review to establish the rigour of its analysis and published in an academic journal (Policy & Politics). Since then, it was mentioned in a parliamentary debate (23rd April, 2018, Hansard Volume 639) and widely reported in the media (21st February, 2018), including in The Times, which has also seen this letter.  Continue reading →

Using management consultancy brings inefficiency to the NHS

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IanKirkpatricketalIan Kirkpatrick, Andrew Sturdy, and Gianluca Veronesi

Few topics have provoked as much debate and controversy in many western societies as the growth in public spending on management consultants. In the UK’s public healthcare sector: the National Health Service (NHS), this spending more than doubled from £313 million in 2010 to £640 million in 2014. Understandably, it is under constant scrutiny and there are considerable pressures to cut the use of management consultants, but spending remains high. Management consultants provide advice on strategy, organisation, financial planning and assist with the implementation of new information technology. Frequently, they promise significant improvements in efficiency. According to the main industry body in the UK, the Management Consultancies Association (MCA), for every £1 spent on consulting fees, clients can expect £6 in return. However, as shown in a study we conducted recently, published in Policy & Politics, the use of management consultancy in English NHS hospital trusts is more likely to result in inefficiency.

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