![]() ![]() A pie in one store would be called a flan in another, and their contents would differ too! The people at head office would not understand the extent of this variation, and may conclude falsely that one store was not providing enough pies! There could also be several different computer systems in every store, and they wouldn’t easily be able to talk to each other. ![]() Staff in one store would not know how the others worked – for example, the till systems would be different. So: What if Marks & Spencer was run like the NHS? And so I can now answer my own question:īecause the NHS may be nationally funded but never has been integrated.īefore this can we first need to understand the local and national history of the last 70 years, so we can fully appreciate what needs to be overcome. To how care pathways are organised and how this knowledge needs to inform informatics, and (finally) the safe implementation of clinical computer systems. Since then my job has evolved from producing statistics to understanding how data is collected. In the 1990’s, now working in a hospital, I asked a colleague: “ why isn’t the health service more like M&S”. It wasn’t until 1999 that the now familiar blue and white NHS logo was even introduced.īut: the providers and commissioners still have their own cultures, care pathways and a great diversity of computer systems. They reflected and encouraged variation between different NHS organisations, for example, in management cultures and computer systems. ![]() Yet by 1991 when Margaret Thatcher introduced the purchaser-provider split, every purchaser and every provider developed their own so there were hundreds. In 1981, when I started working in the Statistics Section at the Regional Health Authority in Newcastle upon Tyne, every health authority had its own logo. ![]() HSJ Intelligence - Insight for NHS Suppliers.HSJ Solutions - NHS Best Practice Database. ![]()
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