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markouthwaite.bsky.social
Mark
@markouthwaite.bsky.social
Supporting senior teams make sense of complexity. Joining the dots and sometimes getting the right picture. Sourdough. RTR Exile
I wonder if what is coming instead to replace this and placate the markets is a ‘commitment’ to a major tax reform as per recent report from @danneidle.bsky.social et al.
November 14, 2025 at 9:42 AM
Get a pressure cooker if you have not already got one. That will really complete the transformation!
November 10, 2025 at 5:59 PM
Thank you
October 25, 2025 at 7:43 PM
It’s the political ramifications in the US and then wider knock-on political effects that are a potentially significant consequence if this ecosystem fails.
October 9, 2025 at 2:17 PM
That should be ‘on referral flows…’
September 10, 2025 at 6:50 PM
A long time ago I did a big piece of work for DH on impact of the then ISTC programme of referral flows and choice. TLDR: nothing significant
September 10, 2025 at 6:50 PM
This... for non-acute trusts (excl Ambulance trusts)
September 9, 2025 at 9:41 PM
Have replied on Linked In as well
September 9, 2025 at 9:37 PM
and this one is interesting. It takes average score and plots it against rank and coloured by segment. This shows the effect of the financial deficit yes/no flag forcing deficit trusts into segment 3 and a lower ranking. So there are two Trusts who would be near top of segment 1 but for deficit.
September 9, 2025 at 9:21 PM
To be fair the Framework itself makes no claims that it is for patient choice - simply that publishing it is 'to support transparency'.
September 9, 2025 at 7:37 PM
It is not for patients. The fact that if a Trust fails the financial flag it is cannot be above segment 3 and its rank is adjusted accordingly. Patients not interested in financial position by and large.
September 9, 2025 at 7:30 PM
Agreed
September 9, 2025 at 7:23 PM
Impact of the lock-out to segment three for Trusts that fail the financial test. Plotting average score against assigned ranking
September 9, 2025 at 7:14 PM
I suppose the issue is whether there is any evidence that patients use this information to make choices
September 9, 2025 at 7:05 PM
Plot for acute trusts by subtype
September 9, 2025 at 6:28 PM
In this set of metrics a Trust in deficit cannot be above segment 3 'A Yes/No flag to indicate if the trust is in financial deficit or in receipt of deficit support (when a trust is flagged as Yes, their segment can be no higher than 3).
September 9, 2025 at 6:28 PM
Interested that there are no weightings within or between domains. This implies that an MRSA infection and a late discharge survey score have identical impact.
September 9, 2025 at 5:37 PM
Comptoire sur Mere?
August 30, 2025 at 3:51 PM
Looks familiar - about 10-15 minutes walk from Gare du Nord? Tiny restaurant. Trying to wrack my brains for its name.
August 30, 2025 at 3:49 PM
I see what you did their and am not rising!
August 27, 2025 at 9:02 AM