@stephen-rocks.bsky.social
On tech: technology fails when it isn’t applied to redesigned operations or only fixes one silo. We’re clear that innovation will only meaningfully improve productivity when implemented within redesigned pathways that remove bottlenecks - not bolted onto old processes
November 11, 2025 at 9:17 AM
On tech: technology fails when it isn’t applied to redesigned operations or only fixes one silo. We’re clear that innovation will only meaningfully improve productivity when implemented within redesigned pathways that remove bottlenecks - not bolted onto old processes
On capacity: Steve compares the NHS to a restaurant hiring more chefs without more cookers or tables
This analogy fits our depiction of the pandemic shock. In our report we show the NHS added more hospital staff into a constrained system, helping explain the NHS's bigger productivity hit than peers
This analogy fits our depiction of the pandemic shock. In our report we show the NHS added more hospital staff into a constrained system, helping explain the NHS's bigger productivity hit than peers
November 11, 2025 at 9:17 AM
On capacity: Steve compares the NHS to a restaurant hiring more chefs without more cookers or tables
This analogy fits our depiction of the pandemic shock. In our report we show the NHS added more hospital staff into a constrained system, helping explain the NHS's bigger productivity hit than peers
This analogy fits our depiction of the pandemic shock. In our report we show the NHS added more hospital staff into a constrained system, helping explain the NHS's bigger productivity hit than peers
On four drivers: the NHS is a complex system. As we say in our report, the causes of the NHS productivity slowdown are multifaceted and interdependent; they must be tackled together, not with isolated fixes
November 11, 2025 at 9:17 AM
On four drivers: the NHS is a complex system. As we say in our report, the causes of the NHS productivity slowdown are multifaceted and interdependent; they must be tackled together, not with isolated fixes
Interesting piece from @policyskeptic.bsky.social
Notable that recovery plans on the 4-hour A&E standard fall short of the constitutional target, unlike the commitment on elective waits
Notable that recovery plans on the 4-hour A&E standard fall short of the constitutional target, unlike the commitment on elective waits
November 3, 2025 at 12:01 PM
Interesting piece from @policyskeptic.bsky.social
Notable that recovery plans on the 4-hour A&E standard fall short of the constitutional target, unlike the commitment on elective waits
Notable that recovery plans on the 4-hour A&E standard fall short of the constitutional target, unlike the commitment on elective waits
If you are interested in the drop in emergency admissions, here's the 10 conditions that are lowest vs pre pandemic trend
October 24, 2025 at 5:13 PM
If you are interested in the drop in emergency admissions, here's the 10 conditions that are lowest vs pre pandemic trend
NHS hospital activity and resources - actual and compared to pre covid trend.
Planned care is at or above trend, but emergency care is below. Drop in emergency admissions is most stark, but this could reflect more use of same day emergency care (SDEC). Jump in workforce explains productivity hit.
Planned care is at or above trend, but emergency care is below. Drop in emergency admissions is most stark, but this could reflect more use of same day emergency care (SDEC). Jump in workforce explains productivity hit.
October 24, 2025 at 4:54 PM
NHS hospital activity and resources - actual and compared to pre covid trend.
Planned care is at or above trend, but emergency care is below. Drop in emergency admissions is most stark, but this could reflect more use of same day emergency care (SDEC). Jump in workforce explains productivity hit.
Planned care is at or above trend, but emergency care is below. Drop in emergency admissions is most stark, but this could reflect more use of same day emergency care (SDEC). Jump in workforce explains productivity hit.
And here's roughly same for the 4-hour A&E constitutional standard. This looks more plausible (although let's see what happens this winter). One big question is why the target is only 85% rather than the 95% standard - perhaps less ambition for emergency care than electives, or just more realism
October 24, 2025 at 4:45 PM
And here's roughly same for the 4-hour A&E constitutional standard. This looks more plausible (although let's see what happens this winter). One big question is why the target is only 85% rather than the 95% standard - perhaps less ambition for emergency care than electives, or just more realism
Delegating policy to technocrats blurs accountability—voters can’t easily tell who’s responsible. There is evidence for this for central banks and economic performance (see Hyunwoo Kim: rb.gy/6u3jxh)
March 15, 2025 at 10:27 AM
Delegating policy to technocrats blurs accountability—voters can’t easily tell who’s responsible. There is evidence for this for central banks and economic performance (see Hyunwoo Kim: rb.gy/6u3jxh)
Not the biggest health news of the day, but some interesting recommendations in the National Statistician's review of productivity measures, including greater equivalisation of costs to reflect the benefits of shifting to lower cost settings. Ironically this was being developed by NHS England
March 13, 2025 at 2:37 PM
Not the biggest health news of the day, but some interesting recommendations in the National Statistician's review of productivity measures, including greater equivalisation of costs to reflect the benefits of shifting to lower cost settings. Ironically this was being developed by NHS England