Correct. Were targets a solution or did they mask the problem?

Nah. The 'canary' is that a small proportion of patients consume disproportionate amount of capacity; caused by specialisation, standardisation, lack of continuity and no focus on what matters. If only they knew.

Then you need to read Deming again.

But any target, being arbitrary, fails my test of a good measure: Can you use it to understand and improve performance?

Deming: a target is a goal without a method. Any arbitrary measure, forced down a hierarchy will distort the system.

A joyous morning in Bromley #rethinkingregulation
Next stop Cardiff.

Nah. You increase capacity by improving effectiveness. See this: vimeo.com/943283319

I spent my frustration writing The Whitehall Effect. My 'Dear John' to the people who didn't want to listen. I take solace from the countless practitioners of my work. Anyway, fuck 'em.

Systems change looks like this: vimeo.com/943283319
If you don't change mgt thinking, where do you go from there?

A gun and bullet: : vimeo.com/943283319
In 3 minutes.

A 3-minute presentation on the Vanguard Method applied in healthcare. Better healthcare driving out 75% of costs across the system. Go here: vimeo.com/943283319

A few places left for my rethinking regulation event in Bromley, South London, next Thursday May 9th. Come see how a fundamental change to our method of regulation will have a profound impact on public-sector productivity.
Free to attend, register here: tinyurl.com/4avr65ys

Victor Adebowale Victor Adebowale is right. Labelling and assessing will load more stress into people’s lives Sunak should spend the money on helping people not assessing and bullying them. We too know that the majority of people want to be economically active.

The consequence of understanding customer demand, designing out failure demands, designing for value demands and measuring capability is a virtuous cycle where organisations become more effective leading to greater efficiency and affording greater methods of control. 5/5

Earth Day
A day to ponder the fate of our planet.
If you have any interest in the story - good and bad - of how we take resources from earth & use them to forge modern civilisation, you could do worse than read Material World.
You won’t regret it! Promise!
lnk.to/MaterialWorld

How to make a point to miss the point. What this tells us is that imposing arbitrary and abstract targets in service organisations makes performance worse not better and applies as much in 2024 as it did in 2005. Unfortunately, the NHS is a continuous, calamitous case study. #NHS

It is brilliant! Private-sector clients get it. Money talks. Unfortunately, big Gov shared services folk don't. Incredible waste of public money. Gov people have to do as they are told...

Another rethinking regulation event is scheduled in Cardiff on May 29th. Come see how a fundamental change to our method of regulation will have a profound impact on public-sector productivity. Free to attend, register here: tinyurl.com/2ev4syus

Hey Michael Gove, Re your call for improvement in public-sector productivity, it might surprise you to learn that our current method of regulation is the major impediment to improvement. Come listen to the arguments: tinyurl.com/4avr65ys
Bags of undeniable evidence.

You can't improve a method that = specify and inspect for compliance. I am arguing for a fundamental change to our method of regulation. Come listen: tinyurl.com/4avr65ys
Buckets of evidence, elegant and profound solution.