National Health Executive Podcast

In episode 39 of the National Health Executive podcast, we were joined by Anthony Painter, who is the director of policy at the Chartered Management Institute (CMI), to discuss all things management within the UK health sector and NHS.During the podcast, Anthony shared some of the recent research CMI conducted in partnership with the Social Market Foundation, which centred around the state of management and leadership within the NHS.Anthony said: “One thing that was found [in the report] was that 27% of managers in the NHS think that the leadership in their organisation is not effective.This is obviously very worrying, according to Anthony – especially because “research shows that, if you have above average leadership and management in your organisation, you’re far more likely, or three times more likely, to be a highly performing NHS organisation than if you have a less than average level”.Anthony also discusses some of the calls for regulation of managers within the NHS, what makes a good NHS manager, and how senior leaders can go about recruiting the right way. Hosted on Acast. See acast.com/privacy for more information.

In episode 38 of the National Health Executive podcast, we were joined by divisional director at Rental+, Jon Steward, to discuss one of the foundational elements of any good health setting.Rental+ offers the NHS cutting-edge foodservice and refrigeration equipment using a unique rental model.Elaborating on the differences between this model and a typical procurement process, Jon explained: “First of all you just pay a monthly fee for the equipment; second of all, it is inclusive of service and maintenance – this is why the NHS loves this solution, because it reduces their capital outlay and gives them a fixed cost.”This gives senior health leaders the peace of mind that sudden or hidden expenditures won’t wreak havoc with pre-determined budgets. A third point is that Rental+ guarantee the equipment will be working all the time.Jon went onto say: “For healthcare executives considering Rental+, my key advice would be to view this as, not just a service, but as a partnership. We’ve worked with the NHS for so long – we’re not just a solution provider, we’re an extension of the trusts that we work with.”Listen to the full podcast episode to hear more about how the NHS can benefit. Hosted on Acast. See acast.com/privacy for more information.

In episode 37 of the National Health Executive podcast, we were joined by the former chair of the National Institute for Health and Car Excellence, Sir David Haslam, to discuss the current state of the NHS and whether it needs to be rebooted.During the podcast, David discussed the piece he and David Pendleton, professor of leadership at Henley Business School, authored for the National Health Executive magazine, where he argues that the UK health sector needs to focus its financial support on bolstering primary care and community care on the one side, and social care on the other.David said: “We came up with this vision: if you think of the health system like a bookshelf, you’ve got the hospitals as the big books on the shelf, but if your bookends aren’t working effectively then everything tumbles down. And the bookends at one end are primary care; the other end is social care.“If both of those aren’t supported then the whole system is going to fall apart.”Listen to the full podcast to hear David’s thoughts on prevention, the UK’s health spending and more about how leaders can rebalance the NHS for the future. Hosted on Acast. See acast.com/privacy for more information.

In episode 36 of the National Health Executive podcast, we were joined by Omnicell’s UK professional services director, Ed Platt, to discuss interoperability in the NHS, practical examples of where it can be leveraged best, the importance of the health service's digital transformation journey and more.During the podcast, Ed discussed Omnicell’s provenance and how the mismanagement of medical supplies led to the company’s founding in 1992, which, to this day, galvanises them to continuously deliver innovations that help improve the standard of care in hospitals.When asked about how Omnicell started, Ed explained: “That story is about our CEO, Randall Lipps… he was in hospital, his daughter was being treated and he was stood there and noticed that the clinicians were looking for the products – I think catheters and some other items – but they couldn’t find them.“He then went off to his garage and started developing the first automated dispensing cabinet, brought that to market in 1992 and now we have over 2000 systems in the UK.“That story, that observation, still stands true today.”To listen to more about Omnicell's founding principles, how they are already helping the NHS and how they can further support the UK health sector, listen to the full podcast above. Hosted on Acast. See acast.com/privacy for more information.

In episode 35 of the National Health Executive podcast, we were joined by Professor Durka Dougall who is the chair of The Health Creation Alliance and Dr Andy Knox who is Associate Medical Director at Lancashire and South Cumbria Integrated Care Board.In the episode we spoke about population health, population health management, public health, health inequalities and everything in between. We also went into how all of the aforementioned phrases factor into combatting health inequalities.The podcast explores how both guests first entered this particular part of the health sector and their passion behind it.Dr Knox discusses the epiphany he had while working as a GP that allowed him to think differently and enter a role leadership role where he helped engage local communities in thinking more about their own health.Prof Dougall also discusses her exasperation at the lack of progress on the health inequalities front despite widespread acknowledgement of the presence of avoidable issues.Listen to the full podcast for more. Hosted on Acast. See acast.com/privacy for more information.

In Episode 34 of the National Health Executive podcast, we are joined by NHS England’s national clinical director for infection, antimicrobial resistance and deterioration, Dr Matt Inada-Kim, to discuss whether the pandemic is really over, how the NHS has learnt from Covid-19 and what the NHS needs to do to prepare for the next global health incident.Dr Inada-Kim said: “Whilst technically it [the pandemic] might be over in terms of the numbers, certainly from a Covid perspective, we’re very much still in maelstrom of the effects of it – particularly the backlog.“But it’s not just catching up on the elective work in terms of surgery, operations or appointments but it’s also a backlog of preventative and chronic disease management that I don’t think we were optimally able to provide during the lockdown.”Dr Inada-Kim went onto explain how he believes the health service needs a “sea change” to ensure patients are cared for in the right place and not just the most convenient one as well as highlighting the need to make use of industry partnerships to further accelerate the “ explosion of digital tech”.He also went on to note need for better “measurement” in terms of how the NHS benchmarks quality and safety of care against both itself and other health systems.“A lot of our initiatives appear to be focused around avoiding work – reducing activity, avoiding an admission, avoiding an attendance, reducing general practice appointments for instance – [but] we also need, with 50% of our energy, to be focusing on quality of care, the safety of care [and] ensuring outcomes for patients remain at the very forefront of everything we do.” Hosted on Acast. See acast.com/privacy for more information.

In Episode 33 of the National Health Executive (NHE) podcast, we spoke to Dr Matt Harris who is a clinical senior lecturer in public health at Imperial College London and Dr Nav Chana who is the former chair of the National Association of Primary Care.They told us about a scheme imported from Brazil that uses community health workers to increase NHS health checks, enhance cancer screening numbers and drive immunisation.Dr Harris said: “What was interesting about the way in which they [Brazil] deployed their community health workers was that there was a very efficient and effective system that has scaled nationally and is actually the biggest publicly-provided, taxpayer-funded, free-at-the-point-of-use primary care system in the world now – they have 275,000 community health workers!”Dr Harris went onto explain what was so unique about the way Brazil uses their community health workers citing their intimate knowledge of their community, how they are paid full time and the catchment areas they are responsible for.Dr Harris and Dr Chana then explained the attitudes around learning from countries like Brazil and how they need to change. Hosted on Acast. See acast.com/privacy for more information.

In episode 32 of National Health Executive’s (NHE) Finger on the Pulse podcast, I was joined by Health Education England’s Chief Digital and Information Officer, James Freed, to discuss how he got into the healthcare industry, what the word ‘digital’ actually means for the NHS and why most digital initiatives fail.During the podcast, James said: “The biggest reason why digital projects fail – and 70% of them do – is [because of] cultural issues. And the biggest cultural issue is the breakdown between different siloes and this most often manifests when you give someone a really nice piece of kit and they do their job they’ve always done [but] just using a digital tool instead. Which often adds more time, creates more harm and doesn’t realise in adding more value.”In addition to more commentary on the topic of digital, James notes how the NHS has created a governance process where it is not ok to fail, meaning everything assumes success. James believes a change of direction is needed on this front and that we need to establish governance routes that assume and allow for failure as long as it is caught quickly. Listen to full episode of NHE’s Finger on the Pulse podcast with James Freed above. Hosted on Acast. See acast.com/privacy for more information.

For episode 31 of National Health Executive’s (NHE) Finger on the Pulse podcast, I was joined by University Hospitals Southampton NHS Foundation Trust’s Director of Estates, Facilities and Capital Development, David Jones, to discuss everything from the ongoing industrial action, funding, some of the research he is doing and his three wishes for the NHS.David said: “As a manager, I obviously uphold the right of people to strike and, on this occasion, I fully understand and appreciate why the NHS is currently striking. I know that there’s a lot of focus on nurses and junior doctors at the moment, however we’ve also got to remember that this is across the board – it’s all colleagues such as estates, facilities, IT etc. – that have received below inflation pay rates.”To make the NHS a more attractive employer, David believes the health service needs to be more flexible in how it renumerates its staff, especially against the backdrop of the private sector. He also thinks the NHS should improve the way people move through the various pay grades, drawing specific attention to how some managers have to wait nearly five years to get a pay rise that isn’t just inflationary.Listen to the full episode of NHE’s Finger on the Pulse podcast with David Jones above. Hosted on Acast. See acast.com/privacy for more information.

On Episode 30 of National Health Executive's (NHE) Finger of the Pulse podcast, our host Louis Morris is joined by the Royal College of Emergency Medicine's President, Adrian Boyle, to discuss what the actual problem with patient waiting times is.Adrian explained: "The problem we've got is we're not able to look after people properly, who come into type 1 Emergency Departments and get stuck on trollies for long periods of time. This means that then the Ambulance Service isn't able to offload them and we're seeing this all over the press at the moment."When we say 'Demand management is not the problem' that's true because the big problem is actually the flow [of patients] through the Emergency Departments and that's because we just don't have enough beds in our hospitals and we don't use our beds as efficiently as we could."[Bed blocking] is the single biggest part of this [patient waiting times] problem. In December, we recorded almost the very highest level of hospital bed occupancy that we've ever seen."Adrian believes that encouraging people to just make better choices about what they do or launching public health campaigns to stop people from going to Emergency Departments won't fix the problem."We need to try and introduce the concept of different queues..."Listen to the full episode of NHE's Finger on the Pulse podcast with Adrian Boyle above. Hosted on Acast. See acast.com/privacy for more information.