Until we get to the point where the clinical outcomes achieved by the NHS best those achieve elsewhere then this is exactly the type of trip that should be taking place - the NHS and its managers can learn a lot from other health systems. Posts like the one at the start of this thread are almost always polarised and inflammatory. I would really like to know whether the author's interpretation of "Managed Care" is informed by anything more than a guess at how healthcare is managed in the States or actual experience. Amongst other things the managed care processes in the States are very good at getting timely discharge to happen from acute settings, avoiding the issue of bed blocking that the NHS has so spectacularly failed to deal with. The same processes can also be found in the healthcare systems in Germany and Netherlands, both of which score much higher on clinical outcomes than the NHS. As the author mentioned it, Boston was one of the first cities in the States to have applied predictive analytics to predict who will get ill, with what and when.  This is a science that has been successfully used to tackle illness much earlier and avoid the cost associated with acute admissions, something the NHS has only recently recognised as useful and which is only used on a limited basis because despite being established practice elsewhere, the NHS is blighted by a "not invented here" culture. The author may also be surprised to learn that much of the improvement in Stroke and Trauma outcomes in London in the last 5 years are due to work done by McKinsey - without their analysis and process design expertise the NHS would not have improved the process or the clinical outcomes, given that it had failed to do so for the 20 or so years before McKinsey took the challenge on - the outcome has been more lives saved, less people requiring complex social care as a result of strokes too late, and cost savings to the NHS. The fact that Dr Tracey Batten is now unable to go and understand what good practice looks like is nothing more than  a pyrric victory and just contributes to the ongoing poor care and lack of coordination that parts of the NHS excel at. Rather than "Saving our Hospitals" this organisers of this sort of protest  just serve to maintain the status quo and prevent the urgently required improvements that will enable the NHS to adapt to the needs of an increasingly unhealthy and ageing population.

Entire Thread

Topic	Date Posted	Posted By
Imperial CEO does U-turn and refuses McKinsey trip to USA	30/11/14 12:35:00	Una Hodgkins
Re:Imperial CEO does U-turn and refuses McKinsey trip to USA	30/11/14 13:13:00	Chris Martin
Re:Re:Imperial CEO does U-turn and refuses McKinsey trip to USA	30/11/14 17:53:00	Una Hodgkins
Re:Re:Re:Imperial CEO does U-turn and refuses McKinsey trip to USA	30/11/14 19:29:00	Karen Liebreich
Re:Re:Re:Re:Imperial CEO does U-turn and refuses McKinsey trip to USA	30/11/14 22:31:00	Una Hodgkins
Re:Re:Re:Re:Re:Imperial CEO does U-turn and refuses McKinsey trip to USA	01/12/14 15:40:00	Karen Liebreich
Re:Re:Re:Re:Re:Re:Imperial CEO does U-turn and refuses McKinsey trip to USA	02/12/14 13:07:00	Una Hodgkins

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