Decision Making Blog #5: Reaching disagreement
Blog post
1st April 2023
Two starting points:
Two starting points:
Imagine this:
You are reading a big policy announcement, a business case for something strategically important, or maybe even a bid for significant levels of resourcing.
The content, narrative and framing of it is pretty much what you’ve come to expect. So far, so humdrum.
You finish the main body of the document, and are about to put it down, when the following catches your eye:
Learning is one of the joys of teaching. And I’ve learnt a lot while helping people develop their decision making skills.
Some of these lessons have been encouraging. Inspiring even. It has then been a privilege to share them through the Decision Support Network’s education and training programme.
But some of the things I’ve learnt belong on the negative side of the ledger. I’ve heard about constraints on decision making that are serious enough to require broader, more systemic change.
Some forms of leaders’ power are obvious. Leaders hire and they fire. They grant resources and they withhold them. They require some things and they prohibit others. These are the ‘hard’ powers that most of us think about when asking how leaders get things done.
There are two main routes for health and care services to improve the health of the populations they serve. They can:
Obviously, both are needed. But do services make the most of both routes? Or do they pursue one and neglect the other? And if they do, where is the room for improvement?
The future looks incredibly promising for analysis and analysts in the NHS. I can’t remember a time when the environment looked so conducive. Over the next few years, analysts will get plenty of opportunities to make a real difference to the NHS and the people it serves. And at the moment, the NHS needs all the help it can get.
A discussion between:
NHS England has identified Population Health Management (PHM) as a core strategic aim for Integrated Care Systems, but what does this look like in practice? With complex systems, finite resources and multiple organisations delivering care and interventions, how should decisions be made, and who should be making them?
The NHS Long Term Plan placed an emphasis on better use of data in decision making, and before that the Five Year Forward View outlined a future of empowering and engaging patients and communities. But what has been the reality of decision-making in the 21st Century NHS?
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