Meet Cari Hewer, A2B Excellence’s newest recruit…

nick A2B People Leave a Comment

Many of you will already have met Cari, the newest on-the-ground consultant at A2B and settling in nicely. Despite having a frighteningly powerful intellect, she makes long meetings feel somehow more tolerable and also brings us a career’s-worth of public sector knowledge. But who, I hear you ask, is the person behind the mighty brain / cheery demeanour? Well, I’m glad you mentioned it…   What are you bringing to the table? You’ve squeezed a lot into a career already… Yup – I’m a lapsed mathematician who somehow found herself in events management, then internal communications and then digital engagement – all the …

nickMeet Cari Hewer, A2B Excellence’s newest recruit…

An NHS without answers? Or a different approach…

nick Comment, Homepage Leave a Comment

This article from the BBC is typical of the big-picture perspective on the NHS. It follows a hard-hitting report from Margaret Hodge’s powerful Public Accounts Committee, which rightly says that our Health Service is in big trouble. Forget the immediate winter challenges which hit the headlines recently (and indeed hit the headlines every time there is a cold snap). That is a red herring. The big issues are, well, bigger. Much bigger. We’re an ageing population with ever greater health needs and fewer young people to go to work and fund our care. We’re a negligent population, too lazy to …

nickAn NHS without answers? Or a different approach…

Working in a large business? Frustrated? Watch this!

nick Benefits Realisation, Comment, Transformation Leave a Comment

We’ve gone video crazy in the A2B office – here’s our second one of the week. A2B Consultant Cari Hewer discovered this piece from long-time US consultancy, Bain & Co. It’s a superb discussion of why inertia seeps into large organisations. Officially, it’s an answer to entrepreneurs and founders who successfully make that miracle transformation from minnow to giant, and then wonder why their astronomical growth starts to tail off, why the flavour of the business has changed, why they spend so much time buried in spreadsheets and yet still have no idea what’s actually going on. And indeed, there …

nickWorking in a large business? Frustrated? Watch this!
NHS

The NHS needs more money to solve performance problems… or does it?

admin Comment Leave a Comment

This week, the Kings Fund (the respected independent-ish analyst of all things NHS) reported that the NHS should be given £2bn more in funding next year. It draws this conclusion because the NHS’ financial deficit is growing whilst performance is deteriorating. You can see the story here. I can’t argue – I’m sure the Kings Fund knows its NHS numbers. But as with all press reports, it’s easy to get wrapped up in assumptions. Perhaps the biggest assumption is that there is a causal relationship between deteriorating performance and the financial deficit. There probably is some sort of relationship, but …

adminThe NHS needs more money to solve performance problems… or does it?