Unclear line of sight

, 10 July 2013

Underneath the headline numbers announced in the Spending Round on 26 June, ‘efficiency savings’ accounted for a whopping £5 billion – or 43% – of the total £11.5 billion of cuts. What is far from clear is where those “efficiencies” will come from. The closest we can get is looking at the changes to...

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Costing chaos comprehensively – easier said than done

, 5 July 2013

We contend that it would be cheaper to increase support for some 999 service users if the result is better engagement with mainstream health services and less reliance on emergency care. This is because an appointment with a GP is about a fifth of the price of going to A+E for the same treatment....

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Winning the global race for talent: will Carney blaze the trail for more public sector imports?

, 4 July 2013

Like many of our top football clubs, and the England cricket team, many of our major companies are run by foreigners – a 2008 survey by some headhunters found that a third of CEOs came from overseas (14 from the US, 10 from Continental Europe and Ireland and 10, like Carney, from the Commonwealth)....

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A day in the real world – can open policy making ever really work?

, 4 July 2013

The people we met were generous with both their time and their thoughts – and were wonderfully open and honest. We had representatives from Jobcentre Plus, from the local enterprise partnership, from a local authority and from a social enterprise. And some pretty consistent themes emerged. First, there was a really strong sense that...

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Designed to fail: the Care Quality Commission is a warning to quango cullers

, 3 July 2013

The Care Quality Commission (CQC), which has been over all the headlines again in the past fortnight over firmly denied allegations that its top officials conspired to suppress a report into deaths at Morecambe Bay’s maternity unit, is one such. It was created not from any obvious policy logic but simply from a desire...

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To 2016 and beyond: plan now, save later

, 2 July 2013

We may or may not get an emergency budget post-election. But whoever forms the government in May 2015 will need to come not only ready to launch a new spending review – but to do it very differently from the 2010 CSR and this week’s one year addendum. The cumulative cuts non-protected departments have...

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