Lewis, M. The King’s Fund Blog. Published online: 28 October 2016
As a doctor who was recently Group Director responsible for medicine and emergency care across three sites in an inner city trust, I was keen to take up the opportunity of joining The King’s Fund.
One reason for this was to learn about best practice outside my own organisation. For a national health service, it seems strange that the benefits of having a single health care system do not always seem to be evident; examples include variations in clinical practice, procurement of devices and the engagement of staff across different parts of the NHS.
Possibly the culture of competition between neighbouring trusts is difficult to shake off, or perhaps individuals within organisations are reluctant to accept that other people have better ways of doing things. Certainly, there is a need to develop better co-ordination of services between local primary, community and secondary care providers – as recently illustrated in the Fund’s report on place-based systems of care.