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Testing for rotten apples and bad eggs


Blog headlines

  • Structuring a PCN Social Prescribing Service for the post COVID world
    25 February 2021

    This week we have a blog by Nick Sharples.

  • Community-Oriented Integrated Care
    18 February 2021

    The blog this week is a short extract from a paper considering an approach primary care networks could use to move towards community-oriented integrated care.

  • Strategy Unit releases opensource model for planning vaccine centre capacity
    11 February 2021

    This week's blog is from The Strategy Unit who are sharing an opensource model to help with vaccine centre capacity planning.

  • Time to talk day
    4 February 2021

    A small conversation about mental health has the power to make a big difference.

  • Supporting Staff: the emergence of ‘long-covid’
    28 January 2021

    As we are now well into a second, or is it now the third, wave of Covid-19 it is becoming apparent that Covid is something we have not experienced before and it has unique implications for staff management. It is not just the possibility that staff may become acutely ill with the virus, but that for some they may go on to develop persistent debilitating symptoms that will affect their ability to go back to work. This article looks at the implications of long-covid for HR and service managers when looking to support health care professionals (HCPs) return to work.

  • Link of the week: Clinically-Led workforce and Activity Redesign (CLEAR)
    21 January 2021

    This week we are sharing a link to the Clinically-Led workforce and Activity Redesign (CLEAR) site that is funded by Health Education England.

  • So much more than an extra pair of hands
    14 January 2021

    The introduction of the additional roles reimbursement scheme for primary care networks has started to grow capacity in general practice to address the unsustainably high workload that has put so much pressure on GPs.

  • Primary Care Networks – how did we get here?
    7 January 2021

    This week we are sharing a blog by PCC’s chairman David Colin-Thomé.

  • A year like no other
    17 December 2020

    On 5 July 1948 the NHS was born, over the last 72 years challenges and changes have been remarkable but the service has probably never been tested as much as in the last nine months. There have previously been numerous re-organisations, multiple changes to hospitals, mental health services and a shift from the family doctor towards more integrated primary care services delivered by a range of professionals. However, rapid transformation of services to embrace digital technologies, and a shift change to work differently has been forced upon all areas of the health service this year.

  • Guest blog: David Hotchin
    11 December 2020

    This week we have a guest blog that was submitted to us by David Hotchin, written by a retired friend....obviously, he's used a little poetic licence.

  • What now for commissioning?
    3 December 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What White people don’t see
    26 November 2020

    This year’s Black History Month (BHM) has, unfortunately, in its shadow another example of why campaigns like this exist.

  • Primary Care: Why don’t we talk about Racism?
    20 November 2020

    Rita Symons is an ex NHS leader who is now a leadership consultant, coach and facilitator. Her work is mainly in the NHS and she is an associate for PCC offering facilitation, coaching, strategy development and team development activities. She is a concerned but hopeful world citizen and combines work in the NHS with a board role in a non for profit organisation and an interest in writing.

  • Primary Care and the Health of the Public
    12 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What now for primary care
    4 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

Friday, 5 July 2013

Testing for rotten apples and bad eggs

The government is introducing stringent new measures to prevent a repeat of Mid Staffs and similar scandals. In future senior NHS managers will be required to satisfy a fit and proper person test before being appointed.

Admitting that until now “almost anyone could run a hospital”, a government spokesman said: “Patients have a right to know that the people in charge of NHS services are up to the job.”

The move is the latest in a series of government initiatives in response to recommendations made in the Francis report, starting with the easy ones.

The new test is designed to screen out:

  • Former members of the Hitler Youth League
  • Anyone with a conviction for arms dealing, drug running or people trafficking
  • Suicide bombers
  • Ex presidents of Egypt
  • Men with beards

The test has been designed by some of the country’s top HR consultants.

The government spokesman said: “Sophisticated psychometric techniques have been deployed to make it impossible for undesirables to slip through the net.”

Questions include:

  • Have you ever killed anyone in a previous job?
  • Are you happy for us to take up references from other fit and proper persons?
  • Have you been press trained?
  • Do you promise to do your best?
  • Do you have a clean driving licence?

The friends and family test has also been specially adapted to weed out unsuitable candidates. Applicants for senior posts will be asked “How likely is it that you would recommend yourself a large pay-off if things don’t work out?”

Any candidate scoring a pension pot of less than £1m will be “highly unlikely” to make it through to the second stage of interviews.

Critics of the new measures pointed out that the test would not apply to NHS England, clinical commissioning groups or ministers of state, but the government insisted that other versions of the test would follow in due course.

A fit and proper commissioner test will check the credentials of anyone trying to close a hospital, a fit and proper patient test will be used to identify hypochondriacs and health tourists, and legislation for a fit and proper politician test will fail to make it past a first reading in the House of Commons.

Propriety editor: Julian Patterson

Anonymous says:
Jul 05, 2013 09:05 AM
Very well written ... I think the screening test would have to specify if the beard is for cosmetic reason than they would be excluded otherwise they can still apply???
Anonymous says:
Jul 05, 2013 10:49 AM
definately not being a killjoy, these blogs are normally very good but i think this one does overstep the mark a little. It has offended at least one of my colleagues.
Anonymous says:
Jul 05, 2013 10:55 AM
I really enjoyed the blog, good to be able to have a satirical laugh every now and again. Don't worry about the offended ones, in these modern times anything can offend anyone at any time. Take me, I’m offended by the offended ones been offended.
Anonymous says:
Jul 05, 2013 11:06 AM
Large earlobes ,another sign of a criminal and a pronounced limp, pronounced L-I-M-P is also another sign and pretending they are Spider Man on dress down Fridays. I agree its easy to be offended by the offended when they are offended.
Anonymous says:
Jul 05, 2013 12:46 PM
If this had stuck to pay and competence, fine. But it didn't. It's satirizing the causing of people's death.
Julian Patterson
Julian Patterson says:
Jul 05, 2013 01:50 PM
The idea is not to offend, but is it only okay to satirise incompetence that doesn't cause death?
Anonymous says:
Jul 08, 2013 10:14 AM
Julian, your question is a good one but, on this occasion, perhaps the wrong one. Your item crossed a line from deaths due to incompetence, to suggesting an element of deliberate intent. Omitting explicit mention of 'Francis' would have been better.
Anonymous says:
Jul 08, 2013 12:01 PM
I don't think that satirizing "deaths" which are a result of nonsense statistics should cause anyone offence, on the contrary, they warrant ridicule.


How *many* people died unnecessarily?


So - sounds like probably no unnecessary deaths, just a lot of erroneous statistics and a great opportunity for misinformation and propaganda.
paul booton
paul booton says:
Jul 09, 2013 05:33 PM
Very funny, very pithy, very good. All very convenient to blame individuals when government targets, structural issues and inadequate spending are at the heart of the problem