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Www.isqua.org. Some lessons on how Governments can better organise reforms of a nations health service Paul Corrigan ISQUA Seminar 17 July 2013.

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Presentation on theme: "Www.isqua.org. Some lessons on how Governments can better organise reforms of a nations health service Paul Corrigan ISQUA Seminar 17 July 2013."— Presentation transcript:

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2 Some lessons on how Governments can better organise reforms of a nations health service Paul Corrigan ISQUA Seminar 17 July 2013

3 Some lessons on how Governments can better organise reforms of a nations health service  Why you have to have a compelling public narrative for the reform?  What the narrative needs to achieve  Anticipate conflict from the status quo  Make sure that you have a some delivery mechanisms to make your reform real  Publish goals and milestones that matter to the public and commit yourself

4 Why you have to have a compelling public narrative for the reform?  Health services matter a great deal to the public. They are very anxious about change  They will stop you changing their health service if they can  Your narrative must encompass 1. A compelling case for change that will resonate in their lives 2. A clear explanation of how your reforms will bring that change  All of this in their language

5 What the narrative needs to achieve?  Check that it BOTH makes the case for change demonstrate show your reform makes those specific changes. Make sure that it works where it matters and re frame if it doesn't.  You must re-establish your narrative every week.  Your narrative should establish the centreground of all the health service narratives that are taking place  Make sure that every initiative is explained all the time from within your narrative This reinforces  Try very hard NOT to initiate reforms that are outside of your narrative. This confuses

6 Anticipate conflict from the status quo  Every health care reform programme attracts a storm of attacks against it.  The existing system has a very large number of people doing very well out of it and your reforms will cost them reputation and resource. They will defend this and attack you  DONT be surprised by this it is normal  Make sure you are equipped to maintain your narrative  The more they use the words of your narrative to frame their attacks the better you are doing

7 Make sure that you have a some delivery mechanisms to make your reform real  Check that when you pull a lever something happens. If you have no levers to bring about reform don't promise to achieve reform  Create a delivery chain from your office to the patients. See how each part of this can be made to articulate  Walk up and down this chain and make sure that it works  Create new delivery levers and use them to bring about your reforms

8 Publish goals and milestones that matter to the public and commit yourself  Make sure that there are clear outcomes for the public from all of this complex reform  Publish them as goals and have many internal milestones on the way.  Everyone – except the public- gets caught up in the reform process without public goals the process will disappear  There WILL be blockages and problems. The work of government is to solve them not to complain

9 Thank you 9


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