NHS Targets – Is the System Failing?
by Dina Gray (Guest Author)
Over the last few days the press have been preoccupied with the fact that there is great pressure on the A&E departments on the run up to Christmas with the BBC reporting that:
- the lowest percentage of patients seen within four hours since monitoring began in 2010
- just under 90% of patients were seen within four hours in the seven days up to December 14
- just six out of 140 major units met the target to see 95% within four hours.
In addition the ambulance service has been reported to be missing targets because they can’t get patients into A&E.
This fixation on targets means that the reporting of the crisis looks dire; but should the press be berating the hospital boards or are these targets meaningless at such times? To set a sensible target the system itself has to be capable of meeting those targets. If the use of the system has changed, as has been reported, that patients are turning up to A&E because they are unable to see their GP, then the targets need to change to reflect how the whole system is being used. It is not good enough to use outdated targets to apportion blame – that is just measurement madness!
Dr Dina Gray is a Visiting Fellow at the Centre for Business Performance, Cranfield School of Management. For more information on target setting and its consequences see her book “Measurement madness – Recognizing and Avoiding the Pitfalls of Performance Measurement” written with Dr Pietro Micheli, Visiting Fellow, and Dr Andrey Pavlov, Lecturer, Cranfield Centre for Business Performance.
BBC website, 20th December 2014 – http://www.bbc.co.uk/news/health-30541135
Categories & Tags:
Leave a comment on this post:
You might also like…
Working smarter, cleaner and greener: The future of manufacturing and materials
Everything we own, use or interact with in life starts with a material or materials. But even we in the industry admit that materials are a huge part of what has led us to where ...
Hubert Ovie Madise: My group design project
'Hubert Ovie Madise, what have you been up to the past ten weeks?' The Cranfield School of Water, Energy and Environment (SWEE) Group Design Project (GDP) module - that's what! The SWEE GDP module ...
The importance of big ideas: How small businesses can maximise their impact
Every year the Bettany Centre for Entrepreneurship hosts our annual entrepreneurship conference VentureDay. We are proud to have some small and medium enterprise (SME) owners on staff, including Heni Cloake and Gabriela Pearson, who share ...
How do I access the full-text of Harvard Business Review (HBR)?
This is one of the most frequently asked questions in the School of Management Library, presumably because HBR is such a key management journal and is renowned worldwide. The short answer is via EBSCO Business ...
Want to find out more about data documentation?: Workshop on 1 June
Data documentation is essential to make sure that well-organised and well-documented research data can be produced from our research projects. It ensures that your data will be understood and interpreted by any user. It will ...
Working on your internship report
Instead of producing a traditional thesis, as covered in our earlier post, some students in the School of Management - and perhaps some in other Cranfield Schools too - will embark upon on an internship ...