News and Comment


How CCGs can build leadership capacity

Tuesday November 20 2012

The traditional NHS model of top-down, hierarchical leadership is ill suited to the complex challenges facing new leaders in the reformed health service. Those leading clinical commissioning groups in both clinical and managerial roles increasingly recognise that leadership in today’s NHS is first and foremost about helping others to lead: from GP colleagues and practice… Read More

Cutting the cost of care through connections

Monday November 19 2012

We know we are facing a demographic time bomb. The number of people in the UK aged over 85 has doubled since 1985. By 2021, there will be one million people with dementia, rising to 1.7 million in 2050. The ‘Barnet graph of doom’ makes local authorities across the country tremble. What will happen if… Read More

Local communities can provide councils with a way out of a crisis

Thursday November 8 2012

The question raised by Lord Heseltine’s growth report is how much councils can improve their own performance. One answer is staring them in the face: councils need to rethink their concept of resources to encompass their own communities. That isn’t a euphemism for press-ganging volunteers into doing everything. But when councils redesign services, they should take into… Read More


Should we beware the meritocracy?

Monday October 25 2010

Lord Browne’s review of higher education funding provoked much debate about whether young people from poorer backgrounds will now be deterred from going to university. The president of Oxford University’s Student Union said the report heralded ‘a dark day for meritocracy’. Meritocracy is a word that has become popular with politicians on all sides in… Read More

Striking the right balance between innovative and adaptive leadership

Thursday October 21 2010

The current financial and political climate calls for genuine transformation, and for leaders who are able to encourage and harness different styles of thinking. Traditional salami-slicing of budgets cannot yield the required level of savings; radical thinking is required. But where does this leave managers and leaders who naturally adopt a more adaptive style? OPM’s… Read More

How can managers keep trusting each other in tough times?

Thursday October 21 2010

Having to make 25 per cent cuts is enough to put a strain on relationships in any management team, and in this kind of situation ensuring good levels of trust between leaders is all important. In this post, OPM’s principal for local government, Sue Goss, pinpoints the key ingredients of maintaining trust within councils working… Read More