A management consultant writing in The Times outlines
how the NHS could make money through innovation, highlighting UCL and UCL Hospital NHS Foundation Trust as a key place for such work to happen. Based on this article, we have developed the Southbeach Model shown below. By adding a simple MyCreativity script to this model, Southbeach Modeller has generated the report shown below.
If you would like to play with this model or the report, and find out how it was generated, you can download the
Southbeach model from here.
Report on: Exporting the NHS
We have a world-class service that we could sell to China, the Middle East and Africa. How can the NHS make money for Britain? Based on Mark Britnell's (KPMG global director healthcare practice) opinion piece in The Times, Nov 15 2011
Unfortunately the situation is:
- £110B spend on NHS
- Burden on economy
- National debt & tighter budgets
- Heavily centralized bureaucracy
- Lack of willingness to embrace change
- Lack of an entrepreneurial culture
- Funding constraints
The contradictions (having both useful and harmful effects) in this situation are:
- NHS organization
- Funding constraints
Key focus: How can we create new value?
Potential levers include:
- Developing the NHS
- Thinking differently
- Cutting edge services innovation
- Motivating health workers across all roles
Actions that will happen are:
1. Sharpening up management
2. Meet efficiency target of 4% per annum for next four years
3. Greater commercial acumen in procurement
4. More sophisticated integrated care for chronic diseases
Potential actions include:
5. Exporting healthcare knowledge and services
6. Capitalizing on challenges presented by globalization of healthcare
Strengths we can exploit include:
- NHS organization
- Healing sick people
- Equity
- Experience
- Strong UK life sciences industry
NOTE- there is a connection between:
Strong UK life sciences industry and Exporting healthcare knowledge and services
Strong UK life sciences industry and Cutting edge services innovation
Areas we need to strengthen are:
Efficiency
Managing chronic conditions
Ideas to reduce the burden on the economy include:
Q1. Capitalizing on challenges presented by globalization of healthcare
Q2. Exporting healthcare knowledge and services
Q3. Advise, design, build and operate hospitals in Asia, Africa and the Middle East
Q4. Export primary care systems to help design and run services to poor, geographically dispersed communities
Q5. Extend modern healthcare education and training programs to developing nations
Q6. Export expertise in health data systems and management as well telehealth and medical devices
Q7. Compete in the rapidly growing $80B market in medical tourism, for example, opening hospitals in the Middle East
Q8. Combine the resources of UCL and UCL Hospitals to develop new clinical, education and research services globally, including joint ventures
Catalysts in this situation are:
A. Thinking differently produces Capitalizing on challenges presented by globalization of healthcare
B. Cutting edge services innovation produces Capitalizing on challenges presented by globalization of healthcare
Recommended next steps
Use 6 hats thinking on the potential ideas:
1. Exporting healthcare knowledge and services
2. Advise, design, build and operate hospitals in Asia, Africa and the Middle East
3. Export primary care systems to help design and run services to poor, geographically dispersed communities
4. Extend modern healthcare education and training programs to developing nations
5. Export expertise in health data systems and management as well telehealth and medical devices
6. Compete in the rapidly growing $80B market in medical tourism, for example, opening hospitals in the Middle East
7. Combine the resources of UCL and UCL Hospitals to develop new clinical, education and research services globally, including joint ventures
8. Capitalizing on challenges presented by globalization of healthcare
For example black hat:
- Will Exporting healthcare knowledge and services work?
- Why can't we do Exporting healthcare knowledge and services now? What should we in preparation?
- What is wrong with Exporting healthcare knowledge and services? What might cause Exporting healthcare knowledge and services to go wrong?
- What are the risks around Exporting healthcare knowledge and services?
- How will Exporting healthcare knowledge and services impact on other activities?
Who will prevent, stop or derail Exporting healthcare knowledge and services?
Also consider:
1. Find a way to obtain the benefit of Healing sick people without the need for NHS organization
2. Find a way to obtain the benefit of Developing the NHS without the need for NHS organization
3. Find a way to obtain the benefit of Equity without the need for NHS organization
4. Find a way to obtain the benefit of Efficiency without the need for NHS organization
5. Find a way to obtain the benefit of Experience without the need for NHS organization
6. Find an alternative to NHS organization that does not produce £110B spend on NHS but still produces Healing sick people
7. Find an alternative to NHS organization that does not produce £110B spend on NHS but still produces Developing the NHS
8. Find an alternative to NHS organization that does not produce £110B spend on NHS but still produces Equity
9. Find an alternative to NHS organization that does not produce £110B spend on NHS but still produces Efficiency
10. Find an alternative to NHS organization that does not produce £110B spend on NHS but still produces Experience
11. Find an alternative to Healing sick people so that NHS organization is no longer needed
12. Find an alternative to Developing the NHS so that NHS organization is no longer needed
13. Find an alternative to Equity so that NHS organization is no longer needed
14. Find an alternative to Efficiency so that NHS organization is no longer needed
15. Find an alternative to Experience so that NHS organization is no longer needed
16. Find a way to reduce or eliminate £110B spend on NHS if there is no alternative to NHS organization
17. Find a way to reduce the ability of NHS organization to produce £110B spend on NHS
18. Find ways to cope with £110B spend on NHS if all else fails
And:
19. How can you reduce or prevent the NHS organization from producing the £110B spend on NHS.
20. How can you reduce or prevent the £110B spend on NHS from producing the Burden on economy.
21. How can you reduce or prevent the National debt & tighter budgets from producing the Funding constraints.
22. How can you reduce or prevent the Heavily centralized bureaucracy from producing the Lack of willingness to embrace change.
23. Put measures in place to deal with the £110B spend on NHS.
24. Put measures in place to deal with the Burden on economy.
25. Put measures in place to deal with the Funding constraints.
26. Put measures in place to deal with the Lack of willingness to embrace change.
27. Isolate the part of the NHS organization that is producing the £110B spend on NHS and remove it.
28. Isolate the part of the £110B spend on NHS that is producing the Burden on economy and remove it.
29. Isolate the part of the National debt & tighter budgets that is producing the Funding constraints and remove it.
30. Isolate the part of the Heavily centralized bureaucracy that is producing the Lack of willingness to embrace change and remove it.
31. How else could the NHS organization be accomplished that would not result in the £110B spend on NHS?
32. What else could give the benefits of the NHS organization that would not result in the £110B spend on NHS?
Background transformation and improvements must continue:
33. Find away to reduce or prevent the Funding constraints from decreasing the Developing the NHS
34. Find away to reduce or prevent the Heavily centralized bureaucracy from decreasing the Cutting edge services innovation
35. Find away to reduce or prevent the Lack of willingness to embrace change from decreasing the Thinking differently
36. Find away to reduce or prevent the Lack of an entrepreneurial culture from decreasing the Cutting edge services innovation
And also:
37. Find ways to increase the effectiveness of the Exporting healthcare knowledge and services in decreasing the Burden on economy
38. Find ways to increase the effectiveness of the Sharpening up management in decreasing the Heavily centralized bureaucracy
39. Find ways to increase the effectiveness of the Meet efficiency target of 4% per annum for next four years in decreasing the Funding constraints
40. Find ways to increase the effectiveness of the Greater commercial acumen in procurement in decreasing the Funding constraints
41. Find ways to increase the effectiveness of the Sharpening up management in decreasing the Lack of an entrepreneurial culture
42. Find ways to increase the effectiveness of the Motivating health workers across all roles in decreasing the Lack of willingness to embrace change
43. Find ways to increase the effectiveness of the Healing sick people in increasing the Managing chronic conditions
44. Find ways to increase the effectiveness of the NHS organization in increasing the Efficiency
45. Find ways to increase the effectiveness of the More sophisticated integrated care for chronic diseases in increasing the Managing chronic conditions
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