In the latest Colloquia, Health Policy Insight editor Andy Cowper and associate director Tom Smith discuss new ways of incentivising clinicians’ perfomance.

AC: In the last couple of weeks, I thought one of the most interesting developments was the announcement by Imperial College Healthcare NHS Trust that they would introduce pay bonuses for successful operations was worth discussing.

AC: This week, I thought we could discuss markets and market mechanisms in healthcare. Richard Smith has written a good blog for Guardian Online (www.guardian.co.uk/commentisfree/2008/jul/12/nhs?gusrc=rss&feed=uknews), which gives a pro-market perspective. That isn't surprising, given his work with UnitedHealth Europe.

TS: Sure, but he works for UnitedHealth because he has that perspective, not the other way around.

Colloquia: ministering to clinical priorities or political ones?

In this week’s Colloquia, Health Policy Insight editor Andy Cowper and associate director Tom Smith discuss how and whether reform is being helped or hindered by the Darzi Review and ongoing BMA-Government rows.

A gentlemen’s agreement, or a gentleman’s excuse-me?
Round 4,371 of the BMA-Government row over access to primary care. Seconds out.

Richard Vautrey, David Stout and Michael Dixon discuss what can be done to make progress between the Government and the BMA.

by Andy Cowper

Health Policy Insight’s editor Andy Cowper and associate director Tom Smith discuss whether the Darzi review can “lead local change from the centre”

AC: So Tom, your latest Health Policy Today suggests that "the publication of the Darzi report, with its focus on local innovation and opportunities for clinicians may be able to move debate on from the current political impasse". That's pretty much tantamount to optimism. What makes you optimistic about this?

INTERVIEW – MIKE FARRAR

Clinical input and measuring outcomes

Why PBC needs a stimulus and why regulation needs to understand its limitations
Mike Farrar, chief executive, NHS North West
Interview by Andy Cowper

There’s a great photo of Mike Farrar from his semi-pro footballing days, getting punched in the face with both hands by a goalkeeper who, we must presume, is going for the clearance of a cross.

Farrar vs Goalie

It’s not just a great photo because of the punch - which must have stung a bit at the time. It’s a well-taken picture, which also encapsulates ambition, determination and guts.

What’s your take-up on technology?

by Paul Vousden, managing director, NHS THOTH

The UK has a poor record of adopting new technology when compared with other European countries. Such reluctance often owes less to a lack of money than a lack of adequate education and training.