Friday, 8 March 2013

A product of our thinking

This blog entry is now available at

Our new site offers you all of our historic blogs plus a wealth of new insights and resources 
relating to the application of the Vanguard Method in the Health and Care sector.


  1. Are you saying, then, that all the increase in demand is due to inefficiencies in the system?

    If you eliminated failure demand wouldn't that make the NHS more productive - meaning that it delivered the same for less cost?

    Therefore, aren't you saying that the NHS has a productivity problem?

  2. I'm saying the NHS has an effectiveness problem. If the system was more effective at solving peoples problems then, yes, the cost of running the system would reduce. In such a system under conventional productivity metrics staff may appear to be less productive if they see the same amount of people but over fewer transactions. So no, the NHS does not have a productivity problem.