Archive for the 'Healthcare' Category

Best use of tax payers resources

Posted by: Peter Massey | 31.07.2008

The contrast in use of tax payers resources, the politics and the bigger system and the good news….

Is my tax £ being well spent?

I love Jeremy Clarkson’s idea that the police shouldn’t be allowed to fine you for car parking until they return your stolen goods!Smart car with cameraSmart car with cameraI was struck by the contrasting use of resources around Soho Square as I walked into work yesterday. In Greek St, there was a police cordon around a bar. Uh oh must have been a murder. Two officers, once taking photos of the scene. At the opposite end of the square, parked opposite Soho St, was a Smart car with CCTV on the roof. It was aimed up the one way street from the wrong end. Presumably to catch cyclists going the wrong way up the street, since cars cant turn into the street the wrong way easily given the shape of the traffic islands on Oxford St - itself a street only for buses and taxis so unlikely to generate much “driving” crime. There were two guys sat in the Smart car reading the Sun.

The contrasting focus of manpower is striking in a time of newspaper headlines about knife crime, rising prices and taxes.

The wider system

Not only do cameras everywhere make me feel less safe, but they make me aware of government. It strikes me that everything that is government charged, privatised and vaguely regulated (and I use the two words specifically), or is an effective monopoly is just going through the roof. Parking fines rising to £120, gas going up 35%, my station car parking going up 17%, fuel rising to £1.34 - but more noticeably the gap between unleaded and diesel jumping from circa 6p to 14p. Yet the money raised doesnt seem to make any difference to the services offered.

It seems that an economic downturn is a great excuse to screw customers. Does the government thing that people don’t see the connection between the way government governs and regulates, the way business works and the way investors invest. 

Maybe Mr Brown would be better trying to make the adjustments in pricing happen in the stockmarket, not in the high street. Centrica and British Gas is a great case in point. Poor old British Gas has to hike prices whilst Centrica raises its dividend to shareholders, claiming poor old pensioners need the money from their pension funds. Doesnt matter, its still the customers who fork out more to investors via a business and weak regualtion/competition. It feels like we are just paying for the fact that the government sold all the family silver years ago and can no longer control large multinational players, many foreign owned, who will do what they need to do to keep their shareholders happy overseas as funding gets harder to raise.

So Mr Brown - go find a better lever to pull - talk to the analysts and investors. Unless they expect and accept that profits will suffer as markets restructure, without sacking CEOs or ransacking share prices, the CEOs will continue to pump customers for short term gain.

But what about the good news?

The good news is that there are richer pickings for CEOs and government to be made from removing waste than even pumping customers for money they dont want to give. The Cabinet Office agenda is to save 50% of “avoidable contact” with citizens from every goverement department. Not to sack people and save money, but to free people up to do more valuable things (than catching cyclists….). Now this I get. If CEOs set the same challenge to remove 50% of unncessary contact then there would be real change in the customer experience. At the moment there’s a lot of pussyfooting around with cost savings, not fundamental change.

Why is contact rate so important to the experience and the economics? Take for example, last week I had to get my divorce papers done. I really dont like paperwork, but 8 years hanging around is ridiculous. But heh it’s easy - I managed the hard bits easily with only 2 contacts. (Dont let that give you ideas!).

A visit to directgov led to all the forms and how to fill them in. A copy of the marriage certificate within 24 hours all done online. The only contact was to check the fee to pay - it looked like the figure it was, but it didnt say “divorce” on it, so I called to check - all details being quickly available to do that too. The other contact? Meet with the ex to sign the forms too, of course. Job nearly done. A great experience, very little work for me or anyone else, for a complex task.

Then there was splitting a pension. I shall keep the innocent unnamed since they were very helpful. But suffice to say, after looking at the website and even starting with a personal contact, it took several people to get involved to clearly establish what needed to happen. No action has been taken yet, but I can see why their SLA is 4 months to act! I havent counted the calls or emails but it must have been a dozen. Must have cost them a fortune.

So maybe the goverment’s transformation agenda is working better than we notice. Maybe private business can learn a thing or two. Certainly government is giving The Best Service Is No Service serious attention. And we’re going to try and help with an event on the 29th September - a goverment summit we’re running with Contact Centre Clinic in Liverpool. The Cabinet Office will be speaking along with several top public and private companies. But mainly we’ll be causing people to talk to each other and take back specific actions they can take in their government department, police force, NHS body or local authority. And of course private companies are welcome to learn too. Get in touch with joanne.sparkes@budd.uk.com for more details. PS and its £250 - good experiences are always less expensive to give than dumb ones!

Government, Healthcare, Uncategorized, contact rate, customer experience, the best service is no service | No Comments

Cleanliness isn’t so difficile, see…

Posted by: Peter Massey | 3.03.2008

I sit blogging this whilst my daughter is in theatre at Maidstone Hospital – yes that one that made all the press for MRSA deaths. So it wasn’t without trepidation that we approached the place. It’s a toe curling place to be – or rather toe uncurling to be precise – that’s the minor operation she’s in for.

Beth’s last lesson on Friday had been doing TLAFSSOS…three letter acronym for social studies or something… talking about hospital infections. Online yesterday I discovered from a contact in S Africa the sad news that someone I met last year died from complications after an operation. One of Beth’s friends was in intensive care for a month 2 years ago after a minor op here.

What sticks in my mind from a few years ago, was the difference between the private hospital in Tunbridge Wells and public hospital there. Yes the other half of the Maidstone and Tunbridge Wells NHS Trust once run by the infamous Rose Gibb. She that made the news for chasing targets and the resultant dirty hospitals that killed many. She’s still the signature in the “Welcome to our hospital” book today.

But far from being about slagging off the NHS, this is a story of reassurance. Walking into reception at 7.30am this morning, the place was awash ( no pun…) with cleaners. Every corner looks spotless. Every uniform freshly pressed. Every entrance to every ward has disinfecting hand washes and everyone uses them. Whilst sitting in the room waiting, someone has been in and cleaned the toilet. Someone else has waashed down the surfaces, someone else has vacuumed the floors and finally someone else has mopped them. One of the toilets is marked for deep clean 030308 (heh happy 5th birthday to telco 3, launched on 030303 !).

So I can see cleanliness is a top priority. There are no inspectors, just people everywhere paying attention to cleanliness.

There are at least 4 lessons to draw from the tragic history of this place:

- The business of this NHS Trust became focused on its shareholders, the money men, not on its customers, the patients
- The targets set by its shareholders did not reflect the most basic needs of its customers
- Neither the management nor the shareholders would listen to the customers, even when they were dying, because of cost targets that would ultimately cost a lot of money
- The waste of life stands out: the cost now of keeping it clean must be high, but not so high as the price of a death, let alone 100 deaths
 

It’s about the focus and stamina of the leaders really.

I remember hearing Michael Eisner, CEO of Disney talk last year at ECMW. When he ran Universal, he was frustrated that he could never keep the toilets as fastidiously clean as at Disney. So he called the then CEO of Disney and asked what was the secret. He discovered 3 things:

- Whenever I visit a Disney operation of any kind, the first thing I do is go to the toilets. If I have to pick up paper from the floor myself, I do so. But hell breaks loose if I ever have to do it twice
- The secret is cleaning the toilets most when they are most used eg every 15 minutes at lunch time
- It wasn’t difficult. It just had to be a high priority. And stay a high priority.
 

So as I relax and wait for Beth to come into post op, I ask you these questions from the 4 lessons:

1.       Is your business really focused on the basic needs of your customers, not the money? “Show me the money!”, as the film Jerry McGuire illustrated, just isn’t going to cut it in the 21st century.

2.       If you know the most basic needs of your customers, are your metrics about those needs and are they calibrated to match what customers say?

3.       Do you capture what your customers are saying? Yes? And do your management priorities get set by what they are saying?

4.       The cost of waste hopefully isn’t as evident as at this NHS Trust, but do you really know what it is?

Is every customer of your business as relaxed using your business as I can be sat here?

If you’re not sure, type you company name followed by “sucks” into Google and see what comes out.

Get in touch if you’d like to talk

Healthcare, brilliant basics, listening, managing, measurement | No Comments