tag:blogger.com,1999:blog-3891303193843278902.post5456963139261252703..comments2023-11-01T04:55:43.402+00:00Comments on GP Jottings: NHS England test standards INCREASE riskJohn Cosgrovehttp://www.blogger.com/profile/03455454973271062404noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-3891303193843278902.post-44408774810240606752016-03-18T11:26:05.352+00:002016-03-18T11:26:05.352+00:00This is a classic case of poor system design in a ...This is a classic case of poor system design in a command and control system that is likely to make things worse rather than better.<br /><br />First of all there is the issue of top down micromanagement. This is not an effective way to manage organisations, nor create robust systems. The role of organisations like NHSE should be to guide and support improvement within the NHS rather than come out with "standards" that are likely to have unintended consequences such as these are.<br /><br />These "standards" break the principles of good system design. They introduce unneeded shared responsibility (an area of great clinical <br />risk), unnecessary hand offs in the work stream, and give a false sense of security.<br />Colinhttps://www.blogger.com/profile/04723580492652506674noreply@blogger.com