Archive for May, 2015


There comes a point in everyone’s life when you have to make a big decision: do I stay or do I go?  It could be a job, a relationship, a country, but the decision is big because you know if you decide to go, the consequences are going to be significant.

In January 2015 I made the decision to leave NHS Nene Clinical Commissioning Group.  I had worked there for seven and a half years, and I wanted to do something different.  But I didn’t just leave the CCG, I left the NHS.  I had reached the point where I honestly believed (and still do) that the NHS system has become such that making significant change from within it is virtually impossible.  The day to day financial and operational challenges relegate focussing on transformational change to a mere afterthought.

Delivering transformational change requires real focus, freedom from distractions, and the ability to do things differently.  For me that opportunity sits in the creation of a new organisation, one that works with the NHS, but is not part of it: Ockham Healthcare.

Ockham was incorporated on the 27th March 2015, and is part think tank, part consultancy.  It will work on very specific areas of work: those areas that provide the greatest opportunity for transformation and where the greatest additional support is required.  It will provide a range of web based information, tools and support that are free and available to all.  It will promote debate and conversation.  It will be a platform for change.

The very first Ockham programme is the development of general practice.  General practice is in crisis.  Worse it is unsupported by the system as it attempts to transform itself.  Ockham will provide the support that the system appears reluctant to give.  Access our information and resources via the website,

The establishment of Ockham does, however, signal the end of CCG Information.  I will leave the website up, as a resource for CCGs, and as a record of the journey that CCGs have been on.  Thank you for all the support that you have given to me and the site, and I hope you will stay connected through Ockham.  You contact also me directly on

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