måndag 19 maj 2008

Proposed stupid legislation item #6

NHS reform is a hardy perennial and here it is back again. There seems to be new legislation every couple of years. Hospital funding to depend on performance, it promises. But how is performance to be measured? By some kind of performance indicator. But then the indicators become targets, and once that happens, actions are distorted so that the targets are met, with all sorts of bizarre consequences.

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