THE LAST DITCH An Englishman returned after twenty years abroad blogs about liberty in Britain
Overheard at the hairdresser
En route

Compare and contrast

Sir David Nicholson admits failings over Mid Staffs but refuses to resign - Telegraph.
Sir David Nicholson, were our society organised as the defunct British Communist Party to which he once belonged might desire, would now be put up against a wall and shot. In our wet British version of Soviet Healthcare, however, he avoids all responsibility for the NHS's lethal failures. After all, there are plenty more patients where those came from.

Compare and contrast with one Andrew Mason, who wrote to his staff before leaving;
After four-and-a-half intense and wonderful years as CEO of Groupon, I've decided that I'd like to spend more time with my family. Just kidding, I was fired today ... As CEO I'm accountable.
I rather suspect that Mason has put more efficient and vigorous effort into the success of Groupon than Nicholson has to that of the NHS. Yet he was held accountable by his board on behalf of his shareholders and accepted it with grace. Good for him. He failed this time, but with an attitude like that, I am sure he will yet do great things. I would hire him, if I owned a suitable company. I wouldn't employ Nicholson to clean my boots.

So is the success or failure of a company that organises online discounts more important than that of a whole nation's healthcare system? Should the bosses of an internet start-up be stricter with their CEO than Parliament is with the head of the NHS? What other conclusion, exactly, could a man from Mars infer from these two items of news?

Incidentally, Nicholson claimed expenses of over £50,000 a year on top of a basic salary of £200,000 and benefits in kind of £37,600 at a time when he was in charge of health service "cuts". His current wife, twenty years his junior and a former graduate intern in his office, is the £155,000 a year chief executive of Birmingham Children's Hospital. He wrote references for her during her meteoric rise through the NHS management ranks. Ain't life grand in the public service?

The NHS may not have adopted the iron discipline of the Soviet system, but it seems to have all the other elements. Generally, I prefer gentler market systems of accountability, but for aparatchiks like Nicholson, I could make an exception.

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