Don Berwick, a Democrat, is running for Governor of Massachusetts. But yesterday, he issued a “Letter to the people of England.” The subject? Britain’s National Health Service (NHS) and Berwick’s recommendations for improving safety and restoring confidence after higher than expected death rates at one hospital rocked the country.
Berwick conducted his review and issued his report, pro bono, at the request of Prime Minister David Cameron. Today, he spoke with reporters in Boston about the health care and political lessons his work in the UK offers for Massachusetts.
Q: How do you think this report relates to people in Massachusetts. What do they take away from it?
A: Well…this report is not part of the campaign; I had agreed to do it prior to the announcement and getting people involved with the campaign, and the work does come to a close now, except for perhaps occasional advisory interactions. But this is about large system change, I mean, here you have a system with 1.4 million employees. That’s the size of the National Health Service, spending 100 billion pounds. And it’s a good example of how a very large system constantly needs the attention of leaders to the continual improvement of whatever it’s trying to accomplish. It’s an example of how the field I’ve been investigating for 30 years now, continuous improvement in quality, can be brought to scale. Continue reading