by John-Paul Crofton | Mar 20, 2025 | Leadership & Decision Making, Health and Wellbeing, Leadership, Motivation, Neighbourhood Health, NHS, Problem Solving & Decision Making
The spiral of control and power explains a common psychological pattern of how even well intentioned managers such as those in healthcare, find themselves focusing on control and power. Controlling Managers in Healthcare.The 3 Big Shifts in the NHS Require...
by John-Paul Crofton | Mar 16, 2025 | Leadership & Decision Making, Budgeting, Change Management, Motivation, Neighbourhood Health, NHS, Problem Solving & Decision Making, Public Services Innovation
As the latest generation of politicians vow to cut bureaucracy to make the state more efficient, one thing remains clear: cutting bureaucrats is the wrong way to do it. Cutting Bureaucrats is Always PopularRecent NHS Bureaucratic CutsBureaucracy: A Misunderstood...
by John-Paul Crofton | Mar 14, 2025 | NHS, Budgeting, Change Management, Health and Wellbeing, Leadership & Decision Making, Neighbourhood Health, Problem Solving & Decision Making, Public Services Innovation
This week it was announced that NHS England is going to be abolished, well, at least in two years’ time, which, in bureaucratic terms, is lightning fast. But why did it fail? I argue that it was evolution. NHSE did not change the system, the system changed NHS...
by John-Paul Crofton | Mar 8, 2025 | Measurement, Community & Social Challenges, Engagement, Health and Wellbeing, Leadership & Decision Making, Learning, Motivation, Neighbourhood Health, NHS, Problem Solving & Decision Making, Public Services Innovation, Purpose & Wellbeing, Social Impact, Social Innovation
Healthcare is driven by measurement; tracking performance, improving efficiency, and meeting targets. But in our obsession with data, are we losing sight of what really matters? When clinicians spend more time filling out forms than listening to patients, we risk...
by John-Paul Crofton | Mar 7, 2025 | Fundamentals, Budgeting, Leadership & Decision Making, Neighbourhood Health, Problem Solving & Decision Making
“You can’t do that, it’s not in the budget!” “You can’t do that, it’s not in the budget!” This phrase is used time and time again across the NHS, acting as an immovable roadblock to change and innovation. But is it really true? Or is it a convenient lie that maintains...
by John-Paul Crofton | Mar 1, 2025 | Problem Solving & Decision Making, Change Management, Creativity & Innovation, Fundamentals, Leadership & Decision Making, Neighbourhood Health, NHS, Tools For Change
Rethinking Healthcare KPIs: Measuring What Truly Matters for Health & Wellbeing Healthcare is failing to keep our society healthy. Despite our best efforts, the systems we have in place are not effectively addressing the causes of poor health. The way we measure...
by John-Paul Crofton | Jan 22, 2025 | Leadership & Decision Making, Change Management, Creativity & Innovation, Fundamentals, Leadership, Learning, Motivation, Neighbourhood Health, Problem Solving & Decision Making, Public Services Innovation, Social Innovation
All too often a team groups together to do a brainstorming session to solve a problem. But despite the excitement the outcome is a disappointing failure: The ‘Minimum Acceptable Solution’, IntroductionWhat is Brainstorming and Group Problem Solving?The Excitement of...
by John-Paul Crofton | Jan 21, 2025 | Leadership & Decision Making, Change Management, Community & Social Challenges, Fundamentals, Health and Wellbeing, Neighbourhood Health, NHS, Problem Solving & Decision Making, Public Services Innovation, Purpose & Wellbeing, Social Change, Social Impact, Social Innovation
Defining the problem is usually the very first step in most public sector projects and initiatives. However, starting by creating a fixed definition of the problem often leads the work to failure. Why? Because this approach limits decision making thinking agency and...
by John-Paul Crofton | Jan 15, 2025 | Healthcare AI, Leadership & Decision Making, Learning, Neighbourhood Health, NHS, Purpose & Wellbeing, Social Change, Social Impact, Social Innovation
AI has the potential to be an enormous force for good. Transforming lives and our public services for better. But it could also be a force that creates a negative social impact and a dystopian world. What is AIsolation?AI is Not Bad, But How We Use it Might BeThe Why...
by John-Paul Crofton | Jan 14, 2025 | Leadership & Decision Making, Creativity & Innovation, Health and Wellbeing, Healthcare AI, Neighbourhood Health, NHS, Problem Solving & Decision Making, Social Impact
What does good AI look like? The AI revolution is happening whether we want it or not. But that future is still being created and shaped. The concept of harmony can help us find our way to better AI and create a for a better future and a positive social impact. The...
by John-Paul Crofton | Jan 14, 2025 | Healthcare AI, Health and Wellbeing, Learning, Neighbourhood Health, NHS
Why should AI be a priority for the NHS? Our healthcare system is broken and in crises, surely Healthcare AI is just a distraction from fixing the problem? Or is AI our best bet in turning our crises around? Our NHS is Currently In Crisis.Is Healthcare AI Just A...
by John-Paul Crofton | Jan 7, 2025 | NHS, Change Management, Health and Wellbeing, Leadership & Decision Making, Neighbourhood Health, Social Impact, Social Innovation, Social Innovation
How do we stop yet another NHS plan from failing? The plan is not the solution. What matters most is HOW it is delivered. A New NHS Plan For Change?Sadly the Other NHS Plans Failed to Make an ImpactNHS Planning Implementation ProblemsHow Can the NHS and Healthcare...
by John-Paul Crofton | Jan 6, 2025 | NHS, Health and Wellbeing, Leadership & Decision Making, Neighbourhood Health, Social Impact
Will the new radical reforms of the NHS announced this week be enough to fix the waiting list crises? The NHS Waiting Times CrisesA Radical Reform Plan of the NHS:Are the NHS Reforms Genuinely Radical?How Big Are The Reforms?Early Diagnosis ReformsWhy Are The NHS...
by John-Paul Crofton | Dec 20, 2024 | Community & Social Challenges, Health and Wellbeing, Leadership & Decision Making, Neighbourhood Health, NHS, Purpose & Wellbeing, Social Change
Why is the UK. Government’s new plan for devolution of power in England to local mayors is like a reinvention of feudalism. In this review we look at rather than being a modern path to a better future, the UK government plans for reform are positively medieval....
by John-Paul Crofton | Nov 18, 2024 | Health and Wellbeing, diversity, Leadership & Decision Making, Neighbourhood Health, Problem Solving & Decision Making, Social Change
We spend a lot of our time trying to make sense of reality in healthcare and social services: we lean on data statistics, KPIs, spreadsheets to set standards and track progress. All to tell us what is the true reality we must manage. We build ever bigger systems...
