Is Measurement Destroying What Matters in Healthcare?

Is Measurement Destroying What Matters in Healthcare?

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...
Why Starting with “Defining the Problem” in Public Services is a Mistake

Why Starting with “Defining the Problem” in Public Services is a Mistake

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...
Why We Need To Avoid AIsolation: The AI Negative Social Impact Trap.

Why We Need To Avoid AIsolation: The AI Negative Social Impact Trap.

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...
Why the England’s Devolution Plan is The New Feudalism.

Why the England’s Devolution Plan is The New Feudalism.

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....
Why More Data Isn’t Fixing Healthcare: The Case for Embracing Diverse Realities

Why More Data Isn’t Fixing Healthcare: The Case for Embracing Diverse Realities

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...
It’s Not ‘The NHS’, It’s ‘OUR NHS’: Better Healthcare Through Reconnection To Society

It’s Not ‘The NHS’, It’s ‘OUR NHS’: Better Healthcare Through Reconnection To Society

It is not ‘The NHS’, it is ‘Our NHS’. The relationship between the NHS and the society it serves is one of deep interdependence. When people talk about the NHS as a separate thing they are ignoring its and our health is dependent on each other. The phrase “our...