The Spiral of Control and Power: Why Healthcare Managers Psychology So Often Focuses on Orders, Actions and Micromanagement.

The Spiral of Control and Power: Why Healthcare Managers Psychology So Often Focuses on Orders, Actions and Micromanagement.

by | Mar 20, 2025 | Leadership & Decision Making, Health and Wellbeing, Leadership, Motivation, 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...
NHS England’s Darwinian Trap: Why Evolution Doomed It to Fail & What Lessons Can We Learn

NHS England’s Darwinian Trap: Why Evolution Doomed It to Fail & What Lessons Can We Learn

by | Mar 14, 2025 | NHS, Budgeting, Change Management, Health and Wellbeing, Leadership & Decision Making, 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...
Is Measurement Destroying What Matters in Healthcare?

Is Measurement Destroying What Matters in Healthcare?

by | Mar 8, 2025 | Measurement, Community & Social Challenges, Engagement, Health and Wellbeing, Leadership & Decision Making, Learning, Motivation, 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...
Why Starting with “Defining the Problem” in Public Services is a Mistake

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

by | Jan 21, 2025 | Leadership & Decision Making, Change Management, Community & Social Challenges, Fundamentals, Health and Wellbeing, 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...
What does good AI look like? Why We Need A Harmonious Vision of AI for the Future.

What does good AI look like? Why We Need A Harmonious Vision of AI for the Future.

by | Jan 14, 2025 | Leadership & Decision Making, Creativity & Innovation, Health and Wellbeing, Healthcare AI, 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...