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.

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...
Why Cutting Bureaucrats Won’t Fix Bureaucracy, And What Will

Why Cutting Bureaucrats Won’t Fix Bureaucracy, And What Will

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...
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

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?

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...
The Change Radar: Rethinking Healthcare KPIs: Measuring What Truly Matters for Health & Wellbeing

The Change Radar: Rethinking Healthcare KPIs: Measuring What Truly Matters for Health & Wellbeing

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...
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...