This tag is associated with 9 posts

Are leaders who procrastinate weak or wise, asks Dr Karen Castille

It‘s that time of year when we all frantically scurry to get our UK tax returns in on time. Like countless others, I had to contact Her Majesty’s Revenue and Customs office with a last-minute query, but they were inundated with calls and so were unable to deal with my non-urgent query. Frustratingly, I knew … Continue reading

Time for NHS boards to balance the books, says Dr Karen Castille

Basic maths tells me a number of things in the NHS don’t add up: our workforce is overwhelmingly female – around 80 per cent are women – but as you climb up the career ladder, the male-female ratio starts to drop and proportions level out, skewing to the other extreme. At the top of the … Continue reading

It takes an onion – not an eon – to bring about changes with impact for patients, says Samantha Jones

When I was a staff nurse thinking of going into management, there were many things I thought I would be doing.  Talking about ‘onions’ was never one them – however, it is what I am doing, with my team, on a daily basis. ‘Onionising something’ is becoming part of the language at West Hertfordshire Hospitals … Continue reading

Many of the system-wide issues we face won’t be solved by management processes, says Jan Sobieraj

If the future sustainability of the NHS means its leaders will need to make tough decisions, how can leaders make sure they are making the right ones? In my chief executive roles in the NHS, I’ve made some difficult decisions – some clinical, some financial, many staff related. All had patient and service impact. You … Continue reading

Maternity services need to take stock of the Francis report too, says Sheena Byrom

As a midwife, I was interested to learn that the impact of the negative culture and poor standards at Mid Staffs extended to the maternity service. Highlighting the woeful prioritising of cost over care, the report brought to mind the marvels and frustrations I’ve encountered during the course of my 35 years working in the … Continue reading

Reconfiguration rhetoric is a difficult political discourse, but no longer can we shy away from the conversation, says Dr Phillip Lee MP

In the wake of the Francis report and Mid-Staffordshire scandals, it has recently come to light that a further 14 trusts are under investigation due to unnecessary deaths and appalling mismanagement. There may be more. It is clear that our current system of healthcare regulation has failed. More importantly, this has meant that the NHS … Continue reading

Without trust, we will fall, says Clare Gerada

We find ourselves in testing times. Challenges of all kinds are no stranger to us, tough decisions are our daily portion and tricky waters undoubtedly await us. The Francis report cast a bright spotlight on us all at a dim moment for the NHS. Never has it been more important for those of us in … Continue reading

The twittersphere should recognise the brilliant work of NHS managers, says Dean Royles

I love Twitter. It’s a fantastic way of listening to the debate and discussion surrounding the NHS – the financial challenge, the need for service change, the implications of innovation and the everyday experiences of NHS staff and managers. I follow a range of people with different political views, I follow nurses, occupational therapists, physios … Continue reading

Success of new NHS architecture hinges on its leaders learning new skills, says Ciarán Devane

Being a manager and leader in the ‘new’ NHS will be different. To work, the views of three parties will need to be reconciled into one plan; that of local authorities on the health of their population; the local clinical community on commissioning for outcomes; and the NHS Commissioning Board on delivering the mandate.  And all … Continue reading


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