Elon Musk has provided an interesting perspective, focusing on productivity and achievement without recognising human wellbeing, burnout and how belonging counts so I will observe how his organisations move forward. I believe we need to challenge the hero status of sleeping in the office and how hard we are working to how good our decisions…

My Learning Journey and Clinical Governance As some-one with a lengthy career in health, I have had governance in my roles as both a nurse, doctor and in strategic leadership. My first experience of governance was being the COSHH representative on ITU and being part of the implementation team for closed suction systems in the…

By watching children, we can observe an enthusiasm for learning, for play and for making mistakes but in our educational system and working environment, we are encouraged to see the world in black and white, with correct and incorrect answers, following rules and protocols. We are discouraged from play and experimentation and have lost our…

In the last week, we have had interesting discussions about civility and its role in improving safety and quality of care and was presented at a Freedom to Speak Up conference. https://www.civilitysaveslives.com/ This led to further conversations about rudeness and manners and how those who have good manners seem to do better than those who…

I am reviewing patient safety, human factors and system design as part of looking at our investigation processes. In reviewing our past investigation reports and thematic reviews, it is apparent how people struggle to see the world in a different way and have to respond to the constant addition of new risk assessments, templates and…

The link between leadership, management and performance is widely understood and accepted. The ‘leadership triad’—leadership, management and followership is less discussed but equally important. For those of us interested in our approach to leadership, the principles of followship, servant leadership and ethical principles are important models to explore. No-one leads all the time and most…

What is psychological safety? Psychological safety creates a space where we are included, safe to learn, safe to contribute, and safe to challenge the status quo – all without fear of being embarrassed, marginalised, or punished in some way. Stage 1: Inclusion Safety Inclusion safety satisfies the basic human need to connect and belong. Inclusion…

As a blogger on healthcare entrepreneurialism, we have a real life interesting dilemma which I can share and currently do not know the answer. This is on whether we pivot and change direction or continue to push on doors as a new start up business. We have recognised our own skills in creating workforces with…

The concept of work-life balance implies that work is bad and life is good; it suggests that work and life are two different entities that need to be strictly separated and kept at a constant value. I believe there is a misconception that less work equals more happiness. Work is seen as a mechanism for…

Todays blog looks at Power and Influence and how this impacts on evidence based medicine (EBM). I believe that discussing how power interacts with EBM is uncomfortable, as it suggests inequality which I think makes this a particular challenge for those of us who believe in Equity and Fairness. My personal experience which has spanned…