Coming soon! The Kael'Nyrin Scrolls: The Atlas Edict

Articles for tag: accountability, culture, dysfunctional, failures, health, lessons, mistakes, NHS, reports, reviews, systemic, systems

Captain Walker

Cartoon of NHS factory producing endless inquiries

The Macro‑picture of a Doomed NHS

The NHS does not simply experience isolated organisational failures. When patterns recur across trusts, regions and decades, failure ceases to be an incident and becomes a structural feature of the system itself. Reviews, inquiries and investigations have become the NHS’s primary mechanism of self‑reflection. Yet these rituals rarely alter the underlying dynamics that created the ...

The support people seek

Lately I’ve been thinking about ‘support’. As always I ask, “What does it mean?” What do people think it means? What people don’t consider in providing or receiving support is that it can be dysfunctional or destructive. The reasons why the latter are almost never considered or weighed in the balance, are: A macro-cultural view ...