Observations on the world and its inhabitants
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 ...
In the era of 21st century high-quality care, where robots deliver your meds and AI diagnoses your ailments, the NHS has boldly innovated by turning corridors into the latest treatment hotspots. Who needs fancy wards or proper rooms when you can have the thrilling ambiance of foot traffic and the gentle hum of passing trolleys? ...
In a stunning blow to the “thoughts and prayers” of the school of hospital management, a new study suggests that nurses might actually be more than just decorative additions to hospital wards. In what is being hailed as the most ground-breaking scientific achievement since someone noticed that fire is hot and the sky is generally ...
A Serious Case Study in NHS Operational Optics By: The Department of Reputational Alchemy and Spatial Reinterpretation Filed under: “Not a parody. Just reality with better formatting.” I. Executive Summary: In a bold reimagining of clinical architecture, the NHS has pioneered a revolutionary model of patient care: Corridor-Based Therapeutics™, now formally recognised as a year-round ...
Welcome, dear reader, to the golden age of UK healthcare in England & Wales— a time of bold vision, decisive leadership, and the sort of strategic brilliance that can only be achieved when the primary design principle is “do more with less, then do less with less, then pretend it’s more again.” This is ...
A phone call via WhatsApp at 8:17 am on a Saturday morning. (Tarek, spotting the call thinks to himself: Alice? The only reason to call before the coffee has fully processed is either a family emergency or an existential crisis over kale. And I’m betting on kale.) The Phone Call Tarek: Good morning, Alice. Alice: ...
Oh yes – that’s what I am forced to ask myself because others will no doubt wonder after reading some of this blog. How crazy am I? Much of today Saturday 02/12/2023 was taken up reading details the case Prof Marjan Jahangiri. It is in the public domain. I can imagine some will be going, ...
I’ve obviously been too busy elsewhere to be writing up here. Well, as some may know I’m writing a lot more stuff in other places and producing videos. Suffering In the last 12 months I’ve been exposed to the worst kinds of human suffering. It is in health services of course. If you were born ...
Many are not aware of what happens to whistle blowers in the NHS. This is not going to be a lecture on the topic. What you get are links to Peter Duffy’s books – which you can find and read (or not) at your own cost. Oh yes – what happened to him exemplifies what ...
Right – so I moved out of Northern Ireland a few weeks ago. That was not an easy decision. Eventually the ‘pain’ of staying in that job exceeded the ‘pleasures’ of Northern Ireland. Calm down – in case your imagination based on some script begins to run wild. Overview on NI experience Northern Ireland is ...
Captain Walker
Captain Walker
