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 ...

Military officer at retro control room computer

The screen is not always right

You need to thank one man for your current existence – a Russian. On September 26, 1983, Stanislav Petrov was the duty officer at Serpukhov-15, the Soviet command bunker for early warning satellites. Just weeks after serious NATO actions, his Oko satellite system reported that the United States had launched five intercontinental ballistic missiles from ...

Captain Walker

Pregnant woman sitting in hospital corridor, NHS sign.

Why Every Pregnant Woman Needs to Read This

Knowledge is supposed to be power as ‘they say’. Should uncomfortable knowledge be avoided? All women should read this article carefully. If you’re pregnant, particularly if you’re over 30 and expecting your first baby, there’s something crucial all such pregnant women in the UK need to know. A major investigation by The Sunday Times 09/11/2025 ...

Exercises in futility

The topic is a very big one. It is about how people repeat actions that lead to futility. If you don’t know what futility means find a dictionary and read up. If you can’t read, what are you doing here? Futility But what is futility? It is not just a hopeless situation.  My classic example ...