Healthcare professionals would benefit from more investment in leadership programmes that enable them to directly see and understand how the upper layers of the NHS function. My experience as a Darzi Fellow helped me realise that cultivating the next generation of clinical leaders is essential if the NHS is to survive present and future challenges. […]
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The just culture in the NHS – but not the one you know. By James Hadlow
I first came across the concept of the ‘just culture’ in healthcare several years ago during my Darzi Fellowship, a highly respected national clinical leadership programme. The concept of a just culture was one which was logical and the terms of it were clear to me but hadn’t been framed in formal terms in this […]
What even is productivity in healthcare? By Dr. Ryan Kemp
The UK National Health Service is under scrutiny for failures to increase productivity despite increases in funding1. What are services in the UK to do to increase their productivity, with issues of growing older populations, increased technology costs in a time of financial challenge? Perhaps a good place to start is to understand what productivity […]
Professor Ian Wong: A Legacy of Leadership and Impact in Research. By Sinéad Peare
From the bustling streets of Tai Kok Tsui, one of the poorest areas in Hong Kong, to the prestigious role of Regius Professor at Aston University. Professor Ian Wong’s journey is proof that leadership isn’t about where you start but how you navigate the road ahead, his story is a testament to the transformative power […]
How will history view Physiotherapy Professional Bodies’ “neutrality” during the Israel- Gaza Conflict? By Uzo Ehiogu , Basman Aldirawi and Osman Ahmed
“Why have you not spoken up for us, you have forgotten us !…” (1) These are the words of Dr. Ala Shatali, former Secretary General of the Palestinian Physiotherapy Association (1994-2004), and an Orthopaedic Physiotherapist in Gaza who volunteered to work as an emergency department triage practitioner at the start of hostilities in October 2023. […]
Creating space for the right answers to emerge. By Laura Yearsley and Marc Harris
Darzi set out some significant challenges for the NHS yet nothing in the report was considered new and surprising 1 2 3 4. Wide ranging problems have been growing in plain sight for some time. We know that individual heroes will not solve our problems5, nor will tinkering around the edges. Darzi may have given […]
Accountability. By David Pendleton and David Haslam
The direction of travel for the NHS is now clear. The three key themes are Hospital to Community, Treatment to Prevention and Analogue to Digital. But there is also an attendant theme, ubiquitous and permanent. How do we increase productivity and get the best outcomes from the £180Bn currently spent per annum on health and […]
Lessons from Global Leadership. By Vincent Sai
Vincent Sai’s Reflections on Healthcare Systems and Leadership With a multinational upbringing across Singapore, Australia, the US, and the UK, my leadership journey has been shaped by diverse experiences. Despite over 15 years in the NHS, I remain a student of the system—curious about the global interplay of healthcare and leadership. In the past two […]
Challenging ableism in rotational medical training – what steps will support disability or complex health needs? By Rhiannon Richards and Helen L. Kroening
To be or not to be (open) – that is the question. Coming to terms with a new diagnosis, prognosis and the impact on your future life and career is hard enough. Taking the initial step of identifying as a disabled trainee can be extremely challenging, particularly […]
Neighbourhood Health Centres in the NHS 10-year plan: an opportunity to address the social determinants of health. By Helena Painter
‘How are things?’ I ask Lucas. He has a history of severe depression, also suffering from post-traumatic stress disorder following a series of adverse life events. He is still on the waiting list for psychological therapy after four months, but with regular catch-ups with the same GP and a change in medication, he had recently […]