Category: Leadership

Whatever the political divides, citizens worldwide agree that responsible government should provide adequate healthcare for the whole population. Unfortunately, both patients and clinicians often get too subsumed in the weight of immediate crises to agitate beyond their own current concerns. Healthy children can help inject our anemic healthcare systems with new blood. We need to […]

Modern healthcare is undemocratic, antisocial and thus largely unresponsive to its patients’ needs. Never before has healthcare been so far removed from the people it services. It is time to bring democracy to health care. Our fragmented systems of silos of clinicians, administrators, funders, policy makers and governments make it almost impossible for voters to […]

The UK and the USA have suffered more than their fair share of clinical crises within their health care systems. In the UK, neonates and the elderly are dying in inordinate proportions in hospitals. In the US, deadly infectious diseases are now carried out of the research labs into the wards of the most prestigious hospitals. More doctors […]

Under the surface, health care leadership is a stagnant pond filled with ever deepening chasms between the two rival schools – clinicians and managers.  Clinical leadership is no longer about advocating for individual patients, especially about expensive interventions and hospital stays where there is little likelihood of these clinical decisions ever being substantiated by research. […]

Proportionate to the numbers, few women manage break to through the glass ceiling in health care and end up having to both lead and manage from below. In the US, whilst almost half of medical school graduates are women, less one in five of these women have positions as full professors and permanent department chairs. […]

Hospitals are full of sick people and not all of them are patients. More and more staff in our hospitals are turning up for work that they are unable to do. They are present, but not working at their best, either due to health problems or other events that are distracting them or both.  It […]