Ignorance

Dimly lit office with an open wooden cupboard and a broom handle protruding outward, suggesting an unexpected hazard

Leadership risks often hide in blind spots and unasked questions. Curiosity, openness, and better inquiry help uncover unknown unknowns before they become damaging organisational failures.

21/04/202621/04/2026Healthcare

Prepared

Two NHS nurses walk down a hospital corridor past signage promoting resilience, supply security and workforce planning, with a digital dashboard showing medicine stock levels and regional risk.

Roy Lilley asks whether the NHS can survive a less globalised world, arguing that workforce dependence, fragile supply chains and weak resilience planning now threaten the service’s future.

17/04/202617/04/2026Healthcare

Grabbed me

A self-help book titled “De-Frazzle Your NHS Job” on a wooden table with a coffee mug, notepad, and plant in a sunlit room.

A reflection on judging books by covers, readability, and design, leading to a strong recommendation of “De-Frazzle your NHS job” as practical, engaging, and refreshingly usable.

16/04/202616/04/2026Healthcare

IPPR says insurance-funded healthcare brings no clear advantage over tax funding. The NHS’s weaknesses stem from underinvestment in capital, prevention, social care and primary care, not payment mechanics or structure.

09/04/202609/04/2026Healthcare

Relations

Senior consultant observing junior doctors treating a patient in a hospital ward

The NHS faces a strategic shift away from reliance on resident doctors, using substitution, standardisation and technology, raising risks around training, safety, workforce morale and long-term system resilience.

07/04/202609/04/2026Healthcare

Worse

A group of NHS doctors stand on a picket line outside a modern hospital, wearing scrubs under winter coats and holding protest signs calling for fair pay and safe staffing, under a grey overcast sky.

A sharp critique of the resident doctors’ strike, exploring political missteps and proposing five pragmatic ways to break the deadlock and stabilise NHS workforce relations.

24/03/202624/03/2026Healthcare

Script

A lone public health official in a white coat stands under a single spotlight on a dark, empty stage, facing looming shadowy images of obesity, social media icons, and scales symbolising inequality.

Public health has lost its authority to influence the biggest drivers of illness, becoming reactive rather than preventative, despite retaining the expertise and capability to shape national health outcomes.

19/03/202619/06/2026Uncategorized

Three Months In: What GPs Are Really Saying About the New Chaperone Guidance

Care Quality Commission branding alongside a large red warning triangle containing a compliance checklist icon, highlighting new chaperone guidance requirements for healthcare providers. New Chaperone Guidance

From baby checks to blank records, the implementation picture is more complicated than the guidance anticipated. Three months have passed since NHS […]

13/03/202613/03/2026Healthcare

For you

Book cover of The Midwife’s Book of Hours by Jane Salvage, featuring a medieval Nativity-style painting of Mary holding the infant Jesus, with animals and attendants, set against a deep blue background.

A reflective exploration of midwives in the nativity story and classical art, inspired by Jane Salvage’s richly illustrated book revealing the overlooked presence of midwives in religious history.

09/03/202609/03/2026Healthcare

Grass

Roy Lilley argues social care does not need another grand review. The Care Act already provides the framework; the real barrier is Treasury funding, political nerve and implementation.