the francis crick institute

Can do

I came away with more questions than answers.

I did the nuclear physics thing. The protons and neutrons. Histology whizzed past, before coffee.

DNA… easy. A machine the size of a laundromat-tumble-dryer, hummed away, busy defining the hidden route-map to someone, or somebody or some thing.

A swish looking piece of kit, ergonomically seductive with neon lights. 

You can have one if you’ve got a million quid. 

Don’t bother, soon it will be redundant…

replaced by a pocket size version… half the size of an iPhone. They’ll be in the practice, on the wards, the supermarket, the corner shop…

… DIY-DNA…. It’ll be a thing.

Why? Well that’s a good question. 

Like most of us I live my life in the comforting oblivion of ignorance. Do I really want to know if one of my bits is going rotten, or something will fall off?

And, if we did know… who would we tell?

A partner, who could be saddled with a crumbling old geezer. They might take fright. 

An insurance company… well, you know what they’re like… you can insure against flood only if you live at the top of a hill, but not next to a river.

Will insurers do a deal if you’ve got some dodgy DNA… the Equality Act 2010 might need a tweak.

Then there’s the NHS. What will they do? 

They speak loftily of personalised medicine. Cures, bespoke and tailored. They’ve no idea what it means. 

No concept of how the infrastructure of the NHS will be dismantled. Demolished might be a better word. How will the NHS cope with a sublime and uncomfortable future?

Dunno…

Cancer… treatment and cures cannot rely on jumble sales and mum running a marathon. It won’t have to. 

The prospect of cancer, an attenuation, a fix, a cure, an understanding of the invisible silent killer that creeps into our lives and assassinates the ones we love…

… it really will be consigned to the past. As rare as scurvy.

How will the NHS cope, with a system that has changed very little since 1948. Primary care, secondary care, pharmacy and all the rest. A new era is knocking on the door. 

Our needs and cures, individual and particular.

Bioscience and technology, isn’t the future. Most of it is in the here-and-now…

… but I have no idea how it fits into what we have. A supercar in a Cortina era. A jack-plug with a USB socket. We struggle and stumble along. Muddling through.

Unbeknown to most of us, there is a place, a citadel we can see, that lives in the future. 

To find it, swish through the revolving door. The greeter on the desk… with a welcoming-smile and a look that infers they have known you for a life time…

… this place reeks of class.

Goose-bump stylish. An elegant efficiency, backed up with an electricity in the air. Walk in and prepare for a hair on the back of the neck moment.

A temple, a Mecca. Where finding out, is found out for finding out’s sake. The joy of knowledge.

As they say of themselves; discovery without boundaries.

A place where, for every vacancy there will be 3,000 applicants.

Designed with meticulous attention to detail. The exterior elevations broken up to disguise its mass. Interiors with light and space that creates scale and intimacy…

… with input from scientists, local residents and community groups, the building supports the goals of the organisation, promotes public engagement and brings in local kids to learn about science.

A third of it below ground…

protecting equipment more delicate than a Ming vase, from the vibrations of London’s traffic and trains. 

Energy, created as a by-product of powering the buildings,is used to heat it. Its ‘brown roof’ of native plants helps to insulate the building and provides habitats for wildlife. 

I am at The Francis Crick Institute, in London.

The Crick can photograph the smallest thing, sitting on the back of the smallest thing, making what we thought was the smallest thing look like a block of flats. 

They can peer into the heavens. 

Paint us pictures in 3-D, of the world’s most dangerous diseases. Waltz them across a screen… all it needs is the computing power of a small country… and they have it.

Self contained, elegant. To work there is to belong to a tribe. Exclusive, educated, qualified but human enough to spend time with an outsider like me.

With its atriums and vaulted roof space, The Crick is built like a cathedral. Its work takes us to the edge of spiritual, origins, genesis.

Like I said, more questions than answers. 

I realised life is no longer limited by what we can do. 

We are limited by what we do, with what we can do.

-oOo-Thank you to everyone I met at The Crick, for giving me your time and sharing your optimism for a better future. 

News and Comment from Roy Lilley
Contact Roy – please use this e-address roy.lilley@nhsmanagers.net
Reproduced at thetrainingnet.com by kind permission of Roy Lilley.


Discover more from The Training Network

Subscribe to get the latest posts sent to your email.

Previous Posts

A working mother sits in her parked car outside a UK care home, overcome with emotion after visiting her mother with dementia while balancing work and family responsibilities. Andy Burnham social care reform

Answers

Andy Burnham’s social care reforms promise fairness for families, but funding alone cannot solve workforce shortages, capacity constraints or NHS integration. After seventeen years, voters deserve detailed answers, not aspirations.

Read More »
Modern NHS regional health authority headquarters with staff entering the main reception, illustrating regional NHS leadership and healthcare system management. NHS missing middle

The Missing Middle

Roy Lilley argues the NHS needs to restore a powerful regional tier, creating a functional middle between Whitehall and local providers to improve planning, accountability, delivery and long-term resilience.

Read More »
Care worker assisting an elderly resident using a walking frame in a residential care home corridor in England. social care funding reform

Paid for

Louise Casey’s call for another national conversation on social care echoes Andy Burnham’s 2009 consultation. The evidence already exists; what remains absent is political courage to decide funding.

Read More »
Patients, visitors and NHS staff entering the main entrance of a large NHS general hospital during a routine weekday. NHS waiting list management

The truth

Political promises alone cannot reduce NHS waiting lists. Sustainable improvement depends on matching ambition with workforce, capacity, operational planning, transparent reporting and honest leadership rather than headline-grabbing announcements.

Read More »
House of Commons during a parliamentary debate, viewed from the back of the chamber with ministers facing rows of MPs. Andy Burnham Labour MPs letter

Their way

Andy Burnham’s letter to Labour MPs signals a different philosophy of government, but unless power genuinely shifts from Whitehall, it risks becoming another exercise in consultation rather than meaningful reform.

Read More »
Senior NHS leader speaking at a podium as overcrowded GP consulting rooms contrast with empty office space, illustrating conflicting messages about NHS estate capacity. Penny Dash primary care estate

New ones

Penny Dash’s latest comments on primary care estate capacity expose a fundamental contradiction at the heart of NHS policy, raising fresh questions about leadership, evidence, investment and neighbourhood healthcare delivery.

Read More »
The St George's Cross flag of England billows dramatically in the wind against a bright blue sky with scattered white clouds, symbolising English identity, pride and national heritage. NHS leadership and organisational culture

Play

Roy Lilley explores what football leadership can teach the NHS, arguing that lasting success comes not from targets or tactics alone, but from trust, culture, relationships and permission.

Read More »
A satirical street-market display imagines Andy Burnham's journey to Downing Street, complete with campaign merchandise and five proposed NHS reforms. Andy Burnham NHS reform

Feel-the-Burn

Andy Burnham’s route to Downing Street should begin with five practical NHS reforms: devolve power, fund patient journeys, modernise digitally, empower regions and build an NHS that anticipates problems.

Read More »