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The NHS is not collapsing or standing still. It feels stuck. Amid restructuring, uncertainty and reform fatigue, the priorities should...
The NHS records 403 Never Events yet the numbers barely move. The lesson is not human failure, but system design...
Public institutions face difficult questions about race, trust and decision-making. Evidence, transparency and data provide a better route to understanding...
Hundreds of overseas NHS England staff face uncertainty as restructuring collides with civil service rules, exposing wider concerns about redundancy...
Roy Lilley argues Britain keeps rediscovering NEETs, recycling old policy, while young people need real jobs, employer support and cheaper,...
Roy Lilley examines James Murray’s first ninety days leading the NHS, outlining five urgent priorities including workforce planning, operational listening,...
Prof Shafi Ahmed’s new book explores how AI will reshape medicine, challenging NHS leaders to rethink trust, judgement and implementation...
A fictional Prime Minister’s speech becomes a reflection on leadership, austerity, honesty and political courage, questioning whether modern politics still...
August reveals NHS fragility as reduced staffing and tightly coupled systems constrain capacity, causing waiting lists to rise despite stable...
NHS surgical cancellations remain average internationally, but systemic inefficiencies persist. Better pre-operative preparation, coordination, and patient readiness could significantly reduce...
Leadership risks often hide in blind spots and unasked questions. Curiosity, openness, and better inquiry help uncover unknown unknowns before...
Roy Lilley asks whether the NHS can survive a less globalised world, arguing that workforce dependence, fragile supply chains and...
A reflection on judging books by covers, readability, and design, leading to a strong recommendation of “De-Frazzle your NHS job”...
IPPR says insurance-funded healthcare brings no clear advantage over tax funding. The NHS’s weaknesses stem from underinvestment in capital, prevention,...
The NHS faces a strategic shift away from reliance on resident doctors, using substitution, standardisation and technology, raising risks around...
A sharp critique of the resident doctors’ strike, exploring political missteps and proposing five pragmatic ways to break the deadlock...
Public health has lost its authority to influence the biggest drivers of illness, becoming reactive rather than preventative, despite retaining...