Morning Tom. I appreciate your expertise. A coordinated approach to redesigning service delivery will need to consider local context, the views of service users and founding principles of the NHS.

With respect Tom, design professionals will need to work with clinicians, patients and carers to balance the health care economy. I expect quality and patient safety will require a person-centred approach to be effective. Co-production is imperative, as is asset-based community development, to support unpaid carers having to manage risk at home.…Read more

I was gradually drawn to the role I had. Lived experience of distress. Wanting to help those less fortunate. Seeing the bigger picture – neoliberalism pitted against humanity and nature. Social determinants. Human connectedness. Sense of purpose. Shared learning. Introspection. Memories of friends and colleagues lost to suicide. Wanting to give…Read more

I believe referring to people as ‘complex’ e.g., in mental health care feels a bit like it says more about the practitioner’s willingness to listen and apply evidenced-based principles to helping the person than it does about the person in distress. All humans are complex. If we develop systems which continually try to improve health care throu…Read more

Nurses have these qualities, I agree with Albert.

Hi Hilda,
I am guessing our people who have left the NHS won’t be included in this space, but they should be, otherwise lessons won’t be learnt. As a former NHS employee I would be willing to make a contribution and I’m sure others feel the same. Respectful, democratic debate has to be the way forward.
All the best.