Health care systems experience the consequences of broken trust before they recognise it as the problem: patients disengage, workers leave, teams stop speaking candidly, and communities pull back from the institutions meant to serve them. By then, its erosion has surfaced as turnover, fragmented care, avoidable harm and higher costs. What if we treated trust […]
Latest articles
The Future of Health Equity Starts at the Last Mile. By Mario Jimenez
“For some families, ‘come back another day’ is an inconvenience. For others, it can mean not coming back at all.” Mario Jimenez explores how fragmentation across global health programs can make care harder to access, particularly for the people who already face the greatest barriers. Atlantic Fellows for Health Equity (AFHE) brings together health professionals […]
Tackling cancer misinformation: Lessons from building a public health campaign. By Colin Smith, Melanie Marks Purnode and Alex Ruani
Cancer misinformation is not new, but its reach is. On social media, misleading cancer claims can reach millions and often attract more engagement than evidence-based information. But what can organisations do about it? A public health campaign is one approach. Here, we share what we did and the lessons others can apply. World Cancer Research […]
Integrated Care Board Accountability. By Shiva Pandey
Integrated care boards and their members must be held accountable for decisions that lead to adverse patient outcomes. The National Health Service is undergoing an unprecedented change. Not many of my colleagues, let alone the British public, know that integrated care boards have been instructed to cut their running costs by 50% (NHS England, 2025). […]
Parenthood: an unexpected training ground for leadership. By Robyn Brown
When I returned to work after maternity leave, I found myself thinking about what I had missed. I had been away from clinical practice. I hadn’t been leading projects, attending conferences or taking on additional roles. For a while, it felt like my professional development had paused. Then I realised it hadn’t. Over the previous […]
Don’t Recruit the Future: Build It. By Aswin Sayiram
Healthcare has a workforce problem. Our usual response is to ask a familiar question: Where will we find more doctors, nurses and healthcare professionals? Perhaps leaders should be asking a different question: How do we build them? Across countries, health systems are struggling with workforce shortages, changing population needs and increasing demands on healthcare professionals. […]
The new NHS Leadership and Management Framework paving way for greener healthcare leadership. By Rammina Yassaie
In 2020, the NHS in England demonstrated global leadership by becoming the first healthcare system to commit to reaching Net Zero carbon emissions by 2040. Five years later, Greener NHS outlined the progress made towards this aim, whilst also acknowledging how much work there is still to do. To date, much of the green improvement […]
The Future of Health Equity Depends on Who Holds Power. By Shubha Nagesh and Nandita Thatte
“The future of health equity depends on who holds power.” Shubha Nagesh and Nandita Thatte examine what it means to build health systems where women have not only a place at the table, but meaningful power to shape decisions. Atlantic Fellows for Health Equity (AFHE) brings together health professionals from around the world and across […]
Unlocking the Potential of the Speech and Language Therapy Assistant Workforce. By Georgia Roskin and Marie England
Through the national Early Language Support for Every Child (ELSEC) pilot, nine areas across England have been testing new approaches to universal and targeted early intervention. The London Borough of Barnet is one of these pathfinder sites, working to improve outcomes for children with speech, language and communication needs (SLCN) through earlier and more accessible […]
The Ward and the Resolution. By Ayesha Ali
Some days are spent at a patient’s bedside in Lahore. Some days are spent attending a global health assembly, where resolutions are debated for populations of millions. I have learned not to trust how easily I move between the two. The ward is where the day is most specific. As a final-year medical student, my […]