I like cupcakes a lot, but photos of them on Twitter in support of “World Delirium Awareness Day” today will not effect the change we need to see in delirium care. How can this change actually take place? I believe strongly that organisations should primarily look beyond their immediate organisation, and include family carers in […]
Latest articles
Can Swiss Cheese Modelling be used to design processes that protect against workplace discrimination? by Ali Raza
According to the ‘Swiss Cheese Model’ propounded by James Reason, complex systems can yield losses when flaws in defences against hazards become aligned. Flaws in latent conditions at the ‘blunt’ organisational end permit active failures to be committed at the ‘sharp end’ by individuals (1). The ‘Swiss Cheese’ approach has commonly been regarded to have […]
What has Fluffy got to do with integration? by Jim Thomas
My favourite character in JK Rowling’s Harry Potter books is Fluffy, the three headed dog. Now Fluffy might not have a lot to say and Fluffy’s part is small. But Fluffy stands in the way of Harry, Hermione and Ron in their quest. The only way to get past Fluffy is to play him music. […]
Social care, leadership and COVID: a tangled mix by Richard Humphries and Nicholas Timmins
COVID-19 has thrown social care in England into the spotlight in a way that nobody would have wanted. The death toll in care homes, in people’s own homes, and among care staff. The desperate early struggle to get personal protective equipment to carers that mirrored the problems in the NHS, but at times seemed worse. […]
So what might men leaders do on, and after, International Women’s Day? by Tony Berendt
My BMJ Leader Editorial Board colleague Aoife Molloy has just posted a superb blog concluding with the simple challenge: “What are you going to do?” What are you going to do? by Aoife Molloy – The official blog of BMJ Leader. She poses the question on International Women’s Day, when – thank goodness – there […]
What are you going to do? by Aoife Molloy
In a team meeting recently, we were trouble shooting how to tackle working better together. I was surprised, and disappointed, when the first suggestion was that the reason we were facing challenges wasn’t anything to do with fear of conflict, lack of trust, inattention to results or any of the other dysfunctions of a team…it […]
Cool boxes and care homes by Ammara Hughes
This is the third blog by Dr Ammara Hughes on Primary Care Leadership and COVID vaccination. Read the first blog here and second blog here. We love a protocol in the NHS. Our intranets and desktops are crammed full of them. Of course, we need them for robust clinical governance. The trouble is, by the […]
‘Magical Meander’: No money…
This is the sixth part of the BMJ Leader blog series written anonymously by “Magical Meander”, a medical manager working in the NHS, to help align perspectives and build understanding of medical management across these two professions. One of the joys of working in a large hospital is that one inherits the benefits: the amazing […]
Why it’s important for India to have its own Centre for Disease Control (CDC) by Dipit Sahu
In response to the COVID-19 outbreak, the Indian prime minister called for an early and total lockdown of the country on March 25th, 2020. The early lockdown in India was a promising step because a similar lock down in China had managed to control the outbreak of the COVID-19 virus. The lockdown began to be […]
Going viral by Ammara Hughes
This is the second blog by Dr Ammara Hughes on Primary Care Leadership and COVID vaccination. Read the first blog here. Saturday 19 December Second Pfizer delivery awaited. It had been a long week with the anticipation and then successful delivery of the first 975 vaccines culminating on Friday. We had accepted the challenge of […]