Tom is an expert in wilful blindness, ethical fading, and the building of trust in Public Services. He shares his experiences and stories as a former public sector manager and Whistleblower and highlights the need for radical change in the way our public services are run. Tom is a fellow of the Chartered Management Institute and author of Lions, Liars, Donkeys and Penguins - The Killing of Alison. The book is a true story about the suicide of his sister Alison following a period of abuse in an NHS mental health hospital.
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Talk has become a surrogate for change and for the ambition to change.
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Mandatory training for public sector leaders.
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The bias of Distance Decay and the things we concern ourselves with.
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The views of academics are not the insights of those with experience...
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Or a place where what people feel needs to be said can be said without fear?
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...so let's give communities control of their health and care services.
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...leave your brains in a jar and hang your balls on the coat hooks provided.
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You can't control the uncontrollable, but there is no excuse for not controlling what you can.
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Public Health and the Ambulance Down in the Valley
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The IYI's (Intellectual Yet Idiot) are to be mocked, but to be feared even more.
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Thank you to everyone who has made time to feedback their views on my book, it means a lot to me :-)
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Conversations about Britain's healthcare have to be conversations about society.
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An industry of think tanks and advisors.
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There is no wealth, but life.
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Sometimes a thing just needs doing.
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...the NHS needs to start valuing them and listening to them.
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...today would have been my sister Alison's 57th birthday.
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What’s Gone Wrong with Healthcare in Britain, and What We Need to Do to Save the NHS...
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Come and join us for what promises to be a fascinating and informative free event on Wednesday 03rd May at 6pm...
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Our health and care are too important to be left in the hands of politicians and panjandrums...
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We may not achieve the things we set out to achieve, but that doesn't mean we shouldn't have tried.
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I lost the fight of my life this week. But it would feel a whole lot worse if I hadn't even stepped into the ring.
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...the final hurdle to secure a fresh inquest for Alison is on Tuesday 21st March; here's hoping!
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...and why closure is not really a thing.
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At what point should we put our heads above the parapet?
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Just in case you need five minutes away from that important thing you're doing...
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The High Court beckons, nothing has prepared me to reach the end of my journey.
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...and why the NHS can't learn from its mistakes.
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The current debate about the NHS and the state of healthcare will not be addressed by those who've allowed it to happen.
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How have we allowed our health and care system to reach this point?
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As it approaches its 75th Birthday, let's have a conversation about our National Health Service.
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A Christmas podcast for those who are not easily offended.
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If excellence is the result of what we do in the next five minutes, then so are tragedy and harm.
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...it may seem like an abstract concept, but it's costing us all billions (and yes, that's billions with a B!)
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...perhaps we should have one very soon about the future of our NHS?
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Will the arc of the moral universe ultimately bend towards justice, or is that just lazy thinking?
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...it's all about people, and what underpins their behaviors, actions, responses, and thinking.
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Tragedy and harm emerge from the avoidance of constructive conflict.
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...we have to display values for a day and then we can all get back to normal!
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Do you talk to the driver who delivers your food?
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But there seems to be something else occupying the news!
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Our new head of state needs to apply his significant influence to address climate change
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Is this lazy thinking or are they encouraging us to confront reality?
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...so why are we obsessed with striving and acquiring, and what should the purpose of government be?
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...you won't get what you've always got.
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Surely Oprah Winfrey and Jim Carrey can't be wrong can they; damn right they are...
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Have we ever really made time to ask and understand this seemingly simple question?
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Why is the NHS so poor at implementing technology that would help its patients and staff?
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What is it that stops us from seeing and speaking up about the things that go on around us?
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...it felt like something I had to do but didn't want to. It's a surface scratch sold as a deep dive.
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Is our politeness costing us more than we might think?
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The attempt by Parliament to create an Office of the Whistleblower is welcome, but it's not the solution...
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...24hr news would be great if it was good quality, but we seem to be in the thick of thin things.
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More central direction, fewer leaders, and more managers...
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We would bin a private sector supplier that was as slow and unresponsive...
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...it's hard to frown when you are looking at a hedgehog's face.
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But they don't seem to start with purpose?
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Rather than appointing heads of strategy, you should appoint chief officers of detail.
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Do we want choice in our public services, or do we feel like captives without the ability to vote with our feet?
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...a horrific, yet entirely predictable and logical result of trying to deliver healthcare by the numbers.
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I like to make things out of pallets, and I'm running a free event on improving public services; see you there!
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...but how do we create cultures of innovation in the absence of competitive forces?
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Our world needs more women in positions of influence, but not women who want to mimic the men who went before.
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It may not be comfortable to acknowledge, but the West has questions to answer about Ukraine.
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...if you ever doubted the value, of positive, constructive conflict, then I hope after this week you won't anymore.
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I think it actually translates into a post-honesty era, and we all have a role to play in shaping it...
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That's right, absolutely nothing...say it again!
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If improvement begins with understanding, then we need to make the issue visible. Here is my suggestion for how...
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This week we received a letter from a public service in which they referred to "his" death in relation to my sister Alison; reassuring?!
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I am hosting a free online event this Wednesday 26th January at 7pm GMT - come along and share your thoughts...
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I've been podcasting for a year and never really explained who I am, what I am trying to do, and what drives me to do it...
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...I've been watching the documentaries on Hillsborough and Four Lives on ITV - and nothing surprised me; what a strange place to inhabit!
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We buried my sister Alison 30yrs ago today...
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The tragic and horrific deaths of two children in the pres this week are further evidence that targets, box-ticking, and regulation, are harming public services.
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This Monday the 13th of December it will be 30yrs since my sister Alison took her life following a period of abuse in an NHS mental health hospital.
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...and a man chasing a terrorist with a Narwahl tusk on London Bridge; real-life really is stranger than fiction.
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What really are the unacknowledged challenges facing public services?
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What if Gavrilo Princip had been able to have an open candid conversation with Archduke Franz Ferdinand?
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Staff at the Attorney Generals Office are due to meet shortly and decide if we can have a fresh inquest into Alison's death.
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The real story of the state of politics and democracy in the UK is the number of people who are disengaged...
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Patient feels passive, customer equates to choice, what's the right word for users of NHS services...
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Can we make room for robust conversations in the public sector?
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Will it mean something, or will it become an excuse for all those without values to shout loudly?
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Why is it that our healthcare services have some of the worst, least joined-up, least user-friendly IT systems? Someone make a decision, please!
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The sweet spot of living is when you can combine what you love, what you are good at, what you can be paid for, with what the world needs.
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…and generally, they are all correct; but context is key.
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Regulating public services is costing us all a fortune, and it's not working, so what should we do?
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Why don't the regulators of public services speak with the people that actually use them?
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Would you like free access to an online course; all I am asking in return is feedback...
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This podcast describes the symptoms of TOD and its close cousins, SSS, and ITS; enjoy...
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Whistleblowing is done by passionate people who want to make things better for everyone...
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This Friday's podcast contains the best quick win you will ever hear about, (he would say that wouldn't he) but yes, you are going to love it...
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...and some observations on how a focus on arbitrary targets is harming our public services.
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We are where we are today because of decisions made yesterday...
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When you are not sure you can keep going, just keep putting one foot in front of the other...
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Few people have the wisdom to prefer the criticism that would do them good, than to the praise that deceives them.
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In the wake of Dominic Cummings revelations, we have to ask, should secrets be kept between chums in the publicly funded services we pay for?
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A positive letter from the Attorney Generals Office and a visit to Mum in Doncaster
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I think we should say adios to the PR and communications departments in our public sector services. And I think we should say hello to newly formed information departments...
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The difference between theory & experience is the difference between knowing what dog shit smells like & having your face rubbed in it. Take it from someone who is still washing the dirt from his face and trying to get the smell out of his nostrils...
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Feedback is the breakfast of champions, so says every personal development coach and private sector business consultant in the world. So why does the public sector not respond to feedback, and why are the passionate people who want to make positive changes forced out?
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The story of the week as covered by the media was of course the guilty verdict returned on the killer of George Floyd. The murder illustrated the concept of wilful blindness on so many levels and it highlighted the collaborative nature of it; it's easier to carry on doing nothing and then rationalize our inaction later when everyone else is doing nothing, as humans we take our subconscious cues from each other.
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Targets have defaced, dehumanised, and demoralised our public sector services, its time to call time on them...
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If we want Public Sector Services to be accountable, then we have to acknowledge our collective humanity and make room for forgiveness.
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