There have been two recent reports into Maternity services - Donna Ockenden on Nottingham, and the CQC 2022-24. Both are a a damning indictment of current practice. But how has this happened? How has a dedicated and empathic workforce become so lacking in skills and motivation? The reports suggest a systemic failure at all levels from Government downwards. Blaming front line staff is not going to change a toxic culture or improve staffing and morale. Urgent action from the top is needed.

Learning to Fly is a song by Pink Floyd; it contrasts the process of becoming a pilot to that of navigating life’s changes and difficulties. Embracing the challenge leads to mastery and fulfillment. We need to lean towards challenge not away from it.

We hear about dreams a lot, but do we really dream in detail about our future? and how are the dreams and aspirations of NHS staff affected by the current crisis in healthcare? This article explores dreams - can they predict our future, and do they reflect our aspirations?

Is the system broken or is the current crisis the result of decades of broken promises? And how do staff cope with the curerent NHS crisis?

Its good to talk and my offer for 2026 is a no obligation Coffee Break call booked using the article link.

As Andrew Mountbatten Windsor loses his titles I consider our attitude to the titles we acquire in nour professional lives; how we use them and what they mean to us. Why do Surgeons eschew being called Doctor, and why do I use my title in areas that have no relevance to medicine? Ultimatley I think its about how they make you feel, perhaps.

This article looks at happiness - it is something we all wish for in every area of life and work. For healthcare professionals the stresses of the job - high workload, poor staffing, overwhelming demand, lack of appreciation - will negatively affect workplace happiness. But there is also a hangover into personal wellbeing and happiness which further reduces happiness at work.

Healthcare Professionals must seek ways of dealing with these stresses, including speaking to an Executive Coach. Employers should make services available to improve the happiness of staff as this will also improve the quality of patient care.

The GMC Staff Survey and other NHS Data, paint a sad and worrying picture of today’s NHS. Staff are pressurised by rota gaps, poor training, reduced career progression and discriminatory behaviours from colleagues. Many are leaving the NHS - some to work abroad whilst some leave health care altogether. We must solve this staffing crisis if we are to deal with the long waiting times for patients and high levels of burnout for staff.

Resident Doctors have been on strike again. But has their message really landed with the public? It seems to be all about money and yet there are equallyb important non-pay areas that need to be addressed for the resolution of the current NHS crisis.

NHS inflation explained with a personal example, and illustrated by my father who received none of the benefits of advanced Cardiac care in his lifetime.

Its cold and its very busy in the NHS, even more than usual. Our staff are under pressure and need supported; despite the business of the season we need to find time for Coaching, which is good for staff, patients, and the NHS generally

What is productivity in the NHS? Why has it reduced? Re-engaging and motivating staff will help to recover productivity to pre-Covid levels, and Coaching will help.