On Wednesday I lost control of @kscopehealth.bsky.social. It was great. We've now transitioned to being 100% employee owned. Reflections on what 'ownership' has meant to me in my letter to fellow Kscopers: medium.com/@Richard.tau...

The ritual spectacle of the NHS leadership community coming together to watch telly.

The 10 Year Plan will have high ambitions. It might reference culture, but will it change it? New blog from me on change that works, learning from the past, and lessons from the 1120s. www.kscopehealth.org.uk/blog/cultura... #NHSConfedExpo

Twitter at #NHSConfedExpo in years gone by used to be the best bit. And now... well. So where are we at? Posting this on Bluesky, LinkedIn, (and the other one). Whichever has the most interaction by 10am is what I'm going with!

Our #NHSConfedExpo fringe starts with a bang at 10am Wed: talking how to make change that *works* with Thea Stein, & Cedi Frederick. Why stand in the Confed queue when you could be having coffee and listening to those galacticos? Register: tickettailor.com/events/kscopealternativeconfed/1714122

Ever wished there was a way to stop strategies just gathering dust on the shelf? Come and talk to us @kscopehealth.bsky.social (and if you want a sneaky early copy of our handy pocked guide, send me a DM and I'll pop one in the post).

We're about to launch our new @kscopehealth.bsky.social little guide to strategy, drawing on our decades of experience working in and supporting others with strategy development. Want one before anyone else? DM me your address and I'll pop an advance copy in the post...

Most influential person on the NHS? Putin, by far. I wrote this 2 years ago & very much playing out now. The NHS has been at the front of the public cash queue... No longer. There will be no Breakfast with Frost mk2. We're only slowly getting our heads round that. medium.com/@Richard.tau...

Daughter: "have you met the head of the NHS?" Me: "yes, but she resigned this week. She might have been coming to our event" Daughter: "did she resign because she really didn't want to go to your event?" #nowitallmakessense

Have been saying this for some years... www.kscopehealth.org.uk/blog/power-t... @richtaunt.com @charlotteaugst.bsky.social @jacoblant.bsky.social @jessiecunnett.bsky.social

Time to come and join us at @kscopehealth.bsky.social? We'd like a new junior consultant please. As always - 1st requirement is that you're kind, everything else comes 2nd. Apply by 12/1 & just say if any qs! kscopehealth.org.uk/join-us/junior-consultant/

Time to come and join us at @kscopehealth.bsky.social? We'd like a new junior consultant please. As always - 1st requirement is that you're kind, everything else comes 2nd. Apply by 12/1 & just say if any qs! kscopehealth.org.uk/join-us/junior-consultant/

We’re delighted to have been shortlisted for two @events.hsj.co.uk awards for our work with NHS England and @frimleyhealth.bsky.social to develop an innovative approach to managing heart failure. Find out more: www.kscopehealth.org.uk/news/kaleido...

French revolution = La Marseillaise + putting heads on spikes South Korean revolution = Mariah + picking up litter

From and to. Setting up a room, #93 in a never ending thread

A pleasing symmetry to be back in a place where 41 years ago I had just been born. Thanks Kent and Canterbury Hospital for all you do, then and now.

One of the most exciting jobs in UK healthcare... are you our new Here Partnership Director? Get in touch with Here colleagues or me if want to know a bit more. Closing date 12/12. Good luck! careers.hereweare.org.uk/jobs/5236843...

editorial from @bmj.com and paper: Poor staff retention is associated with higher patient mortality. Have said it before & I’ll say it again. If you don’t care for the carers, they cannot care for their patients. www.bmj.com/content/387/...

Chair says something controversial in board paper - which is publicly available. Paper then magically disappears. The NHS's commitment to transparency is sometimes paper thin.

One of the most exciting jobs in UK healthcare... are you our new Here Partnership Director? Get in touch with Here colleagues or me if want to know a bit more. Closing date 12/12. Good luck! careers.hereweare.org.uk/jobs/5236843...

Hoping it might clear up by lunch and we'll get a decent number of overs by tea.

Organisational change is hard. If only we knew what stopped it happening. Oh, we do? Now that's useful... h/t (do we still do that over here?) Shane Carmichael @kscopehealth.bsky.social

Red lights in the morning I'm still yawning

If you have children in a state secondary in London, or work for one, I can come and give a wee careers talk about what's it like working in the VCSE. It's nothing spectacular, but there is always a few lovely young people whose ears prick up when I eulogise about work with purpose.

No more important task today than to follow (in more ways than one) @suzettew.bsky.social and heed her wisdom - there's very few I agree with more.

Third and most important. Safety will only be achieved if we care for the people who care for patients. Genuine care and support. Time and space to think. Compassion and kindness. A restorative just culture and a psychologically safe environment.

Second. Healthcare is always about relationships and these are being eroded by the conditions people are working in and the behaviours all around them. Particularly incivility and a general lack of kindness.

First learning point. The NHS has too many initiatives and interventions. We saw them being imposed on busy staff who shuffle from one intervention to the other without knowing quite why and what they are being asked to do. What can we stop?

In the national campaign that I led we learnt so many things which have been lost over time. So in the spirit of an organisation with a memory I thought I would share some of these

The task is, not so much to see what no one has yet seen; but to think what nobody has yet thought, about that which everybody sees” Erwin Schrodinger (1952) Pretty much sums up my approach to safety.

Over 100 already signed up to talk high performing teams tomorrow - come and join! www.tickettailor.com/events/kalei...

Needs mayo

Over 100 already signed up to talk high performing teams tomorrow - come and join! www.tickettailor.com/events/kalei...

We’re proud to be supporting the development of the 10 Year Health Plan for England, working in partnership with @ippr.bsky.social sky.social, Thinks Insight and DHSC. Find out more about Kaleidoscope's role in this vital work: www.kscopehealth.org.uk/news/kaleido...

ok ok already in 2024... what's a year between friends?

Already in 2025 we at @kscopehealth.bsky.social have run open events on everything from strategy pitfalls, to transformation traps, to impact cul de sacs. If you missed them, don't fret! All videos, slides etc here: www.kscopehealth.org.uk/events/past-...

This game of pin the headline to the year is unwinnable.

After a free event to talk through exactly what high-performing teams are all about? Of course you do. Join us 12.30-1.30 on 20 Nov to explore what it means & receive our TOP SECRET* tips for you & your team. www.tickettailor.com/events/kalei... *not secret (but they are top)

Boards should be about ensuring good decisions are made. But the wrong turn they make is to try and achieve this by making all the decisions *themselves*. Me here: medium.com/@Richard.tau...

Organisational change is hard. If only we knew what stopped it happening. Oh, we do? Now that's useful... h/t (do we still do that over here?) Shane Carmichael @kscopehealth.bsky.social

Organisational silence, ConfedExpo, and me. A blog: www.kscopehealth.org.uk/blog/reality...

5 years after leaving govt (it's now been over 10...), I got round to a bit of catharsis. What health policy has to learn from bakers (& has to fear from anyone at 'HQ'). medium.com/@Richard.tau...

What is strategy, and where does it go wrong? A presentation in 7 parts… medium.com/@Richard.tau... @kscopehealth.bsky.social

Wrote this on 27/3/22 - a decade after the Health and Social Care Act 2012 became law. You probably remember because of all the street parties going on to mark the anniversary. A few reflections. medium.com/@Richard.tau...

The NHS will die. Everything does. The five reasons the NHS won't reach 100. Long-read from me: medium.com/@Richard.tau...

We've all been in teams which are better than others... wouldn't it be nice to know what really makes the difference? Oh we do. That's handy. @kscopehealth.bsky.social

On leaving the other place, I'm bringing across the tweets which got the most attention over there. So yes, if they're familiar, (a) there's a reason; (b) I salute your memory; (c) just pretend you're reading it for the first time.

We spend much of our lives in teams, but how can we ensure they’re performing as well as they can? Join Sarah Morgan, Katie Goulding and Shane Carmichael to find out how to enable teams to do their best work. 20 November, 12.30 to 1.30pm. Sign up: www.tickettailor.com/events/kalei...

Snake oil, engagement from space & high-performing teams. New @kscopehealth.bsky.social newsletter: mailchi.mp/f47c8b908687...