Opinion: The Restoration of Accountability

Moving away from fear and blame towards fairness and learning is not a choice between valuing relationships or responsibilities. The barrier to improvement is not individual accountability

The awkward body shaming tendency of safety science

We need a moratorium on any approach to safety that anchors upon a model of zero, especially if the best vision of the future adds nothing to a thought that is more than two millennia old. We need to challenge the dangers of systems that starve people of the ability to think.

Patient centred care, 12 months a year

If we can work on education, then prevention should follow. With that the backlog of patients could decrease. But for me, as a patient, a trainer and a Human Factors consultant, the biggest single improvement we can make is to make sure that Men’s health isn’t just talked about for one month a year, but all year around.

The power of personal stories and patient centred care

On Wednesday this week I will be giving a talk to a group of GP trainees at West Suffolk Hospital about Men’s health. So far none of this seems out of the ordinary for us at MedLed.  But this is a talk on behalf of the Movember foundation and includes my very own experience of

Anticipatory Grief

An added burden for healthcare teams The world has been going through an extended period of what psychologists term ‘Anticipatory Grief’, which means grieving in preparation for a loss and encompasses the same components of actual grief. Even for those fortunate not to have lost loved ones to Covid, medical staff have been well aware

The High Performance Dilemma

Even in elite sports, where high performance is most frequently used as a term, organisations and individuals peak at certain times.

Narrative Medicine

What is it, and why is it a good idea? Wendy Hind, a physician who has a son with a congenital heart condition, recently wrote a moving blog about the benefits of Narrative Medicine (NM). NM incorporates individual’s stories into health sciences as they are seen as being fundamental to the human experience. NM helped

Emotional Salary

As the name suggests, an emotional salary is one that touches on emotional gains as opposed to monetary ones.

How much will the new Patient Safety Syllabus change the game?

The syllabus is an excellent foundation stone to help begin a transition towards an approach to risk management that integrates human factors for healthcare.

Why Balanced Assertiveness is Appropriate at all Times in Healthcare

At the start of training, when we ask frontline professional teams whether they would like all their team members to behave assertively at work a surprisingly large number often reply ‘no’.

Compassion Fatigue vs Burnout

Whilst most Health Professionals are aware of the symptoms of Burnout perhaps fewer know of the concept of Compassion Fatigue.

Compassion Fatigue

The concept of Compassion Fatigue was established in the 1990s to address the impact of those working in the caregiving professions who were finding that intense immersion in the trauma of others was having debilitating effects on their health, well-being and ability to function.

Sleep On It

Sleep is one of those things we all know is important, but quite often feel we’re not getting the right amounts or even the right quality.

Bad news sticks to our brains like Velcro

We can probably all identify with this quote, with a tendency to notice the bad and not the good in the world around us. So why do we do this? Put simply, our brains are biologically programmed to scan for danger/threats.

COVID, Coping and Control

This is a time to redefine what we see as ‘success’.

Quick De-Stressing Techniques for Those Under Pressure

The privilege of a lifetime is being who you are, and it’s important to ensure you are your own best ally especially when in the frontline. These are fast simple scientifically supported techniques to help you manage daily stress. Watch out for your tell-tale signs that you are in Overload When the Stress/Survival/FFF response is

Who Cares for the Carer?

At this time of the greatest challenge in living history, it’s important to ensure those of you in the frontline are as well cared for as possible.

A message from the Medled team

2020 started out as a year with such promise – embarking on a number of exciting and ambitious programs both with forward thinking trusts across the UK and new clients in Canada and Singapore, and collaborating with our growing team of amazing associates. As much as we looked on with concern at the news of

Growth Mindset and the link to high performance and learning

Growth mindset isn’t a new thing, but it’s at the forefront of the world of work due to its links with wellbeing, high performance, leadership and learning. So, what is ‘Growth Mindset’? Well, simply put it’s what we could call the power of “Yet”, in other words “I’m not good at this skill yet, but

Breaking the Burnout Cycle

Burnout is frequently missed. The signs are often not obvious and the final collapse happens when all energy supplies have been used up and time off to recover is then essential. Medical professionals play a vital role in society and make such a positive difference to the lives of all of us, but this seems

What is Systems Thinking?

Whilst the terms “system” or “systems” in everyday language have often come to mean something to do with digital technology, they are used in a much wider context in HFE.

The 3 C’s of Civility

When I was asked to do a talk on the Civility Saves Lives project a couple of weeks ago, I decided I needed to do some more research on the wider topic of civility: what it is, and how it can be useful

Feedback and how to give it effectively

Effective feedback can have a powerful, positive and lasting effect. As a junior co-pilot in the 70’s, I was given some feedback by the crew administrator when I arrived for a flight. He interrupted his chat to another pilot and greeted me with a smile and the comment “Ah, Denis, you are very well turned

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Under Pressure

What do we mean when we say effective leadership?
Is it being able to drag your team over the finish line, no matter what?

Insights on Decision Making from a national champion

The key to successful competitive cross-country gliding is decision making. Which route to take through the sky, which thermal (a column of rising air) to circle in, which one to reject. It was day 4 of the competition with 635 km already flown over the first 3 days, and I was in the lead. The

Psychological Safety – why all the fuss?

I recently read a provocative tweet commenting on Google’s Aristotle Project – an exhaustive study over 2 years documenting the themes among their highest performing teams.

Human Factors – the Fundamentals of Human Capabilities

Sir David Attenborough recently remarked at a UN meeting that no one ever did anything for the environment before first caring about it. This care and concern required a certain level of understanding, spawned from an initial interest in the natural world. I think this point is hugely important in any context – if we

Patient Safety & Performance Science within Maternity Care

In November 2015 the government announced an ambitious target to halve the number of stillbirths, neonatal deaths and brain injuries by 2030, and a tremendous amount of work has happened in the last 3 years in working towards that.

Is Awareness Enough?

Much of the Human Factors Training that occurs across the NHS would fall under the banner of ‘raising awareness’, as it is absolutely vital as nothing changes or improves without awareness. So can we be ‘aware’ enough of how errors occur in order to prevent us making such errors? I would like to hope that

The problem with the ‘bad apple’ fallacy

‘When faced with a human error problem you may be tempted to ask ‘Why didn’t they watch out better? How could they not have noticed?’ You think you can solve your human error problem by telling people to be more careful, by reprimanding the miscreants, by issuing a new rule or procedure. They are all

Why “Send in the Army” might not be the best way to ‘fix’ the NHS

Many of you may have read the recent article citing Matt Hancock’s proposals to bring in the army to boost leadership skills; Does any of this sound familiar? Until recently the rhetoric was very much that healthcare should see civil aviation as the exemplar for safety — certainly the previous Health Secretary Jeremy Hunt was keen to

Medled appoints Dr Patrick Waterson as Human Factors specialist

Medled, a specialist provider of High Performance Roadmaps,™ targeted training and consultancy that enhances the performance of people, teams and systems in the UK healthcare industry has appointed Dr Patrick Waterson PhD, CErgHf, CPsychol from Loughborough University as a Non-Executive Director. An experienced Chartered Ergonomist, Chartered Psychologist and lecturer in Human Factors, Patrick will support

Where are your ‘Quick Wins’?

Modern healthcare is such a complex challenge, with so many overlapping systems — many of which we can’t control. Developing fit for purpose solutions to these challenges will be generally be a long game and, as Rene Amalberti (global Safety Expert and co-author of Safer Healthcare — Strategies for the Real World) recently put it, ‘a moving target’. With