Today’s publishing of Sir Robert Francis’ Freedom to Speak Up review has once again confirmed the importance of good leadership in creating the right climate, tone and culture where staff can thrive and patients and service users can receive the care and compassion they deserve.
Louis Sullivan was the architect who came up with the maxim, “form follows function”, arguing that a building’s purpose should determine its design. This is always a great reminder to NHS leaders who jump into restructuring before they figure out what they’re trying to achieve through the structure. After all, it’s easier to restructure than to change course. To mix my metaphors, leaders too often ‘rearrange the deckchairs’ instead of steering the ship away from the iceberg.