
Cons in Palliative Medicine and former Hospice Med Director,#THFGenQ fellow, QI coach for NHS Trust, husband, dad, spurs, cycling, he/him
London, England
Joined December 2013
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Charles Daniels retweeted
Hamas military leadership, just like most of Hamas's "resistance" infrastructure in the Gaza Strip, was hiding under the European Hospital in southern Gaza, when the group's chief, Mohammed Sinwar, was assassinated along with other terror operatives. How incredibly shameful & cowardly; even past Palestinian experiments with armed resistance (and I'm not endorsing or supporting them) never, ever behaved in such a treacherous, cowardly, and vile manner. The whole point of "resistance" is to protect people, but in Hamas's case, the people of Gaza exist to protect the "resistance" or Islamofascists who have hijacked the Palestinian national project and destroyed the Palestinian people.
Shame on any moron in the Western world who marches for Hamas and supports their evil terrorism. Shame on all the Arabs, Muslims, and Palestinians in the diaspora who are still hesitant and reluctant to speak out against Hamas, opting to regurgitate morally bankrupt talking points that avoid any clarity or sense of collective responsibility.
Hamas is an existential threat to the Palestinian people in Gaza.
PS: The tunnels are right there - this isn't propaganda! Hamas really, really did build military tunnels under the 2nd biggest hospital in southern Gaza - like see for yourself!
Replying to @HCImproveForum
@QualityForum thanks Tamara Broughton. Adoption of QI Dashboard enabled by. 1. Cultivating a supportive team climate which accepts challenge, respect, safety and humour
Charles Daniels retweeted
Ange Postecoglou driving through London when he gets back
Sections of the English press going to be utterly distraught he’s won Spurs a Trophy 🏆😂
Charles Daniels retweeted
Replying to @willchamberlain @ComicDaveSmith
I will give you three straight forward answers of how I believe Israel should have responded.
1. Israeli intelligence had indications of Hamas planning a large-scale operation as early as 2022, including a detailed document outlining the attack strategy. They should have acted on it.
2. IDF could have made it to Kibbutz Nir Oz in less than 6 hours. The Nahal Oz base is less than 5 miles away. No part of Israel is more than 5 or 6 hours away by car from any other part at normal legal speeds.
3. IDF could have rushed troops to border crossings to prevent hostages from being brough into Gaza. Don't tell me this has never been gamed out.
You are free to tell me I am wrong and that any of these three things was just perfect as it was.
Charles Daniels retweeted
A new article by Harvard's Michael Beer & collaborator Johanna Pregmark identifies "seven silent killers" - leadership or organisational barriers that are publicly undiscussable yet consistently block the delivery of strategy & change. It builds on Beer's previous research that set out six such "killers":
1) A top-down or "hands-off" senior management style - top leaders who fail to confront conflict & actively lead change.
2) Unclear strategies & values - &/or or conflicting priorities
3) An ineffective senior management team that cannot effectively balance focus on the whole & the parts.
4) Poor coordination & collaboration across functions, units & borders, representing an inability to effectively organise, manage & lead the work.
5) Inadequate leadership skills & development, particularly the lack of investment in "down-the-line" leaders.
6) Poor vertical communication - insufficient engagement from top leaders to help people understand the strategy & lower-level leaders feeling unable to speak truth to power
The new research confirms these six "killers" & suggests a seventh barrier essential to an organisation’s agility in a rapidly changing world:
7) Poor delegation of authority of decision rights - primarily related to the possibility for people across the organisation to make decisions to initiate & test new ideas & to innovate at their own level.
There are some fantastic insights in this article: journals.aom.org/doi/full/10….
It's behind a paywall so here's Beer's earlier paper for those who can't access the article: openaccessgovernment.org/wp-….
Charles Daniels retweeted
Change is changing & our methods need to change too. In health & care, Gantt charts are the dominant method for managing projects. Yet in other sectors, there's a big shift away from them. As change gets more complex, project timelines get shorter & more changes & pivots are needed. In @McKinsey research:
- 72% of project managers report Gantt charts become outdated within weeks of creation.
- Teams spend an average of 4.5 hours per week just updating project timelines.
Modern project management favours layered planning, where, say, quarterly plans outline big-picture goals & weekly plans keep track of immediate tasks.
How to abandon your Gantt chart & plan big projects without micromanaging dependencies: medium.com/@paco-cantero/why…. By @PacocanteroW.
Love this although I think speaking up done well, can also be done helpfully in public
There's a big difference between "speaking up" & "calling out". This is so relevant in the context of building psychological safety & addressing issues & concerns within teams. ‘Speak up’ cultures enable people to get under the surface of issues; to feel & be heard. ‘Call out’ cultures shut down open & honest communication, breeding fear & discontent. When things go wrong, there's often a knee jerk reaction towards fault finding. Stepping back from this & instead focusing on finding solutions supports growth & development of people & systems.
linkedin.com/feed/update/urn…. By @drbrockbastian. Graphic: Mays W. on LinkedIn. Via @tom_geraghty & Jayne Cheswick.
Charles Daniels retweeted
Watch Wes Streeting tear Victoria Atkins apart.
"She was the 5th Secretary of State, & among the worst... but if she wants to lead with her chin & talk cronyism... let's talk cronyism... let's not even get into Michelle Mone & her £200m contract for PPE..."
Charles Daniels retweeted
Thank you to our Chief Operating Officer @JamesW_at_work for visiting us today!
Charles Daniels retweeted
Thank you for taking the time to read this thread! If you liked it, please share the first post and follow me for more content: @JamesLucasIT
Charles Daniels retweeted
In my many years as a leader of change, I have participated in some brilliant workshops & some terrible ones. A key issue is workshop design. I've come to understand that workshop design is more important than facilitation. If we take a systems view of the event, there are many more ways to impact people's experience than facilitation - the process, space, the sense of community, the collective insight. This all depends on the design.
There are some fantastic free resources on workshop design from @sessionlab. If you are a change leader or facilitator it is so worth investing in these skills:
sessionlab.com/blog/workshop…
Proud to be introducing “4Ws+1” to @RCPhysicians conference this morning. A tool to help doctors have difficult conversations
A lovely exploration of an important subject. I particularly love his quote at the end. “The process we use to get to the future, is the future we get”. Myron Rodgers @RivkahMiar @charlie_psych
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Charles Daniels retweeted
If only Israel had chosen a voice such as this to speak for it. Please watch and share.
"A set of horrible moral dilemmas."
Historian @faniaoz tells me why she believes Israel must defeat Hamas while also protecting the soul of the nation, and why she still feels there is hope for peace.
Charles Daniels retweeted
How to define & understand problems to get better results from change initiatives. Often results are not delivered because (time pressured) leaders jump straight into problem-solving actions without making the time & space to understand & define what the problem is. Here's the "E5" approach to problem-framing:
1) Expand: explore all aspects of a problem & its nuances
2) Examine: understand underlying drivers & systemic contributors to the problem
3) Empathise: consider the perspectives of those who are most central to & affected by the problem
4) Elevate: understand how the problem connects to broader system issues
5) Envision: actively imagine & design solutions to the problem
hbr.org/2024/01/to-solve-a-t…. By Julia Binder & @MichaelDWatkins
Charles Daniels retweeted
"Zombie Leadership": dead & discredited ideas about leadership that continue to walk amongst us. They continue to be propagated by the media, popular books, consultants, workforce practices & policy makers. They stop more effective leadership practices from becoming mainstream. Four strategies to defeat Zombie Leadership:
1) Recognise components of Zombie Leadership
2) Return to the definition of leadership
3) Recognise the cost of Zombie Leadership
4) Champion alternatives to Zombie Leadership
sciencedirect.com/science/ar…. By @alexanderhaslam et al, via @BenJaneFitness.
She truly cares about each and every person and is a gift to the hospice@ @StLukesHarrow


























