Download Lectures on Biostatistics (1971). Corrected and searchable version of Google books edition
Download review of Lectures on Biostatistics (THES, 1973).
HR bollocks
The last email of Stephan Grimm has had more views than any other on this blog. “Publish and perish at Imperial College London: the death of Stefan Grimm“. Since then it’s been viewed more than 210,000 times. The day after it was posted, the server failed under the load.
Since than, I posted two follow-up pieces. On December 23, 2014 “Some experiences of life at Imperial College London. An external inquiry is needed after the death of Stefan Grimm“. Of course there was no external inquiry.
And on April 9, 2015, after the coroner’s report, and after Imperial’s internal inquiry, “The death of Stefan Grimm was “needless”. And Imperial has done nothing to prevent it happening again“.
On September 24th 2015, I posted a memorial on the first anniversary of his death. It included some of Grimm’s drawings that his mother and sister sent to me.
That tragedy led to two actions by Imperial, the metrics report (2015) and the bullying report (2016).
Let’s look at the outcomes.
The 2015 metrics report
In February 2015 and investigation was set up into the use of metrics to evaluate people, In December 2015 a report was produced: Application and Consistency of Approach in the Use of Performance Metrics. This was an internal enquiry so one didn’t expect very much from it. Out of 1338 academic staff surveyed at the College, 309 (23% of the total) responded
another 217 started the survey but did not submit anything). One can only speculate about the low return. It could be that 87% of staff were happy, or it could be that 87% of staff were frightened to give their opinions. It’s true that some departments use few if any metrics to assess people so one wouldn’t expect strong responses from them.
My position is clear: metrics don’t measure the quality of science, in fact they corrupt science.
This is not Imperial’s view though. The report says:
5.1 In seeking to form a view on performance metrics, we started from the premise that, whatever their benefits or deficiencies, performance metrics pervade UK universities. From REF to NSS via the THE and their attendant league tables, universities are measured and ranked in many dimensions and any view of performance metrics has to be formed in this context.
In other words, they simply acquiesce in the use of measures that demonstrably don’t do what’s claimed for them.
Furthermore the statement that “performance metrics pervade UK universities” is not entirely true. At UCL we were told in 2015.
“We will evaluate the quality of staff contributions appropriately, focusing on the quality of individual research outputs and their impact rather than quantity or journal-level metrics.” .
And one of the comments quoted in Imperial’s report says
“All my colleagues at MIT and Harvard etc tell me they reject metrics because they lead to mediocre candidates. If Imperial really wants to be a leader, it has to be bold enough to judge based on quality.”
It is rather shameful that only five UK universities (out of 114 or so) have signed the San Francisco Declaration on Research Assessment (DORA). I’m very happy that UCL is one of them, along with Sussex and Manchester, Birmingham and Liverpool. Imperial has not signed.
Imperial’s report concludes
“each department should develop profiles of its academic staff based on a series of published (ie open and transparent [perhaps on the College intranet]:”
There seems to be a word missing here. Presumably this means “open and transparent metrics“.
The gist of the report seems to be that departments can carry on doing what they want, as long as they say what it is. That’s not good enough, in my opinion.
A review of Imperial College’s institutional culture and its impact on gender equality
Unlike the metrics report, this one was external: that’s good. But, unlike the metrics report, it is secret: that’s bad.
The report was written by Alison Phipps (Director of Gender Studies and Reader in Sociology University of Sussex). But all that’s been released is an 11 page summary, written by Imperial, not by the authors of the report. When I asked Phipps for a copy of the whole report I was told
“Unfortunately we cannot share the full report – this is an internal document to Imperial, and we have to protect our research participants who told us their stories on this basis.”
It’s not surprising that the people who told their stories are afraid of repercussions. But it’s odd that their stories are concealed from everyone but the people who are in a position to punish them.
The report seems to have been commissioned because of this incident.
“The university apologised to the women’s rugby team after they were left playing to an empty stadium when the coaches ferrying spectators back to campus were allowed to leave early.”
“a member of staff was overheard saying that they did not care “how those fat girls” got home,”
But the report wasn’t restricted to sexism. It covered the whole culture at Imperial. One problem was that only 127 staff
and 85 students participated. There is no way to tell whether those who didn’t respond were happy or whether they were scared.
Here are some quotations from Imperial’s own summary of the secret report.
“For most, the meaning was restricted to excellence in research despite the fact that the College’s publicised mission statement gives equal prominence to research and education in the excellence context”
“Participants saw research excellence in metricised terms, positioning the College as a top-level player within the UK and in the world.”
Words used by those critical of Imperial’s culture included ” ‘cutthroat’, ‘intimidating’, ‘blaming’ and ‘arrogant’ “.
“Many participants in the survey and other methods felt that the external focus on excellence had emphasised internal competition rather than collaboration. This competition was noted as often being individualistic and adversarial. ”
“It was felt that there was an all-consuming focus on academic performance, and negative attitudes towards those who did not do well or who were not as driven as others. There was a reported lack of community spirit in the College’s culture including departments being ‘played off against each other’”
“The research findings noted comments that the lack of communal space on the campus had contributed to a lack of a community spirit. It was suggested that the College had ‘an impersonal culture’ and groups could therefore self-segregate in the absence of mechanisms for them to connect. ”
“There were many examples given to the researchers of bullying and discriminatory behaviour towards staff and students. These examples predominantly reflected hierarchies in work or study arrangements. ”
“The researchers reported that many of the participants linked it with the ‘elite’ white masculinity of the majority population, although a few examples of unacceptable behaviour by female staff and students were also cited. Examples of misogynistic and homophobic conduct were given and one interviewee expressed concern that the ‘ingrained misogyny’ at Imperial was so deep that it had become normal.”
“Although the College describes itself as a supportive environment, and many positive examples of that support were cited, a number of participants felt that senior management would turn a blind eye to poor behaviour if the individual involved was of value to the College.”
“Despite Imperial’s ‘no tolerance’ stance on harassment and bullying and initiatives such as ‘Have Your Say’, the researchers heard that people did not ‘speak up’ about many issues, ranging from discrimination and abuse to more subtle practices that leave people feeling vulnerable, unheard or undermined.”
“Relations between PIs and contract researchers were especially difficult, and often gendered as the PI was very often a man and the researcher a woman.”
“It was reported that there was also a clear sense of staff and students feeling afraid to speak up about issues and not receiving clear information or answers due to unclear institutional processes and one-way communication channels.”
“This representation of Imperial College as machine rather than organism resonated with observations on a culture of fear and silence, and the lack of empathy and community spirit at the College.”
“Some of the participants identified a surface commitment to diversity and representation but a lack of substantive system processes to support this. The obstacles to participation in the way of doing things at Imperial, and the associated issues of fear and insecurity, were reported as leading to feelings of hopelessness, demotivation, and low morale among some staff and students.”
“Some participants felt that Athena SWAN had merely scratched the surface of issues or had just provided a veneer which concealed continuing inequalities and that events such as the annual Athena SWAN lecture were little more than a ‘box ticking exercise.’”
The conclusions are pretty weak: e.g.
“They [the report’s authors] urged the College to implement changes that would ensure that its excellence in research is matched by excellence in other areas.”
Of course, Imperial College says that it will fix the problems. “Imperial’s provost, James Stirling, said that the institution must do better and was committed to gender equality”.
But that is exactly what they said in 2003
“The rector [then Richard Sykes] acknowledged the findings that came out of the staff audit – Imperial College – A Good Place to Work? – undertaken in August 2002.”
“He reinforced the message that harassment or bullying would not be tolerated in the College, and promised commitment from Council members and the Executive Committee for their continuing support to equal opportunities.”
This was eleven years before the pressure applied to Stefan Grimm caused him to take his own life. As always, it sounds good. But it seems that, thirteen years later, Imperial is going through exactly the same exercise.
It would be interesting to know whether Imperial’s Department of Medicine is still adopting the same cruel assessment methods as it was in 2007. Other departments at Imperial have never used such methods. It’s a continual source of bafflement to me that medicine, the caring profession, seems to care less for its employees that most other departments.
Other universities
Imperial is certainly not unique in having these problems. They are endemic. For example, Queen Mary, Kings College London and Warwick University have had similar problems, among many others.
Managers must learn that organisations function better when employees have good morale and are happy to work. Once again, I quote Scott Burkun (The myths of Innovation, 2007).
“Creation is sloppy; discovery is messy; exploration is dangerous. What’s a manager to do? The answer in general is to encourage curiosity and accept failure. Lots of failure.”
All big organisations are much the same -dissent is squashed and punished. Committees are set up. Fine-sounding statements are issued. But nothing much changes.
It should not be so.
Follow-up
The last email of Stefan Grimm, and its follow-up post, has been read over 195,000 times now.
After Grimm’s death, Imperial announced that it would investigate itself The report is now available.
|
Performance Management: Review of policies, procedures and support available to staff Following the tragic death of a member of the College’s staff community, Professor Stefan Grimm, the Provost invited the Senior Consul, Professor Richard Thompson, and the Director of Human Resources, Mrs Louise Lindsay, to consider the relevant College policies, procedures and the support available to all staff during performance review. |
The report is even worse than I expected. It can be paraphrased as saying ‘our bullying was not done sufficiently formally -we need more forms and box-ticking’.
At the heart of the problem is Imperial’s Personal Review and Development Plan (PRDP). Here is an extract.
"Professor Grimm had been under review in the informal process for nearly two years. His line manager was using this period to help Professor Grimm obtain funding or alternative work (the review panel saw evidence of the efforts made in this regard). The subsequent formal process would have involved a minimum of two formal meetings with time to improve in-between formal meetings before consideration would have been given to the termination of Professor Grimm’s employment. Understandably there is a reluctance to move into formal hearings, particularly when the member of staff is hard working and diligent, but the formal stages would have provided more clarity to Professor Grimm on process and support through the written documentation, representation at meetings and HR involvement."
"It is recommended that the new capability procedure and ordinance include greater clarity on timescales for informal action and how this might operate in different roles."
It seems to be absurd to describe Wilkins’ letter has an attempt to "help" Professor Grimm, It was a direct threat to the livelihood of a competent 51 year-old full professor. Having flow charts for the bullying would not have helped. Neither would the provision by HR of "resilience" courses (what I’ve seen of such classes makes me feel suicidal at the thought of how far universities have sunk into pseudo-scientific HR babble).
I’ll skip straight to the conclusions, with my comments on them in italic.
1. Expand the Harassment Support Contact Programme to train volunteers, academic staff, who can be matched with individuals going through informal processes.
Looks like a charade to me. If they want to fire people without enough grants, they’ll do it.
2. Refresh and re-launch information on the employee assistance services widespread distribution and regular update of promotional material.
Ditto
3. Ensure regular training is given to new and experienced managers in core HR procedures.
Train senior people to bully properly.
4. Create a separate guidance and support document for staff to supplement document. The document to include a clear and concise summary of the informal formal process, a flowchart, the support available to staff and frequently asked questions
Pretend that staff are being helped by threatening to fire them.
5. Direct managers to inform HR before commencing the informal stage of performance management. All managers to have a briefing from their local HR representative of the instigation of performance management.
Make sure you’ve filled in the forms and ticked the boxes before you start bullying. HR don’t understand performance and should have no role in the process.
6. Create a separate policy for performance management in the form of procedure, which includes clear definitions for informal and formal performance
management and further guidance on the timescales and correspondence in stages. Provide clarity on the role of the PRDP appraisal in performance management.
The role PRDP is to increase the status of Imperial College, but pretend it’s to benefit its victims.
7. Create template documentation for performance management correspondence and formal stages of the process. Direct managers to ensure all correspondence reviewed by an HR representative before it is sent to a member of staff.
Bullying is OK if you’ve filled in enough forms.
In summary, these proposals merely add more bureaucracy. They won’t change anything. As one supposed, they are merely a smokescreen for carrying on as at present.
There is only one glimmer of hope in the whole report.
|
Additional recommendation Although this was not within the remit of the current review, a number of concerns were raised with the reviewers about the application and consistency of approach in the use of performance metrics in academia and in the College. The reviewers recommend that the College undertake a wider consultation and review of the application of performance metrics within Imperial College with recommendations to be considered by the Provost’s Board in the summer term. |
I’ve been telling them since 2007 that the metrics they use to judge people are plain silly [download the paper]. So have many other people. Could the message have sunk in at last? We’ll see.
What should be done about performance?
I’ve been very critical of the metrics that are used by Imperial (and some other places) to harass even quite senior people. So, it might well be asked how I think that standards should be maintained. If people are paid by the taxpayers, it isn’t unreasonable to expect them to work to the best of their abilities. The following observations come to mind.
- Take a lesson from Bell Labs in its heyday (before performance managers got power) . "First, management had to be technically competent; at Bell Labs, all managers were former researchers. Second, no researchers should have to raise funds. They should be free of that pressure. Third, research should and would be supported for years – if you want your company to last, take the long view. And finally, a project could be terminated without damning the researcher. There should be no fear of failure."
- Take a lesson from the great Max Perutz about how to run a successful lab."Max had the knack of picking extraordinary talent. But he also had the vision of creating a working environment where talented people were left alone to pursue their ideas. This philosophy lives on in the LMB and has been adopted by other research institutes as well. Max insisted that young scientists should be given full responsibility and credit for their work. There was to be no hierarchy, and everybody from the kitchen ladies to the director were on first-name terms. The groups were and still are small, and senior scientists work at the bench."
- Read Gus John "The results of the Guardian higher education network’s survey on bullying in higher education should give the entire sector cause to worry about the competence and style of leaders and managers in the sector"
- The vast majority of scientists whom I know work absurdly long hours. They are doing their best without any harassment from "performance managers". Some are more successful, and/or lucky, than others. That’s how it is. Get used to it.
- Rankings of universities are arbitrary and silly, but worse, they provide an incentive to vice-chancellors to justify their vast salaries by pushing their institution up the rankings by fair means or foul. It’s no exaggeration to suspect that things like the Times Higher Education rankings and the REF contributed to the death of Stefan Grimm.
- Realise that HR know nothing about science: their "performance management" kills original science, and it leads to corruption. It must bear some of the blame for the crisis in the reproducibility of published work.
- If you want innovation, you have to tolerate lots and lots of failure
Follow-up
Stop press On April 7th, the coroner said the Grimm had asphyxiated himself on 25 September, 2014. He described the death as "needless"/ And Imperial’s HR director, Louise Lindsay, when asked if the new procedures would have saved his life, said "not clear it would have resulted in a different outcome.". So we have it from the horse’s mouth. Imperial has done nothing to prevent more tragedies happening.
10 April 2015
King’s College London has just issued a draft for its "performance management" system. You can read all about it here.
"Performance management is a direct incentive to do shoddy short-cut science."
17 April 2015
Alice Gast declines to apologise
At 06.22 on Radio 4’s Today Programme, Tanya Beckett interviewed Alice Gast. President of Imperial College London. After a 4-minute commercial for Imperial, Gast is asked about the death of Stefan Grimm. Her reply doesn’t even mention Grimm. “professors are under a lot of pressure . . .”. Not a word of apology or explanation is offered. I find it hard to comprehend such a heartless approach to her employees.
1 May 2015
The Imperial students’ newspaper, Felix Online, carried a description of the internal report and the inquest: Review in response to Grimm’s death completed. Results criticised by external academics: “Imperial doesn’t get it.”, It’s pretty good..
I wonder what undergraduates feel about being taught by people who write letters like Martin Wilkins‘ did?
The University of Warwick seems determined to wrest the title of worst employer from Imperial College London and Queen Mary College London. In little over a year, Warwick has had four lots of disastrous publicity, all self-inflicted.
First came the affair of Thomas Docherty.
Thomas Docherty
Professor of English and Comparative Literature, Thomas Docherty was suspended in January 2014 by Warwick because of "inappropriate sighing", "making ironic comments" and "projecting negative body language". Not only was Docherty punished, but also his students.
"As well as being banned from campus, from the library, and from email contact with his colleagues, Docherty was prohibited from supervising his graduate students and from writing references. Indiscriminate, disproportionate, and unjust measures against the professor were also deeply unfair to his students."
Ludicrously, rather than brushing the matter aside, senior management at Warwick hired corporate lawyers to argue that his behaviour was grounds for dismissal.
That cost the university at least £43,000.
The story appeared in every UK newspaper and rapidly spread abroad. It must have been the most ham-fisted bit of PR ever. But rather than firing the HR department, The University of Warwick let the matter fester for a full nine months before reinstating Docherty in September 2014.
The university managed to get the worst possible outcome. The suspension provoked world-wide derision and in the end they admitted they’d been wrong. Jeremy Treglown, a professor emeritus of Warwick (and former editor of The Times Literary Supplement) described the episode as being like “something out of Kafka”.
And guess what, nobody was blamed and nobody resigned.
The firing people of doing cheap research
Warwick has followed the bad example set by Queen Mary College London, Kings College London and Imperial College London , If you don’t average an external grant income of at least £75,000 a year over the past four years, you job is at risk. Apart from its cruelty, the taxpayer is likely to take a dim view of academics being compelled to make research as expensive as possible. Some people need no more than a paper and pencil to do brilliant work. If you are one of them, don’t go to any of these universities.
It’s simply bad management. They shouldn’t have taken on so many people if they can’t pay the bills. Many universities took on extra staff in order to cheat on the REF. Now they have to cast some aside like worn-out old boots..
The tone of voice
Warwick University has very recently issued a document "Warwick tone of voice: Full guidelines. March 2015". It’s a sign of their ham-fisted management style that it wasn’t even hidden behind a password. They seem to be proud of it. Of course it provoked a storm of hilarity on social media. Documents like that are designed to instruct people not to give truthful opinions but to act as advertising agents for their university. The actual effect is, of course, exactly the opposite. They reduce the respect for the institution that issues such documents.
Here are some quotations (try not to laugh -you might get fired).
"What is tone of voice and why do we need a ‘Warwick’ tone of voice?
The tone of our language defines the way people respond to us. By writing in a tone that’s true to our brand, we can express what it is that makes University of Warwick unique.""Our brand: defined by possibility
What is it that makes us unique? We’re a university with modern values and a formidable record of academic and commercial achievement — but not the only one. So what sets us apart?The difference lies in our approach to everything we do. Warwick is a place that fundamentally rejects the notion of obstacles — a place where the starting point is always ‘anything is possible’. "
Then comes the common thread. It’s all to do with rankings.
“What if we raised our research profile to even higher levels of international excellence? Then we could be ranked as one of the world’s top fifty universities."
The people who sell university rankings (and the REF) have much to answer for,
There’s a good post about this fiasco, from people whose job is branding. "How not to write guidelines".
Outsourcing teaching
As if all this were not enough, on April 5th 2015, we heard that "Warwick Uni to outsource hourly paid academics to subsidiary". Universities already rely totally on people on people on short-term contracts. Most research is done by PhD students and post-doctoral students on three (or sometimes five) year contracts. They are supervised (not always very well) by people who spend most of their time writing grant applications. Science must be one of the most insecure jobs going.
Increasingly we are seeing casualisation of academics. A three year contract looks like luxury compared with being hired by the hour. It’s rapidly approaching zero-hours contracts for PhDs. In fact it’s reported that people hired by TeachHigher won’t even have a contract: "staff hired under TeachHigher will be working explicitly not on a contract, but rather, an ‘agreement’ ".
The organisation behind this is called TeachHigher. And guess who owns it? The University of Warwick. It is a subsidiary of the Warwick Employment Group which already runs several other employment agencies, including Unitemps which deals with cleaners, security and catering staff.
The university claims that it isn’t "outsourcing" because TeachHigher is part of the university. For now, anyway. It’s reported that "The university plans to turn the project into a commercial franchise, similar to another subsidiary used to pay cleaners and catering staff, it can sell to other institutions."
The Warwick students’ newspaper "spoke to a PhD student who was fired last year from a teaching job with Unitemps after participating in strike action, who felt one of the aims of creating TeachHigher may “to prevent collective action from taking place.”"
Bringing the university into disrepute is something for which you can be fired. The vice-chancellor, Nigel Thrift, has allowed Warwick to become a laughing stock four times in a single year. Perhaps it is time that the chair of Council, George Cox, did something about it?
Universities don’t have to be run like that. UCL isn’t, for one.
Follow-up
9 April 2015 It seems that TeachHigher was proposing to pay a lecturer £5 per hour. This may not be accurate but it’s certainly caused a stir.
Laurie Taylor, ever-topical, was on the Docherty case in Times Higher Education.
|
Riga, Riga, roses I’ve nothing against Latvia per se, but I can’t in all honesty see any real parallels between a university in such a faraway and somewhat desolate place as Riga and our own delightful campus.” That was how Jamie Targett, our Director of Corporate Affairs, responded to the news that the European Court of Human Rights had found that a professor at Riga Stradiņš University had been unfairly sacked for criticising senior management. University staff, the court ruled, must be free to criticise management without fear of dismissal or disciplinary action. Targett “thoroughly rejected” the suggestion from our reporter Keith Ponting (30) that there might be “a parallel” between what happened at Riga and our own university’s decision to ban Professor Busby of our English Department from campus for nine months for a disciplinary offence. This, insisted Targett, was a “wholly inappropriate parallel”. For whereas the Latvian professor had been disciplined for speaking out against “alleged nepotism, plagiarism, corruption and mismanagement” in his department, Professor Busby had been banned from campus and from contact with students and colleagues for nine months for the “far more heinous offence” of “sighing” during an appointments interview. Targett said he “trusted that any fair-minded person, whether from Latvia or indeed the Outer Caucasus, would be able to see the essential difference in the scale of offence”. |
10 April 2015
The London Review of Books has a rather similar piece, Mind Yout Tone, by Glen Newey.
"It’s tough to pick winners amid the textureless blather that has lately seeped from campus PR outfits".
"In a keen field, though, it’s Warwick’s drill-sheet that takes the jammie dodger".
17 April 2015
Anyone would have thought that Laurie Taylor had read this post. His inimitable Poppletonian column this week was entirely devoted to Warwick.
|
Nothing to laugh about! 16 APRIL 2015 | BY LAURIE TAYLOR Our Director of Corporate Affairs, Jamie Targett, has roundly criticised all those members of the Poppleton academic staff who have responded to the new University of Warwick “Tone of Voice” guidelines with what he described as “wholly inappropriate sniggering”. Targett said that he saw “nothing at all funny” in Warwick’s new insistence that its staff should always apply the “What if” linguistic principle in all their communications. He particularly praised the manner in which the application of the What if principle helped to make communications optimistic, leaving “the reader to feel that you’re there to help them”. So instead of writing “This is only for”, Warwick staff under the influence of the What if principle would write “This is for everyone who”. But there were many other advantages that could be derived from consistent application of What if. It also inclined writers to be “proactive”. So instead of writing “Your application was received”, Warwick staff imbued with the What if ethic would always write “We’ve read your application”. Targett said that he also failed to find any humour whatsoever in the further What if insistence that academic staff should always avoid using such tentative words as “possibly”, “hopefully” or “maybe”. So, under the What if linguistic principle, staff would never write “We hope to become a top 50 world-ranked university” but always “Our aim is to become a top 50 world-ranked university”. In what was being described as “an unexpected move”, Targett received support for his views on the What if principle from Mr Ted Odgers of our Department of Media and Cultural Studies, who thought that the principle made “particularly good sense” in the Warwick context. He went so far as to provide the following example of its application: “What if the University of Warwick had not recently banned an academic from its campus for nothing more serious than sighing, projecting negative body language and making ironic comments when interviewing candidates for a job? And What if this ban had not been complemented with a ban on the said academic contacting his own undergraduates and tutoring his own PhD students and speaking to his former colleagues? And What if the whole case against the said academic had not then been pursued with the use of a team of high-powered barristers costing the university at least £43,000?” If all these What ifs had been met, then, added Mr Odgers, Warwick might possibly, hopefully or maybe have managed to retain its former position as an institution that respected the principles of academic freedom. Targett told The Poppletonian that while he appreciated Mr Odgers’ application of the What if principle, he felt that it did not “at some points” fully capture the essence of its guidelines. |
Des Spence, a general practitioner in Glasgow, has revealed a memorandum that was allegedly leaked from the Department of Health. It was published in the Britsh Medical Journal (17 June 2009, doi:10.1136/bmj.b2466, BMJ 2009;338:b2466). It seemed to me to deserve wider publicity, so with the author’s permission, I reproduce it here. It may also provide a suitable introduction to a forthcoming analysis of a staff survey.
|
Re: The use of ‘note pads’ in the NHS and allied service based agencies. Hi, all care providers, managers of care, care managers, professions allied to care providers, carers’ carers, and stakeholders whose care is in our care. (And a big shout to all those service users who know me.) We report the findings from a quality based review, with a strong strategic overview, on the use of “note pads” across all service user interfaces. This involved extensive consultation with focus groups and key stakeholders at blue sky thinking events (previously erroneously known as brain storming). This quality assured activity has precipitated some heavy idea showers, allowing opinion leaders to generate a national framework of joined-up thinking. This will take this important quality agenda forward. A 1000 page report is available to cascade to all relevant stakeholders. The concentric themes underpinning this review are of confidentiality. Notes have been found on the visual interface devices on computers and writing workstations throughout the NHS work space. Although no actual breach of confidentiality has been reported, the independent external consultants reported that note pads “present a clear and present danger” to the NHS, and therefore there is an overarching responsibility to protect service users from scribbled messages in felt tip pen. Accordingly all types of note pads will be phased out in the near time continuum. A validated algorithm is also attached to aid this process going forward. This modernising framework must deliver a paradigm shift in the use of note pads. Care provider leaders must employ all their influencing and leverage talents to win the hearts and minds of the early adopter. A holistic cradle to grave approach is needed, with ownership being key, and with a 360 degree rethink of the old think. All remaining note pads must be handed over in the next four week ” note pad armistice” to be shredded by a facilitator (who is currently undergoing specialist training) and who will sign off and complete the audit trail. (Please note that the NHS’s email system blocks all attachments, so glossy, sustainable, wood based hard copies will be sent directly to everyone’s waste recycling receptacles.) Cite this as: BMJ 2009;338:b2466 |
Spence added a footnote, Note: The BMJ’s lawyers have insisted that I make it clear that this is a spoof, just in case you were wondering.
Here are a few more
| There is an initiative underway to determine what we do as an organisation in the realms of drug discovery. The intention is to identify internal and appropriate external capabilities to foster a pipeline of competencies that enable some of our basic research outputs to better impact healthcare. |