The NHS; a super-sized jumbo jet flying with only one engine…

There’s one thing currently dominating the chatter of many people the Badger encounters, and that’s the UK Budget on the 30th October‘How is it right for me to pay more tax for politicians to fritter away, when the Prime Minister doesn’t buy his own clothes or glasses?’ one pensioner commented. The Badger tries to maintain political neutrality, but there’s little doubt that the new UK government has got off to a bumpy start. However, it’s now starting to flesh out its ‘Change’ agenda and also setting expectations regarding the budget. On the former, for example, the government is calling on the nation to ‘help fix our NHS’. As reported in many places, e.g. here, it wants people to share their experiences and ideas given that we are all users of this huge institution employing more than 1.34 million people. The Badger, having had some exposure to NHS IT during his career and as a patient, has thus contributed to ‘help build a health service fit for the future’ via the government’s website here.

The NHS has been a political football for decades. There’s a regular clamour to give it more money. When it gets additional money, however, it never seems to make an impact, other than to fuel clamour for even more funds – at least that’s how it seems to the Badger. The NHS’s use of modern, integrated, IT is woeful, as neatly illustrated by this New Statesman article in March. By IT, the Badger means the systems that support basic operational processes within and across the NHS’s entities, not the diagnostic and robotic tools that get airtime in the media.

People often tell the Badger of their frustrating NHS experiences, most of which involve aspects where IT plays a part. For example, an NHS phlebotomist bemoaned needing 13 different logon/passwords to deal with blood tests. A relation was appalled on receiving a letter confirming a hospital appointment with Audiology when it should have been with Cardiology! A neighbour was dismayed when a consultant at a post-operative outpatient appointment told them they couldn’t find a CT scan ‘on the system’ even though the scan happened 6 weeks previously at the same hospital. A pensioner, referred from a local hospital for urgent follow-up at a regional hospital, enquired after hearing nothing for 2 months only to be told that ‘there’s no record on our system’ of the referral. The list of similar experiences is long.

Building a ‘health service fit for the future’ is like modernising every aspect of an aging, super-sized, jumbo jet while it’s flying with only one temperamental engine. Few government transformation programmes deliver real change to time and budget, but this one must break the mould, or the jumbo will soon spectacularly crash. That’s why the Badger has not only contributed on the website here, but also urges you to do the same regardless of your political views.

‘A crisis’ – the name for a group of dysfunctional experts.

Many years ago, the Badger took a late morning phone call from his boss asking him to pop into his office for a chat. A reason for the chat wasn’t mentioned, and so it was with a little trepidation that the Badger took the lift to the floor where his boss’s office was located. On approaching, the Badger saw his boss through the open door with elbows on the desk, head in hands, looking morose. Sensing the Badger’s arrival, his boss sat back, smiled, asked for the door to be closed and waved the Badger to a seat.

‘What’s the collective noun for a bunch of experts responsible for designing a huge software intensive system on a fixed-price contract?’ the Badger was asked in a relaxed manner. His boss didn’t wait for an answer. ‘A crisis’, they said with irritation and a flourish of colourful language that would cause apoplexy today. They explained that this answer derived from problems on a multi-tens of million pounds, fixed-price IT development project with a dysfunctional Design Authority (DA) team. This team, apparently, was full of acknowledged experts who seemed incapable of agreeing or deciding anything that was crucial to the progress of the overall project team’s software developers. At the start of the project line management had apparently insisted on staffing the DA team with experts who’d been between assignments and non-revenue earning for some time. The Badger’s boss admitted that, in hindsight, it hadn’t been wise to allow this to trump an individual’s technical and personal suitability for the project.

The Badger was then asked to sort this out and get the project back on track! He joined the project with an open mind and quickly assessed the situation. There were some leadership and management dynamics to adjust, but the DA team was indeed the key problem. Its members were all respected experts with specialist knowledge, but each was focused on expanding and protecting their expertise rather than the big picture and the project’s fixed price delivery. Teamwork, within the Design Authority itself and with the rest of the project, was poor. Experts can add enormous value to any team if used correctly, and so the Badger carefully considered how to rectify the situation. He repopulated the Design Authority with good people drawn from other parts of the project. The experts were released to their home units to be used a couple of days a month for consultancy if required by the new DA team. The experts and their line managers grumbled, but the project went forward to success.

The point of this tale? Simply to highlight that experts who keep their egos in check, never lose sight of the big picture, and have both specialist knowledge and the personal characteristics for teamwork, are valuable assets on tough delivery projects. Those that don’t have all of these attributes are more suited to short term specialist consultancy…

Information is not knowledge. The only source of knowledge is experience. You need experience to gain wisdom…

It’s not unusual when having met a senior leader or company executive for the first time to come away feeling either impressed and respectful, or underwhelmed and sceptical. Of his many such encounters, the Badger always remembers one because it involved ‘age’ and ‘wisdom’ !  

The CEO of a niche tech company approached the Badger’s CEO to ask if they could talk informally to ‘someone with experience and wisdom’ about IT delivery. The two CEOs knew each other through being on the same committee of a trade body. Out of good will, the Badger’s CEO asked him to meet with the individual to share some wisdom gleaned from his IT delivery experience. The Badger duly met the tech CEO, and after a few opening pleasantries, was told by the latter that he was probably too old to provide the kind of wisdom they were looking for! The 35-year-old CEO believed that wisdom provided by anyone older than themselves was outdated and irrelevant. The Badger, a decade or more older with some grey hairs, managed to suppress his irritation!

The CEO was polite but dismissive of the Badger’s experience and guidance. They believed that someone younger and focused on every facet of the latest hot trends would provide more valuable input. This rankled, but the Badger simply pointed out that if they didn’t want his advice, then that was, of course, their prerogative. The meeting soon ended. The Badger’s parting shot was to say that he was proud to have reached an age, maturity, and independence that’s so neatly expressed in Einstein’s quote, ‘I have reached an age when, if someone tells me to wear socks, I don’t have to’. The Badger reported back to his boss that he was unimpressed. His boss wasn’t surprised, admitted to disliking the individual, and expressed an opinion that the tech CEO wouldn’t last long in their job. They were right!

The US Presidential Election has put age in the spotlight. Both candidates are much older than the averages for Fortune 500 company chiefs, FTSE 100 CEOs, and 2024 UK Members of Parliament (59.2, 55, and 50 years old, respectively).  The average age of workers  in tech and IT is much closer to that of the 35-year-old tech CEO, and so for those working in these dynamic sectors, it’s worth remembering that we aren’t born with wisdom, age alone doesn’t imply wisdom, and that those who have it acquire it over time through work, personal, educational and social experiences, and exposure to the behaviour of others. That’s why for a long career and to acquire wisdom  you must continually expand your real experience and real skills rather than academically fixate on the latest hot trend. Einstein, after all, said that ‘Information is not knowledge. The only source of knowledge is experience. You need experience to gain wisdom’, and he was right…

Contracted working hours, and achieving your potential…

The UK’s A-Level exam period is underway and runs until the end of June.  Students sitting these exams receive their results in the middle of August. It’s an intense time, especially for those who’ve applied for University and need to achieve certain grades to confirm a place on their preferred course. According to UCAS, the proportion of UK 18-year-olds applying for University this year stands at 41.3%. That’s up from 38.2% in 2019, but marginally down on 41.5% for 2023. Since last year, however, applications for engineering/technology courses, and mathematical sciences/computing courses, have increased by 10% and 7%, respectively. The Badger thinks that’s a good thing. These subjects are, after all, at the heart of our lives on this planet. Whether we like it or not, it’s science, engineering, maths, and computing  that make everything possible.

While chatting to a teacher recently, their passionate focus on their pupils and desire for good exam results was strongly evident. In particular, they mentioned that seeing their students attain or exceed expectations in their exams was a source of great personal reward for their teaching over the school year. The teacher had strong opinions, one being that people don’t really appreciate that the hours worked by teachers far outweigh those stipulated in their employment contract. ‘That’s actually no different to people working in commercial enterprises; at least you have a long break over the summer’, the Badger commented without thinking. If looks could kill, the Badger would be dead!

The teacher, who’s never worked in a commercial enterprise, was adamant that no one works as hard, or as far beyond the hours stipulated in their employment contract, as teachers. This rankled with the Badger, because it’s not true! An incoming call to the teacher’s smartphone, however, fortuitously stopped the conversation from taking a potentially disagreeable turn. Health professionals in the NHS often convey a view similar to the teacher’s too, but the reality is that many in technical, management, and leadership positions at project, business, and executive levels in commercial operations often work beyond the hours in their employment contract without tangible reward irrespective of greater work-life balance awareness. The performance of their companies would suffer if they didn’t. In fact, research shows it’s the setting and profile of how additional hours are worked that differs greatly between teachers, doctors and their commercial enterprise counterparts, not the actual number of additional hours worked which do not differ vastly.

Well, good luck to those sitting their exams and striving for a place at University. Whatever the outcome, remember one thing. To be successful and have the job satisfaction and the type of rewards you want in your chosen field, an intelligent, hard-working, flexible and can-do ethos will always be a necessary imperative. Working only the hours in an employment contract will rarely help you achieve your full potential…

When is a service not a service?

As companies grow, they reorganise and establish different business units to serve their needs. Often, a number of units must cooperate to deliver contracted services to clients. This cooperation can sometimes prove difficult causing disjoint service delivery and strained relationships with the client. The Badger took many calls during his IT career from frustrated clients who experienced, and were frustrated by, poor cooperation between different units within his company. One call from a client he knew well, however, has long stuck in his memory.

Their call was to complain about constant bickering at service review meetings between two units, one delivering helpdesk, hosting, and support services and the other developing a new business application. They demanded that cooperation between the units improved to provide ‘joined-up’ service coherency, as required by the contract. Action was taken, but what became cemented in the Badger’s memory were the client’s general words about service, namely ‘Service is not a service when it fails to fulfil its intended purpose or meet the needs of users. A service should provide value, convenience, and satisfaction, but if a service provider’s internal problems become visible and are a hinderance then the service has turned into a disservice. The essence of service is not its existence, but its ability to deliver coherently.’

These words, and the context that triggered this client’s call, came to mind when two friends described their recent experiences with the UK’s National Health Service (NHS). One received an outpatient appointment letter from Audiology when they were expecting one from Cardiology! Enquiring revealed that the appointment was indeed with a cardiologist, but the wrong letter template had somehow been used to notify the appointment! The other attended a CT scan appointment arranged months ago only to be told when on the scanner with a canular in their arm that the scan could not proceed because they hadn’t had a prior blood test! The radiologist apologised but said it was common for scans to be aborted for this reason, because departments rarely tell each other – or the patient – that a prior blood test is needed! Having travelled some distance for the scan, the patient was understandably livid at having their time wasted and at having to await notification of a new appointment.

Irrespective of strikes, waiting lists, money, and political posturing, all of which are the mainstay of media reporting about the NHS, it’s no wonder that public satisfaction is at a record low (see here and here) when patients routinely experience interactions similar to these! The words of the Badger’s client resonate. The essence of service is not its existence, but it’s ability to deliver. It’s thus frankly shameful that ‘when it’s the NHS’ has become a valid answer to the question ‘when is a service not a service?’  Without redressing this, oblivion beckons for the NHS and its end-users…

A first-time Project Manager and scrutiny…

In times or yore, a young Badger was appointed to lead a new project developing software for an important client. It was his first time as a Project Manager! After six months, however, the Badger seriously doubted his suitability for the role. The initial enthusiasm, excitement, personal glow and motivation from knowing that your boss believes you have what it takes to be a Project Manager had been replaced by gloomy self-doubt. The project was on track, the team members was working well, and the client was happy, so what was the problem? Put simply, the Badger felt bogged-down with – in his view – unnecessary company bureaucracy and intrusion that encroached more and more on the time to lead the project.

In those days, all company employees had ‘a counsellor’, an experienced person outside the employee’s immediate chain of command, who acted as both a mentor and an independent performance appraiser. Employees met their counsellor formally twice a year, and one such meeting happened to be around six months after the start of the Badger’s project. At this meeting, the Badger shared his bureaucracy and intrusion misgivings and whether he was suited to a Project Management career path. His counsellor chuckled and said ‘Everyone initially struggles with scrutiny in their first leadership role because no one likes to be scrutinised. First-time project managers often underestimate the scrutiny that goes with the job!’ The counsellor was right. What the Badger labelled as unnecessary company bureaucracy and intrusion was largely the scrutiny that‘s part of good corporate governance and operational control.

The counsellor emphasised that embracing scrutiny was important because it builds trust and provides assurance that nothing is being hidden, whereas resisting it creates suspicion, distrust, and even more scrutiny! As an aside, they observed that the level of company scrutiny experienced can be a qualitative indicator of a company’s health, because the absence of it implies anarchy and ultimately company failure. Overbearing scrutiny of everything all of the time, on the other hand, suggests organisational constipation, risk aversion, stifled creativity, and likely underperformance compared with rivals in the market. The counsellor concluded with ‘As a Project Manager, you are actively managing your client and your team, but you must also actively manage your company scrutineers and their agendas’. Over subsequent years as a Project Manager that is exactly what the Badger did!

The Badger’s IT delivery career eventually took him into a senior, company-wide, delivery and business role that included being a scrutineer! Most of the first-time Project Managers he encountered as a scrutineer were better trained and supported and embraced scrutiny positively. Experiencing them trying to influence and manage the Badger was always fun, because when you’ve been in delivery for decades you know all the Project Manager’s angles and how not to be defected from your agenda!

Future-gazing while eating fish in Riyadh…

The Badger visited Riyadh with some members of his London-based project team. The team was developing the SARIE Real Time Gross Settlement (RTGS) computer system for the Saudi Arabian Monetary Agency (SAMA). We stayed at the Riyadh Intercontinental Hotel, the normal base for short visits to meet client staff and Kingdom-based project staff. The work schedule for the visit was intense because the project was at a crucial stage in its delivery. On the penultimate night of the visit, the hotel had a ‘fish night’. The Badger and his companions duly booked a table for what turned out to be a memorable meal. It took place outside under a night sky full of twinkling stars in near 30C heat. Riyadh is in the desert 250 miles from the nearest seaport, and so it felt a little surreal seeing not only unfamiliar fresh fish on a mountain of crushed ice, but also choosing one to eat! This was more than 25 years ago.

Unsurprisingly for a group of relaxing IT professionals, we future-gazed while eating our fish and drinking alcohol-free fizzy apple juice – ‘Saudi Champagne’. Mobile phones at the time provided voice communication and SMS messaging. They were rudimentary compared with today’s smartphones, and we knew that the new one in our hand would be usurped by a newer model within weeks. Communication network technology, internet use, and IT were high growth areas, and the PCs and laptops of the time, see here for example, had nowhere near the capabilities taken for granted today.

Three areas dominated our future-gazing during the meal. The first was MMS (Multimedia Messaging Service). Would it actually arrive, be useful, and popular? (It arrived in 2002). The second was off-the-shelf, reusable, software products and kernels. Would they decimate bespoke software development and speed up systems development for clients? (They did. Software has become commoditised). The third was outsourcing. Would it change the IT industry and stifle innovation and technical creativity? (It has, although views on innovation and creativity vary). We debated affably as we ate. We did not foresee the tech and online world that has emerged to be the global critical infrastructure of personal, business, governmental, and military life today!

With the Middle East in the headlines and tech CEOs savaged while testifying at a US Senate hearing, the Badger wonders what discussion he and his companions would have during a ‘fish night’ in Riyadh today.  One area would inevitably be AI and given the history of the last 25 years of digital revolution, whether its dark side would eventually overwhelm its benefits. With general points from the Senate hearings like ‘Because for all the upside, the dark side is too great to live with’ (made by Senator Lindsey Graham) rattling in his head, the Badger thinks that the dark side of AI alone would dominate the discussion and make the conversation even livelier than it was 25 years ago!  

The delivery of letters…a pre-Christmas musing

You never know what will catch your eye or pique your interest when you browse in a charity shop. Two weeks ago, the Badger sheltered from a downpour in one, and the ‘The Post Office went to war’, a 94-page pamphlet published by His Majesty’s (George VI) Stationery Office in 1946, caught his eye. In good condition for its age, it describes how the GPO – the public service providing the UK’s letter, parcel, telegraphy, and phone services during World War II and until the late 1960s – actually worked during wartime. The Badger was drawn to it because, after service in the British Army, a close relative became a GPO postman and delivered letters and parcels to their local community from the late 1940s until the late 1960s. They enjoyed the work, the camaraderie, and interacting with customers while out delivering the mail. They took great pride in wearing their GPO uniform, and in delivering the mail reliably.

The Badger bought the item for 50p and subsequently read it from cover to cover. It was a revelation. Did you know, for example, that during World War II the GPO managed to deliver letters and parcels posted in the UK to recipients in the British Isles in two days, even when sorting offices and infrastructure had been bombed, and even when the location of recipients was transient due to the war effort and housing damage? That’s an achievement, especially when the technology for the handling, distribution, and delivery of the mail at the time bears no comparison with that of today. A little research via the postalmuseum.org reveals that the cost of a stamp as a proportion of the weekly average wage is almost the same today as it was in those times. It also reveals that the number of people actually delivering letters and parcels as a public service is much the same today as it was then. Has today’s modern technology significantly improved the time it takes for a letter to land on your doormat? Hmm, probably not.

A friend living in Northern England phoned last week. They mentioned that they’d posted a Christmas card first-class to the Badger. Our postman delivered the card this morning, a week after it was posted. Draw your own conclusions, especially as the postal public service ecosystem today is markedly different to that when the GPO existed, but surely something’s amiss when today’s tech-rich society cannot match or better the letter delivery of a bygone era with about the same number of employees and stamp price?

Christmas is now just a few days away. Have a happy Christmas however you celebrate the occasion, but please remember that family and friends, especially those who may be vulnerable, should always take priority in your thoughts…not Christmas cards that haven’t arrived due to postal delays!

Are Management Consultants useful and good value?

A recent item about Management Consultants made the Badger chuckle. It’s  worth a quick read to see if anything resonates and makes you chuckle too. The Badger giggled because the narrative struck a chord and made him remember one particular encounter with a ‘management consultant’ while he was leading the delivery of a very large, fixed-price, IT systems and service development contract for his company. This delivery was a key part of an overall public sector programme transforming the workings of an entire industry. Inevitably, this overall programme was mired in politics, resistance from some quarters of the industry, and commercial gamesmanship by some of the parties involved to ensure they avoided blame for any difficulties the overall programme might encounter.

In private, every party believed the overall programme would be delayed. Their public stance, however, was different because the commercial ramifications of being blamed for delay were punitive. Most expected the key, critical path, IT delivery from the Badger’s team to be late. His magnificent team, however, delivered a system of quality on time, and in doing so exposed unreadiness and delay in other key parts of the overall programme. The overall programme’s stakeholders appointed management consultants from a well-known company to review and advise on the situation, and the Badger, in due course, spent an afternoon being interviewed by one of them. He didn’t come away from the session with much respect for management consultants.

As soon as initial pleasantries were complete, the Badger wondered how the expensive, brash, sharply suited, intelligent but over-confident, youngster in front of him could be a ‘management consultant’ when they were just a few years out of university and simply executing a process with a long list of associated questions. They had no real business, project, programme, or leadership experience, but they had clearly read many books, and drafted many reports and PowerPoint presentations. There was no discussion, just questions with the Badger supplying increasingly curt answers. The interviewer’s brash confidence and superficial real experience was irritating, and their credibility as a consultant providing value dissipated with every question. Two weeks later, the programme’s stakeholders received the management consultants’ overall report and supporting presentation. Both were stylish and well-written, but contained little that stakeholders didn’t already know. It didn’t seem like value for money!

You might think from this that the Badger has a low opinion of management consultants? In fact, he has engaged with many over the years and developed great respect for those who have become management consultants after years of important roles in business, industry, or project delivery. They are useful and provide significant value. Those, however, who call themselves management consultants, have expensive fee rates, but do not have such underlying experience are not great value for money. You may, of course, feel differently…especially if you are a management consultant.

Expect the unexpected; when the unexpected happens, respond rather than react…

The very first Project Management training course the Badger attended early in his IT industry career seemed of questionable merit. It was a residential course for Project Managers drawn from across all the business sectors in which his company  operated. Attendees arrived on a Sunday afternoon and ultimately departed mid-afternoon on the following Wednesday. At the time, it was common for people to be actively performing a Project Manager role before attending any associated training course, and so everyone on the course was already actively managing software and systems projects under a variety of contractual arrangements.

Most of the course sessions focused on the process and practice of managing a delivery/development lifecycle, risk, finances, and the basics of contracts and change control.  The format was rather dry but provided some useful reminders. At the end of the course, however, most attendees questioned whether being away from their projects had been a useful use of their time. There were, however, two overwhelmingly positive points of feedback, namely a) the usefulness of meeting peers and sharing experiences, and b) the closing, hour-long, Q&A session during which a senior business leader answered wide ranging questions from attendees.

Whilst the Badger came away rather ambivalent about this course, it had provided a useful reminder that Project Management is as much about people, as it is about structure, lifecycles, processes and practices. In fact, the primary thing that has stayed with the Badger from the course ever since are the wise words of the senior business leader in the closing Q&A session. When asked to give one piece of advice that everyone present should take on board, they said ‘Expect the unexpected, and when the unexpected happens, respond rather than react’. They explained that no one can avoid the unexpected, that some people are better at dealing with it than others, and that some people react emotionally, feel anger, panic and fear, become agitated, and initiate  knee-jerk moves to action that compound matters and alienate others.  Others respond rather than react. They stay calm, focus on the facts and what they can control, assess the options before progressing a plan of action, and unify and encourage those around them.  The business leader told the audience to remember to respond rather than react.

Throughout his career, the Badger encountered many leaders and managers who had to deal with the completely unexpected. Many reacted rather than responded ! This was a constant reminder that everyone is different, and that being a leader or manager doesn’t provide immunity to the core traits of your personality. Perhaps that first Project Management course was of more value than seemed at the time, because it sowed the seed of awareness that to be a truly successful leader or manager, then you must learn how to respond rather than react to the unexpected…