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By Anthony Berendt

A: I can't believe it! I'm furious!

Q: Oh? Why? What's happened?

A: They've imposed a 75% flu vaccination target for healthcare workers! It's crazy!

Q: Aren't you a supporter of healthcare worker flu vaccination?

A: Yes, passionately!

Q: Even though it's not that effective?

A: Well hang on...it's 60% or so effective. That's not bad

Q: Enough to want to promote it?

A: For sure! That's a good reduction in the risk of catching flu at an individual level and if we were all immunised it could impact on spread

Q: Is it true you have started using Twitter?

A: Yes, absolutely!

Q: But surely that’s not your thing? I thought I was the unconventional one. When did you start this up? Why?

A: I just got fed up with not knowing what it was all about….some leaders I respect use it…so I decided to take action and educate myself

Q: How? Did you do a course?

A: It was easier than that. I just went to the Twitter website on https://twitter.com/ and created an account. Less than a month ago.

Q: Isn’t it all rather complicated?

A little while back, I was looking at the regular e mail update from the Institute for Healthcare Improvement in Boston. Among their various initiatives of the week was an announcement about a training and learning programme on how to improve care for “frail elders”. Not “elderly”. Elders.

 Q: I thought it might be good to reflect a bit on the Wimbledon Championship and think about what it might teach us about leadership?

A: Oh for goodness sake! Last time it was kindness, and this time its tennis! Don’t you think it’s all a bit obvious?

Q: What do you mean?

A: Oh come on…to win Wimbledon requires enormous skill and incredible amounts of work to prepare; tremendous self-belief, but also determination, resilience, the ability to set a strategy and focus relentlessly on its execution, and…

Q: It sounds….

Let’s start with the simple and obvious. The inception of the NHS was one of the most remarkable enactments of leadership for the common good, in the history of the United Kingdom, and arguably far beyond. So as the NHS reaches sixty-five, why on earth should we talk about it and leadership and death in the same conversation?

Q: Must I really read the Francis Report?

A: Of course you must. The Francis Reports, in particular the most recent one, set out in detail the failings that occurred at the Mid Staffordshire NHS Foundation Trust over several years, in the course of which possibly hundreds of people died avoidable and premature deaths, some in conditions of misery and squalor that the whole NHS should be ashamed of. Every self-respecting leader should want to read these reports in order to make sure that this never happens again. I am surprised you would even ask the question!

From a leadership perspective, I love the months leading up to Christmas. It’s not just the anticipation of the festive season or the especial frisson you get from a bright wintery morning with sun on frost or snow. In recent years, it’s been because this is also seasonal flu immunisation time, and that means leadership!

I don’t know exactly who coined the phrase that leadership is an activity that takes place “one conversation at a time”. It may go back to before 2000 when Susan Scott was already developing her idea of Fierce Conversations[1]. Her eponymous book, published in 2002, certainly pushes forward the idea of achieving success one conversation at a time. Since then, a Google search reveals, one-conversation-at-a-time has had a pretty viral spread, and is to be found on multiple websites in different contexts.

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