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nhsManagers.net

2nd July 2026

What you need to know and what you need to think about - all in one place - for free!


News and comment from

Roy Lilley



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Short on time? Get yer ears-on and listen to Roy Lilley read this morning's eLetter... free!

For the foreseeable we’re plunged into the world of the Cross of St George, beer bellies and bad language.


The ‘beautiful-game’ is back in our lives, like it or not, and…


… I’m writing this on Wednesday morning and later today England are taking on what looks like the BMA, their team captain... Dr Congo?  Good luck!


I try to avoid sporting metaphors… but maybe there’s something…can we extract some sense from it… what it can teach us?


Starting with the manager.


The Football Association was brave to appoint a German to manage England! But…


…Thomas Tuchel arrived with a formidable track record.


Since 2007 he’s won just shy of 60% of his matches in all competitions. About the same as Sir Alex Ferguson. Not as good as Guardiola, who hovers around 72%, nor Zidane, nor Mourinho, but… 


… Guardiola has spent much of his career managing squads that cost more than some countries. Ferguson sustained his numbers over more than two decades. 


Context matters, and there’s a more interesting question.


Does success come from tactical sophistication or from continuity, culture and relationships? 


The former England manager, Gareth Southgate (60%), suggests the latter matters more than people expected.  


Some of the NHS's most successful leaders; Sir Andrew Morris at Frimley Park, Sir Jim Mackey in the North East would agree their achievements were not built solely on structures and strategies. They were built on relationships, trust, culture and consistency, and…


… the games… 


… England seem determined to give us a heart attack in the first half and then half-time...


...a few slices of orange, the whiff of Deep Heat and a ‘conversation’ with the manager in the dressing room… the second half is transformed.


What does Tuchel say? We know what he said in the Croatia game.


By all accounts it wasn't a long speech. Nor was it a hairdryer treatment. Reports suggest he told them something like:


‘If we lose, we lose in our way. Get the shackles off. What's the worst that can happen?’


He challenged the team about ‘protecting a result they didn't yet have’. Reminded them; ‘play the football you’ve had spent seventeen days practising.


Importantly, he didn't berate them. Set them targets (!)…


He reset them. Changed the frame, and that’s one of the most important leadership skills of all.


Speeches that change history are rarely the most eloquent. They’re the ones that give people permission to think differently.


Churchill’s;We shall fight on the beaches’ speech, reframed retreat. He persuaded a nation that survival wasn’t failure. He gave people a story they could inhabit.


Kennedy’s;Ask not what your country can do for you’ speech reversed the relationship between citizen and state. It transformed people from consumers into contributors.


Martin Luther King’s;I Have a Dream’ speech, didn’t just describe a problem. It described a future. He invited people to imagine a different America, before it existed.


The speeches followed the same pattern.


  • Acknowledge reality.
  • Offer a new frame.
  • Give people permission to act differently.


People rarely change because they are given more information. 


They change when someone gives them a different story... about themselves.


So, it’s half-time in the NHS dressing room, what would you say?


Work harder. Do more with less. Here’s ten targets. We need transformation.


No, no, no.


Remind people who they are;


You are highly trained people doing work that matters…  and that means, you matter because…  


…every day you will touch lives, restore dignity, ease pain, create memories and, occasionally, save a life.'


Some of you will do it at the bedside.

Some of you will do it by making sure there is a bed.

Some of you will do it by organising clinics, balancing budgets, cleaning wards, repairing equipment, answering phones or paying suppliers.


All of you matter. You matter to each other. Every role counts.  


'Now go and do what you've spent years learning to do, because today you will stay in the memory of the people you meet. How you made them feel.  


Go and create some wonderful memories.


They’ll last a lifetime.


Leaders don’t hand out instructions. They hand out permission…


… permission to believe, to trust each other, to be the people they already are.


The NHS doesn't need another transformation programme.


It needs more people in the dressing room...


... reminding us why we came to play.

NEW PODCAST

Former Labour MP and shadow minister for health

Jonathan Ashworth

In the last election

Jonathan Ashworth lost one of Labour’s safest seats.


On New Year's Day this year, Jonathan suffered a major stroke, aged just 47.


In this revealing podcast Niall and Roy discover how this former key member of Labour’s leadership views the plight of the government and the Prime Minister he helped to secure the leadership after disastrous Corbyn years  


In a frank exchange, Jonathan explains how and why the two party system has collapsed as well as how he warned his colleagues to back a ceasefire in Gaza, but they point blank refused to listen... and he lost his seat. 

Reflecting on the last two years, he says


Starmer lacked charisma and ‘oomph’. But he is also clear Labour badly needs a policy debate.


They won the election with a slogan of ‘change - not being Jeremy Corbyn and not being nasty Tories. But that was not enough to create a programme for government, based on hard choices.


Jonathan calls for that debate now and for example to flesh out what Andy Burnham means by bringing health and social care together.


As for Andy Burnham, while he notes how he endeared himself to Labour grassroots with his opposition to private sector tendering , Jonathan notes how the Manchester mayor worked pragmatically with the private sector to promote youth employment. 


As for his own stroke and remarkable recovery, he praises the NHS but laments the miserable 6 hours of rehabilitation offered as standard to stroke victims. As a result he claims they are more likely to fall back on health and care services.  


This is a great example of a politician freed from office, able even to admit ‘I am the ultimate hypocrite’. That was because he made endless speeches about the need for men to have check-ups but the ignored the text messages invitations himself.


If I had bothered... maybe I would never have had this stroke in the first place’.

For all the previous

In the Loop

podcasts with

Dr Ian Higgson

President of the

Royal College of

Emergency Medicine.

Prof Jim Blair

Learning Disability expert

Andy Burnham

Mayor of Greater Manchester

Nichola Ranger

ChEx Gen Sec RCN

Tom Dolphin

Chair BMA

David Gregson

founder of BeeWell

Dr Charlotte Refsum

Tony Blair Institute

Rob Webster

ICB CHEx

Sarah Woolnough

CEO of the King's Fund

Sir Jim Mackey

Dame Jennifer Dixon

Lord Darzi

Professor Tas Qureshi

Dr Penny Dash,

chair NHSE

Richard Meddings,

former chair NHSE,

Sir Jeremy Hunt,

Sir Andrew Dilnot,

Paul Johnson

IFS

CLICK HERE


-oOo-


Probably, the most listened to

Podcast in the NHS!

FREE!

Want to contact Roy Lilley?

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roy.lilley@nhsmanagers.net 

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Dr Paul Lambden


Cognitive Decline


'... attracting increasing interest in the medical media, and recently there have been articles in newspapers and television suggesting that President Trump may be displaying the signs.' 

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