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After working with several teams in recent months, a set of familiar themes keeps resurfacing. Different sectors, different pressures, but the same underlying story: people want to do good work, yet the way their processes operate day to day gets in the way more than it should. Across improvement workshops, teams often describe a sense of pressure  building around them. They’re trying to meet expectations while navigating mixed portfolios, uneven allocation of workstreams and

If you’re leading in healthcare right now, the pressure isn’t something you read about, it’s something you are dealing with on daily basis. It’s there in the decisions you’re making all the time about what has to wait, prioritising what can't slip, and where risk is being absorbed because there simply isn’t another option. It’s also present in the meetings where everyone is working hard, yet the same issues keep resurfacing, and in the growing sense that the system keeps aski