Why do you blog?

I’ve been collecting questions and comments about blogging recently. Here are some of them, with my thoughts. I’d love to hear yours.

1. Why do you blog?

This is a bit like asking why do you breathe. Because I have to. I’ve always used writing to explore ideas and work out what I think. And I’ve always shared it. Blogging is just the latest way to do this. There will no doubt be others.

2. I don’t know how you find the time

Writing a blog doesn’t take as long as you might think. Also, I no longer have a full time job – although I found it helpful to write a weekly blog even when I did. Nowadays, there are other things I don’t do as much of as perhaps I should. Such as finishing the book I am writing…

3. There are so many blogs. I don’t have time to read most of them

No one expects you to. There are also many millions of books, articles and other forms of writing. Some of us have voracious appetites for reading. Others are more choosy. Both are OK, as long as you don’t only read things you know in advance you will agree with. Reading is meant to broaden the mind. And make you think.

4. How do you know if people read your stuff?

This is why blogging is so great. Back in the day of articles appearing in print only, you might know how many people had bought the newspaper or journal. But you’d no way of knowing who had read your piece. With online blogs and articles, at least we now know exactly how many have opened it, even how long they have lingered there. Although whether they actually read it remains their private business!

5. What if no-one reads your blog?

That’s OK. I have had blogs that were looked at by 1,000 people within a few hours, and others which struggled to reach 200 people over a whole week. It can be hard to work out which will be which in advance. It helps to consider whether the title is appealing, and also whether I am saying something original or even interesting; sometimes only clear with hindsight! The ones that seem most popular tend to be when I write about something that other people might have wanted to say, but were too scared to. Or where I talk about my personal experiences of difficult stuff, and what I have learned.

6. I’d like to write an opinion piece but I’d hate to get some of the horrible feedback I’ve seen you getting

This is interesting. At first, the online mauling of people like me who express their views can be distressing. There is something about the ability to be anonymous or apparently unaccountable that makes some people behave in destructive, even vicious ways. I heard Stephen Fry on Desert Island Discs say that he now tweets but never reads the tweets of others.  That is really sad. I’m similar to him in two respects: I experience depression from time to time. At those times, there is nothing anyone can say about me that is bad as how I view myself. And when I am well, I have in the past found it almost unbearable when people have criticised me. But…If you ignore negative feedback, you miss learning something.  I’m slowly improving at rolling with the punches, and just tuning out the most obviously horrible responses. Increasingly I see myself as an incomplete project that I need as much help with as possible. This makes everything about being alive so much easier.

Also, my wise friend @AlexYLDiabetes tells me that the 80:20 rule should apply, i.e. at least 20% of people should actively object to what you are saying. If they don’t,  you are being bland or populist. Thanks Alex,  as you know that has been a stunningly helpful insight. Particularly as my next blog after this one might be quite contentious…

7. I’ve been told I should blog but I’m anxious about getting started.

No-one should tell you what you should do. It is your decision. But given that you might want to try blogging, I will just say this. All new things are scary. I have had palpitations just before pressing the Publish button on quite a few occasions. This was one and this was another. It is when you stick your head above the parapet and say what people might not be expecting that you will get the most reaction. I like it when I manage to articulate what others have been thinking but haven’t got round to saying yet. And I like it even more if I can help people to formulate their ideas. If you think you might like these things too, please do have a go.

8. How does blogging make you feel?

Mainly happy. I honestly love it. As I do discussing ideas face-to-face, reading and hearing what others have to say, finding my thoughts shifting, and finding ways to explain what I think through the powers of story-telling.

And I love online conversations, especially on Twitter, which is made for ideas. As well as pictures of cats.

William in the garden

William in the garden

It could be you

I’ve had a mixed week. Yesterday I was in Leeds with people who mainly work in the local NHS, voluntary sector and local authorities and share an interest in helping vulnerable people. The conference was called #puttingPeoplefirst. It was enlightening and uplifting. I observed a groundswell of support for a different way of being at work, where people bring their whole and unique selves to bear on issues that matter, where failure is seen as an opportunity for learning rather than a weakness to be vilified,  and where treating patients/clients/service users with deep and real compassion is underpinned by working with love and compassion with one another.

Sounds a bit wooly and Buddhist for you? Then listen up. There is an increasing body of evidence that staff, from cleaners to chief executives, who are encouraged to operate with integrity and openness provide better, safer, kinder care. And this stuff isn’t new. Thank you @jackielynton for reminding us of our old friend Donabedian, who wrote wisely about improving quality before anyone else had thought of it, and said that it started with love.

If you don’t already follow @johnwalsh88 on Twitter or read his Yes To Life blog, and you like the sound of the conference, I’d encourage you to do so. I cannot thank John enough for inviting me. Or to the other organisers and speakers and to everyone there who was so honest and kind, including when they challenged one another.

Meanwhile, in another part of the forest,  a senior public servant has selflessly stepped down from a job they openly loved despite having done absolutely nothing whatsoever wrong, and indeed a considerable amount right, in order to meet the political ends of people who appear simply to be throwing their weight about. And is being vilified online for it. What does that say to the thousands this person leads? Are they at similar expedient risk?

And in yet another part of the forest (I do like that saying, please tell me if I overuse it) senior people who should know better have been talking about “Never Events” as if by giving something a threatening – sounding name, it will stop it from happening. Actually, what it does is make staff very, very scared. And scared people are less creative and more likely to cover bad things up and to go off sick with stress. Or worse, come to work when they aren’t psychologically fit enough to care for themselves, never mind others.

Here’s a precis of what I said at the conference about authentic leadership:

  1. Bad things happen. Good leaders look after their people at such times. We live in a blame culture so this is very, very hard.
  2. The more rules and procedures you impose, the less creative and compassionate your people will become. Resisting the external demands to introduce even more is also very hard.
  3. We performance manage and inspect individual organisations at the expense of the good of the collective system, and the patients who struggle across the bits of the system. Moving to a more collective approach is a goal we could all agree on. But what about accountability, comes the cry. Or, who would we blame when things go wrong?
  4. There is a leader in all of us, whether we are a patient or family member, work on reception or sit at the board room table. Work hard, if needs be against the grain, to be defined by what you do best, not by what scares you most.
  5. Bring all of you to what you do. It took me far too long to learn that being all of me, including the bits I was less proud of, even ashamed of, made me a more authentic leader. Don’t try to hide your imperfections like I did. It’s an added burden when things are hard enough already.
  6. Many people are privately saying that everything now isn’t right, and some things intended to improve care are actually conspiring to make it less compassionate and safe. If you agree, find the courage to speak truth to power, which is what I am trying to do in this blog.

If you are in a leadership role and you see a colleague who is having a tough time, please don’t metaphorically cross to the other side of the road as though they had some toxic disease you might catch. And please don’t believe the shit you read online or even join in the anonymous bear – baiting that passes for acceptable comment these days. Instead, offer them your genuine support.

Because you never know, one day, it could be you.


Please take care, Twitter can be cruel

I love Twitter. But it can be a cruel place. Personal attacks and even threats of death are not uncommon. Sue Perkins and Jack Monroe are the latest high profile quitters following unrelated horridness – in Sue’s case, she was attacked for being (wrongly) tipped as Jeremy Clarkson’s replacement on Top Gear. Jack’s was about supporting the Greens on the election. Death threats for this? There are no words.

I’m nowhere near their league, but I’ve had my share of online nastiness, and it continues. It can be overwhelming when you are under an onslaught from many directions. And unless you reply and risk even worse, other more measured folk won’t know what’s happening, because the vile stuff won’t appear in their time line.

I am of the “Whatever we wear and wherever we go, Yes means Yes and No means No” generation. I don’t see why bullies should frighten us away from places that belong to us all. But I’m also concerned for my own wellbeing and that of others.

It is good that Twitter are cracking down on abuse – better late than never. Meanwhile, here are my tips for staying emotionally safe and still getting the best from Twitter.

  1. Be yourself but think really carefully about how much you share. Social media is still a relatively new medium. Some are already regretting earlier openness. I’m thinking particularly of people like me who experience mental illness from time to time. Talking with others who have similar experiences really helps, because with diseases of the mind, unchecked irrational thoughts about ourselves can snowball and be really bad for us. But sharing also makes us vulnerable. Only a handful of people have accused me of psychological weakness, attention seeking or of using my depression as an excuse for past failings. Even fewer have defaced my image, called me vile names, and traduced my appearance, intelligence, morals, motivations and career. I have forgiven but I cannot forget their words. On a bad day, I imagine that others may feel the same way about me. On a really bad day, I may even agree with some of this shit. So please, take care.
  2. Be wary of individual tweeters who follow few people themselves. They may say interesting stuff, but they are unlikely to be interested in an online conversation with you. Maybe you don’t mind just reading their views? It’s a good way to start, especially if you are shy. But most of us are on social media because we want to exchange thoughts, share experiences and ideas.
  3. Don’t just follow those you know you will agree with. It might feel cosy to be in a cocoon of like – minded folk, but it won’t stimulate or enlighten. If it weren’t for Twitter, we wouldn’t know the odious extent of the views of, say, Katie Hopkins on people seeking asylum. What better spur to get the previously disaffected to vote than the thought of people like Hopkins (who always vote, by the way – they know their rights) getting more of a say than us non neo-Nazis? We need to know these things.
  4. Take the plunge and join in conversations when you haven’t got a view or are still making up your mind. Some people think that being open – minded, even undecided, is feeble or wishy-washy. I disagree. Just be sure that when you in one of these discussions,  everyone is treated with politeness, including you. Be prepared to walk away if that doesn’t happen.
  5. Join in with conversations that are happening at the time you are actually on Twitter. Prepare yourself so you don’t feel too hurt if people whose views you admire don’t respond. Just move on and chat to someone else. Don’t assume people are being rude; they might be but that really isn’t your problem. Easier said than done when you desperately want a reply, I know!
  6. Try not to get involved in those angry ding-dongs where an increasing number of @names get added, until in the end there is no space to say anything. If you get copied in, these are best ignored, in my experience.
  7. Don’t be heavy – handed with the Block button. Some people collect blocks like trophies, and will proudly list you as a person who lacks empathy along with others you may prefer not to be associated with. And you won’t know about this if you have blocked them. Save blocking for porn sites, annoying bots and people who are genuinely harassing you. And for the latter, do also report them. Twitter are rightly upping their game in dealing with online harassment. If you are being repeatedly harassed by someone, you may also need to check if they have other profiles. In my experience, these are relatively easy to spot. And do also report them to the police. They definitely do take action when serious threats are made.
  8. My thoughts here are aimed at people like me who are able to tweet as individuals. The freedom we enjoy compared to those in public positions cannot be underestimated. I’ve been in one of those jobs, and written about use of Twitter from that perspective here. It is great if such people can share something personal of themselves, but it is a big ask, given what can happen and the impacts. Which leads me to my final point.
  9. Don’t rush to judgement of others. No-one knows what it’s like to sit where they are sitting, other than they themselves. Be kind, always. Never, ever make remarks like James May did recently about those who made death threats towards Sue Perkins. He only made a bad situation worse. If you can’t be kind, walk politely but firmly away.

I’ve blogged in the past about forgiveness. If you haven’t seen it and are interested, here it is.

I’m still practising by the way.


On Forgiveness

Drawing by Mandy Assin: Lisa as imagined after retirement

Drawing by Mandy Assin: Lisa as imagined after retirement

” In spite of everything, I still believe that people are really good at heart.” Anne Frank, written 1943, published 1947

“To forgive is not just to be altruistic, it is the best form of self interest.” Archbishop Tutu, 2010

Forgiveness is not only compassionate towards those who have done us harm. It is also good for the person doing the forgiving.  And yet, in our social media driven, accountability-obsessed world, we forget this. We seek to apportion cause, responsibility and blame within moments of the occurrence of an event that seems adverse. And then we look for retribution. Even when the case for responsibility is far from proven.

Take Dame Fiona Woolf. The initial chair of the Independent Panel into Child Sex Abuse was the eminent judge Baroness Elizabeth Butler-Sloss. She stood down because her deceased brother, Lord Havers, had been Attorney General at a point to be covered by the inquiry. Woolf, also an eminent lawyer, was hurriedly named by the Home Secretary as her replacement. It then emerged that another former member of government, Lord Brittain, might come under scrutiny during the enquiry (he since died of cancer). Woolf was open about the fact that he was a neighbour and had been to her house for dinner. A media furore ensued, and she resigned from the chair role at the end of October 2014. As her damehood was being announced in the 2015 New Year Honours List, there were calls for it to be rescinded for no reason other than that she had accepted a difficult public task.

You may not care much about Dame Fiona. She is a powerful figure. And you may not care for the honours system. But what about the nurse Jacintha Saldhana? She fell for a not-very-good hoax call to a private hospital by two Australian DJs pretending to be the Queen enquiring after the welfare of the Duchess of Cambridge during her last pregnancy. The call was played across the international media. Some people thought it hilarious, others immediately criticised inadequate security. Then it transpired that Jacintha was so ashamed, she had taken her own life. Public vitriol at once turned on the young DJs, and there could have been more tragedies.

Human beings are flawed. We all make mistakes, some of which only turn out to have been mistakes with the benefit of hindsight. When things go wrong, people need encouragement and support, so they can learn from their mistakes and improve their practice. They may need help to forgive themselves. Unless they have purposely set out to do wrong and are unrepentant, the last thing they need is public criticism. It is particularly damaging for public servants such as teachers, nurses, doctors and managers to have their motives and competency questioned by those who know little of the events in question and have never been in the position of having to do the skilled, difficult work from which the perceived error arose.

These judgemental unforgiving attitudes to mistakes cause collateral damage. The Independent Panel into Child Sex Abuse seemed unlikely ever to happen, although it is excellent news to be able to edit this post on 5th February 2015 as a third, truly independent chair has been announced. It is much needed so that the survivors can finally be heard. But sadly, since the approbation of social workers and social service departments arising from investigations into the Baby Peter case, social work practice has become measurably more conservative, with more children being taken into care, and a national social work recruitment crisis.

Judging without forgiveness makes the people doing the judging feel angry, dissatisfied and unhappy. As Archbishop Tutu showed through his remarkable leadership of the Truth and Reconciliation Commission in South Africa, and in his teachings since through the worldwide Tutu Foundation, there is no future for humans without forgiveness.

The words of Gordon Wilson, speaking on live TV just after he had held the hand of his dying daughter as they lay buried in the rubble of the Enniskillen IRA bombing were “I bear no ill will. I bear no grudge”. His calls for forgiveness and reconciliation helped lay the foundations for the eventual peace in Northern Ireland.

Throughout my career, I have tried to be honest when things haven’t gone as well as they might. I have expressed regret and apologised for failings and perceived failings, and listened and learned from people affected. This has led to improvements. But you have to keep listening.

And I have had my share of media criticism (as most chief executives do) including some unpleasant social media. This tends to be more vicious and personal when one is a woman. I began blogging and tweeting myself because I wanted to share more of who I was and what I was thinking with staff, patients and the public, and get their views directly. Although it has been difficult sometimes, I truly believe that leaders of public services do better by being open.

Some people believe that being active online makes you a target. I have thought hard about this, and I don’t accept it. It feels similar to blaming the victims of rape or other assault for putting themselves in harm’s way.

In September 2013, I announced my plans to retire from my chief executive job the following summer. I then took a big decision, to share for the first time a little of my experiences of mental illness which had occurred off and on since the age of 15. A few weeks after the second of these, I experienced a sudden onset of clinical depression, my worst ever episode. When I went back to work at the beginning of 2014, I had compassionate support. But there was also some nasty social media, just this side of legal. It continues today; it has taken a long time to learn not to look at it.

My breakdown wasn’t caused by anything anyone said about me on the internet, and I got better despite it. The causes were far more fundamental than that. It was my time to change, and I am really pleased that I did.

Because I am better now, I am able to let go of my feelings about people who say unkind and untruthful things about me. I forgive them because I imagine they must be dealing with a great deal of pain themselves. I feel lighter and better for this.

If you are online and thinking about posting a comment on someone’s appearance, motives, or actions, or even making something up about them, think about whether you would say that to their face. Not as a member of an anonymous crowd, but if you were sitting down together, as two human beings. And think about why you are reacting to them in the way you are. Jung said that we can be disturbed by those who reflect aspects of ourself we are less comfortable with; is this something you need help with yourself? I know I sometimes do.

And when someone says something unfair or cruel about you, which can happen to any of us, try very hard to see it for what it is, a remark that may say more about the other person than it does about you. By all means listen to see if you can learn from it. They may well have a point, and you can work on this. But please do not let it destroy you.

As Archbishop Tutu says, whatever mistakes any of us has made, we are all made for goodness.


After publishing this blog, I was pointed to a wonderful radio broadcast This American Life on cyber-harassment which is really worth a listen. A leaked internal memo shows that the CE of Twitter knows they have to do better about cyber-bullying on their platform.

And then one of the women featured in the American Life programme, Lindy West, wrote this very powerful piece about confronting someone who had said truly terrible things to her on the internet. The extraordinary results show that we must never give up on forgiveness, however hard this may be.  Even though today is #TimeToTalk day and I may sound like I’ve got my act together, forgiveness is as hard for me as it must be for any of you reading this.