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Some thoughts about work

And other things

  1. Monthnote: January 2026

    Organisational strategy, the practitioner vs manager question and AI’s potential.

  2. End of year reflection: 2025

    A year of sabbatical travel, work strategy challenges and an upcoming wedding.

  3. A new process for updating our advance decision form

    A new continuous improvement process to avoid inertia in form updates.

  4. It’s all about education…

    Using our FOI results to plan education and training for healthcare staff.

  5. Why (and how) we decided to submit a freedom of information request to NHS Trusts

    An FOI request to NHS Trusts revealing inconsistent advance decision guidance.

  6. Week 37: forgiveness and new energy

    Back from a 3-month sabbatical in Japan with renewed energy and motivation.

  7. Week 36: thinking about this past year

    End-of-year reflection — work struggles, sabbatical plans and family health challenges.

  8. Week 33, 34, 35: a bumper edition

    Knowledge base workshop, advance decision form improvements and Glastonbury.

  9. Week 32: alignment and expectations

    Addressing team communication gaps and planning an internal knowledge base workshop.

  10. Week 31: bits and pieces

    Launching our best interests content and reflecting on contrasting professional meetings.

  11. Week 30: how to prioritise internal systems and needs

    Proposing an internal knowledge base to retain what we know and improve consistency.

  12. Week 29: DNR decisions, conscious competence and prototyping

    DNR communication failures, unconscious competence and prototyping with the GOV.UK kit.

  13. Week 28: content crit, complexity and clarification

    A content crit on best interests decisions and options for challenging poor care.

  14. Week 27: writing and content testing

    Good writing matters and the challenge of testing content for everyone.

  15. Week 26: findings, oh shit banners, reading age and the power of TV

    User research findings, content readability and the power of TV.

  16. Week 25: thinking about this past year

    Annual review — work, a health scare, a new relationship and lessons about mortality.

  17. Week 24: Resilience and my reading

    Pandemic impacts, burnout and launching a new website for weeknotes.

  18. Week 23: NHS, renewing a passport and UKCharityCamp

    MoneySavingExpert for the NHS, new passport and an unconference in Birmingham.

  19. Week 22: Closure, catharsis and crimping

    Starting user research with real people and why talking about trauma can be cathartic.

  20. Week 21: User research, team alignment and movies

    Interviewing experts and aligning priorities for next year.