Mark
@markouthwaite.bsky.social
Supporting senior teams make sense of complexity. Joining the dots and sometimes getting the right picture. Sourdough. RTR Exile
Some thoughts on the human dimensions of effective networks to help you think about how to develop and support your networks www.linkedin.com/pulse/human-... #ONA #OSNA
The human dimensions of effective networks
To build on the last article on the impact of 'Self-Monitoring' on network effectiveness I thought I might share some research headlines on the human dimensions of effective networks from my library. ...
www.linkedin.com
November 11, 2025 at 3:14 PM
Some thoughts on the human dimensions of effective networks to help you think about how to develop and support your networks www.linkedin.com/pulse/human-... #ONA #OSNA
Self-monitoring and roles in social networks. More thoughts on Integrated networks in Integrated Neighbourhood Health and any networks for that matter www.linkedin.com/pulse/who-co...
Who Connects Whom? Why It Matters for Integrated Neighbourhood Health Services
In a previous post I have explored how Social Network Analysis could bring greater clarity and focus to understanding how we can build on and develop current networks of relationships and trust to hel...
www.linkedin.com
November 7, 2025 at 5:38 AM
Self-monitoring and roles in social networks. More thoughts on Integrated networks in Integrated Neighbourhood Health and any networks for that matter www.linkedin.com/pulse/who-co...
Another Saturday #sourdough loaf whispering as it cools
November 1, 2025 at 11:18 AM
Another Saturday #sourdough loaf whispering as it cools
This is a comforting prospect and a fine aroma for the evening. #sourdough
October 25, 2025 at 8:40 PM
This is a comforting prospect and a fine aroma for the evening. #sourdough
Check out my latest article: Complexity and Networks - applying the Cynefin Framework www.linkedin.com/pulse/comple... via @LinkedIn #OSNA
Complexity and Networks - applying the Cynefin Framework
I am something of a fan of Dave Snowden’s Cynefin Framework. It is a great way of shaping a discussion about a challenge or a context.
www.linkedin.com
August 23, 2025 at 9:05 AM
Check out my latest article: Complexity and Networks - applying the Cynefin Framework www.linkedin.com/pulse/comple... via @LinkedIn #OSNA
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There is a conflict in the NHS between naive attempts to cut costs by firing admins and managers and actual productivity. The result doctors have less time with patients: www.bmj.com/content/390/...
Administrative overload harms patient care
This month, 7000 new resident doctors have started their foundation training in the NHS. It is not uncommon for a resident doctor to wait 20 minutes for a ward computer to boot up, only to spend the n...
www.bmj.com
August 21, 2025 at 7:22 AM
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Reposted by Mark
Will they never learn? Reorganisation of NHS structures and management rarely delivers expected benefits or savings, but instead caused ‘redisorganisation’, as @kieranwalshe.bsky.social David Hunter I wrote about for @bmj.com in 2001…. www.bmj.com/content/323/...
Sir Keir Starmer’s plan to overhaul the NHS has been thrown into chaos after no money has been set aside to cover the costs of making thousands of redundancies at ICBs www.thetimes.com/article/14b7...
Starmer’s NHS reforms thrown into chaos by ‘£1bn layoff bill’
Patients could be put at risk as the one-off cost of redundancies, estimated at between £600 million and £1 billion, puts staff and services in limbo
www.thetimes.com
August 10, 2025 at 10:30 AM
Will they never learn? Reorganisation of NHS structures and management rarely delivers expected benefits or savings, but instead caused ‘redisorganisation’, as @kieranwalshe.bsky.social David Hunter I wrote about for @bmj.com in 2001…. www.bmj.com/content/323/...
Some thoughts on how Social Network Analysis can bring greater clarity and insight to the proposed NHS Neighbourhood Health Services: Navigating the new NHS Neighbourhood Health Services: Mapping a Complex System www.linkedin.com/pulse/naviga... via @LinkedIn
Navigating the new NHS Neighbourhood Health Services: Mapping a Complex System
How social network analysis can help bring clarity to a tangled landscape and improve planning for resilience and effectiveness 'The neighbourhood health service is our alternative. It will bring care...
www.linkedin.com
August 6, 2025 at 1:08 PM
Some thoughts on how Social Network Analysis can bring greater clarity and insight to the proposed NHS Neighbourhood Health Services: Navigating the new NHS Neighbourhood Health Services: Mapping a Complex System www.linkedin.com/pulse/naviga... via @LinkedIn
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An incredible song on an unlikely topic: North Face puffers!
(Just trust me on this—once you’re past the first few seconds it’s an utter delight!)
(Just trust me on this—once you’re past the first few seconds it’s an utter delight!)
July 13, 2025 at 9:23 AM
👇👍😂
Reposted by Mark
If a country has a series of consecutive failing prime ministers, it's perhaps time to look beyond the individual qualities of each of them to find the root cause.
July 8, 2025 at 5:24 AM
If a country has a series of consecutive failing prime ministers, it's perhaps time to look beyond the individual qualities of each of them to find the root cause.
👇🤔👍 very deftly encapsulates the issue.
As for Westminster, the political culture is conducive to politics, not policy and I'm not sure how to fix that. Would require deep institutional and structural change. None of this is particularly original, I think!
July 8, 2025 at 9:20 AM
👇🤔👍 very deftly encapsulates the issue.
Reposted by Mark
One other 7/7 thread today. Because I think how the bus network got running again is a real testament to some serious heroes that day:
The bus drivers and staff who got that network running again and got London home that night.
And TfL/the Mayor disobeyed the Security Services to make it happen /1
The bus drivers and staff who got that network running again and got London home that night.
And TfL/the Mayor disobeyed the Security Services to make it happen /1
July 7, 2025 at 10:28 AM
One other 7/7 thread today. Because I think how the bus network got running again is a real testament to some serious heroes that day:
The bus drivers and staff who got that network running again and got London home that night.
And TfL/the Mayor disobeyed the Security Services to make it happen /1
The bus drivers and staff who got that network running again and got London home that night.
And TfL/the Mayor disobeyed the Security Services to make it happen /1
Want to find out more about Organisational Network Analysis in use? #OSNA www.linkedin.com/posts/markat...
I am 'doing a thing' for EthicalHealthcare. Not just for digital folks or… | Mark Outhwaite
I am 'doing a thing' for EthicalHealthcare. Not just for digital folks or the NHS, Organisational Network Analysis (ONA) is embedded in the Networks Insight methodology and can give teams, div...
www.linkedin.com
June 6, 2025 at 10:25 AM
Want to find out more about Organisational Network Analysis in use? #OSNA www.linkedin.com/posts/markat...
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April 10, 2025 at 9:16 AM
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👇👀😂 if you have felt the pain you will know!
April 9, 2025 at 7:23 AM
👇👀😂 if you have felt the pain you will know!
For ICBs a challenge is to understand the impact of plans on the knowledge/support networks in systems. Many at-risk staff have been long-term in their systems surviving previous reorganisations and will hold key places (although often unrecognised) in the health, care and third sector systems.
As all around us lies chaos, Jim Mackey makes a valiant attempt to bring some clarity to the asks on local healthcare leaders. Is he picking the right battles? I reflect for Health Policy Insight. www.healthpolicyinsight.com/reading-the-...
Thanks @hpiandycowper.bsky.social
Thanks @hpiandycowper.bsky.social
Reading the room: mood music for the battlefield of organisational change
by Helen Buckingham
One of the things that leaders learn through experience is when to pick your battles. This is an art, not a science - and, as I’ve said to more than one CEO in my time (and learnt...
www.healthpolicyinsight.com
April 7, 2025 at 8:50 AM
For ICBs a challenge is to understand the impact of plans on the knowledge/support networks in systems. Many at-risk staff have been long-term in their systems surviving previous reorganisations and will hold key places (although often unrecognised) in the health, care and third sector systems.
👇👀👍👍 As an exec coach I often asked to see my client’s diary. Almost always it was back to back - often not a conscious choice but the lack of rules about diary access and breaks between meetings. And no ‘meetings with myself’. Often post-hoc justifications celebrating ‘business’ or helplessness.
So much of our modern world tells you that you’re a failure if you don’t optimise everything. But, as I explain here, that’s not just the pathway to a miserable life; it’s also a surefire way to destroy resilience and create catastrophe, from individual lives to complex social systems.
Against Optimization
We are bombarded by messages telling us to worship the gods of efficiency and optimization, life hacking our way to prosperity. It's a trap. Resilience is a smarter, sturdier goal.
www.forkingpaths.co
April 2, 2025 at 11:23 AM
👇👀👍👍 As an exec coach I often asked to see my client’s diary. Almost always it was back to back - often not a conscious choice but the lack of rules about diary access and breaks between meetings. And no ‘meetings with myself’. Often post-hoc justifications celebrating ‘business’ or helplessness.
Reposted by Mark
"Pugh, Pugh, Barney McGrew, Cuthbert, Dibble, Jeffrey Goldberg, Grubb..."
March 25, 2025 at 8:17 AM
"Pugh, Pugh, Barney McGrew, Cuthbert, Dibble, Jeffrey Goldberg, Grubb..."
Some thoughts on the impact of change/reorganisation on networks prompted by the announcements about NHS England and ICBs (and yes it is time for a better profile picture!) ethicalhealthcare.org.uk/2025/03/20/f...
Farewell NHS England: Uprooting networks - understanding the hidden risks of reorganisation - Ethical Healthcare
NHS England is being reorganised – again. The question is whether those leading this latest round of changes have truly absorbed the critical lessons from past transitions.
ethicalhealthcare.org.uk
March 20, 2025 at 10:02 AM
Some thoughts on the impact of change/reorganisation on networks prompted by the announcements about NHS England and ICBs (and yes it is time for a better profile picture!) ethicalhealthcare.org.uk/2025/03/20/f...
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🧵 I want to follow up this earlier thread by examining why the USA finds itself in the state it does at the moment; the process of disordered discourse capturing state institutions and how it inevitably results in a slide towards authoritarianism, a process we're seeing unfold before our very eyes.
What we’re witnessing in America is what happens when disordered discourse captures a political party, then the state itself. The Republican Party was the first to fall - abandoning truth for conspiracy, ideology for grievance, and policy for performative outrage.
March 12, 2025 at 7:48 PM
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Enough woe in the world. #sourdough biscotti- chocolate chip and pistachio
March 12, 2025 at 12:12 PM
Enough woe in the world. #sourdough biscotti- chocolate chip and pistachio
👇👀 Depressingly but neatly put
To repeat: the Trump administration peace deal was always a deal for peace between Russia and the US, not Russia and Ukraine. In it, it seems, the US gets Ukraine's resources, Russia gets Ukraine's land, and Ukraine gets to say thank you.
March 10, 2025 at 11:09 AM
👇👀 Depressingly but neatly put
Taps the sign….
Risk is that Zelensky will be ambushed with a deal that is significantly different to the one negotiated and without the security guarantees he requires. Then what? he cannot sign it and flies back to Europe.
March 1, 2025 at 12:07 AM
Taps the sign….