Part Two: Renaissance of the NHS as the Elevation of the Positive Core At Scale
By Minesh Khashu(@mkrettiwt) and Jeremy Scrivens (@jeremyscrivens)
Can We Heal an Ailing Healthcare System?
Part 1: Renaissance of the NHS as a Social Movement
By Minesh Khashu and Jeremy Scrivens
Do we have the best healthcare system in the world?
Time and again we hear that we do but to many of us in the U.K. it does not feel like it is. In relative terms, considering the resources spent on healthcare, we perhaps have the best healthcare system in the world. However, in terms of outcomes and quality of care, there is still a lot that can and should be improved.
The Mid-Staffs disaster is still very fresh in our memory. There is still significant avoidable harm in the NHS, with about 500 patients daily experiencing some form of adverse incident. While there are pockets of excellent practice, there are many untoward events happening daily and the experience of many a patient, their carer and their family is still quite unsatisfactory.
The main issues that cause significant difficulties for the NHS today are:
However, the ‘Five Year Forward View’ does not elaborate about how to make the NHS a social movement and that is why we are writing this open manifesto to the public of the United Kingdom who care passionately about the future of the NHS.
We propose to positively disrupt the NHS to move in the direction of a social movement beyond the boundaries of our fragmented current system. We see a significant positive impact on decreasing long-term demand, improving efficiency, bridging financial gaps and engaging the untapped potential of our staff to work in a culture of open collaboration and innovation.
We propose the development of a health and social care service akin to youth military service in some countries. But this will be a social movement which engages our millennial or GenG workforce to become members of a living NHS ecosystem where every member can contribute their strengths not only to the what and how of healthcare but to the why from the experience of wholeness at scale.
The development of this health and social care service will be a single intervention that can help overcome all the significant difficulties alluded to above.
It is in our stewardship, our gift and our time to make it happen!
The earlier models of national youth service (still practised in some countries) were compliance driven; they were mandatory. Today, most of our workforce live in compliance based work cultures. No, it does not need to be mandatory, it has to be about engaging contribution, which is about voluntary choice, about being drawn to something, rather than being driven. Britain, has shown, time and again through its contribution to voluntary and charitable work globally that this is not an impossible ask of British youth.
It is about taking the time to engage people intrinsically from the heart, to contribute the best of the individual connecting with others to bring more strengths together to reshape renaissance of the NHS system as a living community or ecosystem. What’s better, a mandatory system which sees an extra million pair of hands or a voluntary system which engages 250,000 with their hands, their minds and their hearts?
This is not just about increasing capacity/capability in the system. The bigger and more important goal is to engage the younger generation to be more involved in health and social care, understand life style choices better, contribute to health promotion and disease prevention and as a nation take charge of our future health i.e. making it a social movement.
We can achieve a better balance in supply/demand of health and social care with little extra cost. We will significantly expand the voluntary sector, shift the focus of the future generation into a health promotion/prevention paradigm and increase the interest of the future generation in science and health work streams (we have been historically short staffed in these areas of work).
Above all, we will generate a social responsibility vehicle. We will give a young generation, wired for sharing, collaboration and innovation, an opportunity to learn compassion and life skills for their own health and those of others. We will see a restored and extended life-work ecosystem operating out of wholeness, not separation. We can and should save millions by dismantling our costly system of third party compliance, moving to a self-regulating living ecosystem.
See Part Two: Renaissance of the NHS as the Elevation of the Positive Core at Scale
What he ought to be
Stacked into him over years
He just could not see
How it all fuelled his fears
He thought he knew
What he wanted to be
Others just drew
What he ought to see
They corrupted his hard drive
His software was out of date too
How could he thrive?
Living life by proxy, would you?
You are what you are
No rush to become anything
Trying to catch the destination
Journey killed by smothering…
Both Science and Spirituality are about seeking the Truth. I am a student, a seeker in both fields. In some ways I think that they are one and the same but that is a topic for discussion for another day.
What I wish to talk about today is what I think is the most important prerequisite for both these fields of endeavour. It is the capacity to ask questions. It is about the capacity to not take anything for granted. It is the capacity to go beyond dogma and belief and challenge ones own perceptions and look for answers.
Knowledge and Wisdom are not merely obtained by obtaining an answer to a particular question. They are secured by the process of seeking, of asking questions. The process is such that the answers fall in our lap. Let me elucidate with an example. Something I wish you to work on, reflect on and grapple with at an individual level. If I said that there is nothing like a ‘true straight line’ you might think that this person has gone nuts. ‘Even a 6 year old knows what a straight line is’. A straight line is a concept that we are taught very early in life and we take it for granted. We don’t question it. It is actually a hypothetical construct and let me explain how. The universe is made up of spheres and circles. Any line between 2 points is a line between 2 points of a sphere or circle and this by definition can’t be straight. A straight line is a concept for our convenience.
Both in science and spirituality we do have to work with concepts as they are useful for learning. They play a useful role in our journey. However, it is important that we understand them as concepts and not as absolute truths. The bottom line is that a straight line may not be straight after all…
We humans have somehow come to perceive that we progress mainly by a process of addition i.e. that we start off as deficient and that we progress by a process of addition which gradually minimises the deficiency state. This is one of the biggest flaws in human thinking, understanding and behaviour.
This preoccupation with ‘addition’ makes us waste all our lives in adding things at all levels whether they be physical objects or information ( misunderstood to be knowledge for the mind). In this way we create unnecessary layer over layer in our thought process and actions.
We do not start in a deficient state. What we simply need is an appreciation of ourself and this appreciation can lead to our tryst with divinity. However, we don’t do simple! We complicate things by our desire or longing for ‘something’ from outside that we think is ‘missing’ and that is required to rectify the defect in us. What we actually need is some way of clearing the ‘dust’ such that we can see and appreciate our brilliance. What we tend to do instead is think we are ‘dirty’ or ‘faulty’ or ‘incomplete’ and add artificial layer over layer of paint over ourselves hoping that no one can see the ‘defect’ in us.
Human progress is based not on addition but on subtraction. IF WE GIVE UP ALL UNNECESSARY THINGS WE ARE ONE WITH OUR CREATION. The aim in life should be to strip down to the bare minimum.
STOP ASKING: WHAT DO I WANT?
START EACH DAY BY ASKING WHAT CAN I GIVE UP TODAY? WHAT IS SUPERFLOUS? ONCE WE START STRIPPING OURSELVES OF ALL THE UNNECESSARY WE BECOME BLISSFUL. SUBTRACTION THEN BECOMES ADDITION AND OUR JOY MULTIPLIES.
The bad habit of ‘addition’ makes us into ‘hoarders’ but unfortunately these ‘additions’ do not help us to progress. Infact they pull us down. They make it difficult for us to move forward. They also create a lot of ‘noise’ in our lives such that we can’t hear the real melody of life. To listen to our inner self we need SILENCE. We don’t want to be distracted by the ‘NOISE’.
We need to learn the art of ‘giving up’ all the superflous things in our lives be they thoughts, words, actions or objects. STOP THINKING, SAYING, DOING AND GETTING SUPERFLOUS THINGS. The more you strip from your unnecessary layers the more blissful you will feel. Literally it is a big weight off your shoulders. You will enjoy life better and appreciate yourself and the creation around you. Give it a go!
Of all human endeavors, the least success humans have achieved is in the pursuit of happiness.
Happiness is unfortunately not a ‘ready to eat’ dish. One has to secure the raw materials and all the ingredients and then to cook it. What makes this process even more tricky is that while there are myriads of recipes out there, very few are genuine and even among these maybe none will work for you perfectly.The recipes are good as guidance but in reality, you have to work out your own recipe…
Happiness is cooked in receptacles called ‘relationships’ and your emotions provide the ‘energy’ for the cooking. Beware of uncontrolled heat that will burn the dish!
The most important relationship that we all have is with our own self. As such, the best receptacle to prepare the dish of happiness is our own self. Life provides us with a lot of raw materials for our dish of HAPPINESS and depending upon our taste and the type of recipe we like, we use special spices or particular ways of cooking…
This brings me to a book called ENCOURAGEMENT by Dr. Hank Seitz.
Dr. Hank Seitz is a celebrated expert in the area of personal improvement and mental development.People just love him because he loves people and helps people love themselves.This quality is enough, in and of itself to make people feel significant and uniquely gifted to achieve any goal. At an organisational level Dr.Seitz works with teams to measurably increase their business results. He has a Master’s Degree in Human Behavior, and PhD in Mental Science. He was a General Manager with Procter & Gamble for 15 years, in charge of running a billion dollar corporation, and for the past 15 years he has used his time proven process with hundreds of Corporations and thousands of business teams.
Dr. Seitz highlights that our most important relationship is with ourself. He focusses on the importance of self belief and the power of positive thoughts.
If you are contemplating ‘cooking’ some happiness for yourself, do cast your eyes on the book. Look at the recipe and use the ingredients and the spices in there to get the most appropriate recipe to suit your taste.
I have pasted some links below for your perusal.
Whatever recipe and ingredients you choose to cook your happiness, do come and share with me and others.
If life’s experiences are our reality, our relationships are our ‘senses’ for that reality. They are the currency of our emotional world.
We can learn a lot about our relationships from the relationship of the earth with the moon.
1. To the uninitiated the earth’s relationship with the moon may be one where ‘earth’ is the primary player and the moon revolves around it. We consciously or subconsciously make a similar mistake in our relationships. The moon is ‘part’ of the earth and has arisen from it. Each plays a unique role in the relationship.There is no room for hierarchies.
2. If we try to make others revolve to our whims and fancies, we need to appreciate that even though there may be ‘moons’ around to oblige us here and there, we could get a taste of our own medicine and be made to revolve around the ‘sun’. Revolving around someone you are attracted to is not negative but this should not be done in a superiority-inferiority complex. It should add to your being and not subtract from it. In a relationship both revolve around each other.
3. The rotations and revolutions of the earth and moon are essential and drive the system. Our Karma should do the same.
4. Like the phases of the moon and the waxing and waning sizes and changing shapes, people with whom we have a relationship will appear ‘different’ at times.This confuses us and puts strain on relationships. We need to be vigilant of this and show faith and patience.
5. The best red moon is a feature of Rayleigh scattering ( the same phenomenon that makes the sky appear blue). It is best seen when the moon is near the horizon ( it is actually farther from us than nearer). The moon appears red as the red part of light has a longer wavelength and is not deflected as much as the blue end of the spectrum by the atmospheric particles as light travels to us from the moon. As most of the blue end of the light spectrum gets scattered what reaches our eyes is mainly the red end of the spectrum.
There are three major lessons from this:
a) The moon does not change. What changes is either our perespective or angle from where we are viewing the moon (or the person with whom we have a relationship) or the medium between the moon and the earth. This medium is the atmosphere ( its depth, angle, particle content etc) in terms of the earth and the moon and in terms of our relationship is the atmosphere we create in our relationship. A good atmosphere with very good communication is critical if we want our relationships to flourish. What we say passes directly to the other person and does not get deflected or distorted.
b) In our relationships whenever we perceive that the other person has changed rather than pointing the finger at them it might be best to review whether your angle of vision or the atmosphere has changed and take remedial action.
c) Variety is the spice of life. Rather than worrying about the changes in the shape, size or color of the moon we should learn to enjoy it. The blue serene moon, the marble white moon , the red moon and so on all have their own great beauty and can give us great joy. Similarly our loved ones will demonstrate varying moods and preferences. Let us learn to enjoy these. Don’t fear them. Have faith that ‘it’ is still the same moon who is as much pulled to you as you are to it.
Someone once asked me what I considered to be essential ‘ingredients’ for spiritual progress.
He was suprised by my answer.
I said, ” The only essential ingredient is you!”
We are all complete and capable of achieving realisation. As such the only essential ingredient on this journey is us.
Whether we have a ‘hunger’ for spiritual progress or not, whether we work hard at it or not, whether our values and aspirations are noble or not, one day…one fine day realisation will dawn.
You might ask “What then is the fuss about ? Why this rush, this rat race?”
I would say the rush is largely our EGO driving us. If you look back at the Eastern Bhakti or Sufi movement, there were ‘spiritual giants’ who had utmost yearning and love for GOD, for union with our creative force, for realisation. They, however, were not in a rush. They enjoyed the yearning and just exuded love….
Our job is to be on this journey.The ‘end’ is not for us to decide. As such our only aim should be to enjoy the journey.
To enjoy the spiritual journey I would suggest a ‘triple twist’ of Solitude, Silence and Soulfood.
This is largely what one should call ‘my time’. A few minutes once or twice a day for oneself. This helps in reflection, in charging one’s batteries and in assessing what has gone by during the day and focussing on what is to come. You will be surprised how just a few minutes of solitude can work wonders for you.
Silence is very powerful.
Speech is designed to communicate with the outside world, silence is to communicate with yourself. Use it.
The most profound communications are written on a blank piece of paper called ‘silence’. Get in the habit of using this gift.
Solitude and silence will provide you with food for thought. Use these ingredients to prepare food for your soul. Make sure that your soul gets some everyday. Nurture it with the light of knowledge, the water of compassion and fertilise it with joy. Don’t forget to share this soul food. Soul food comes on a miracle plate. It will never finish as long as you keep on sharing it.
Keep smiling and stay blessed.
Milestones become ‘destinations’ and we are conditioned to assign TIME and VALUE to them based on what is deemed appropriate by others.
1. Focus on milestones or the destination takes away the focus on the present, on experiencing and enjoying the journey.
2. Milestones are largely used in an external and generic way i.e. how you reach there, how much time it should take, what is the value or importance of the milestone, once you reach a milestone you are conditioned to have expectations attached to the milestone. If you reach your ‘destination’ this is how you are expected to feel or behave and so on.
Milestones would be useful if they were internal and specific for you; designed by you for you. How can we prescribe a milestone for someone else?
3. The past and future are both milestones and they are distractions. Undue attention to them subtracts from our present.
4. From a different perspective one might argue that one needs milestones to provide :
b) Encouragement and prevent demotivation
I would argue that this is not useful.
a) Direction: Direction should come from your inner self or a ‘guru’. We shouldn’t be slaves to milestones as the importance lies in the journey to the milestone rather than the milestone per se.The real milestone is your inner transformation as a result of your journey.
b) Encouragement and motivation: Having reached a milestone does not guarantee reaching the final destination ( if there is anything like that in the first place!) The transformation within as part of the journey should act as the encourgement and a motivator.
5. If we moved away from the destination or milestones we would realise that by experiencing the journey to its fullest, by appreciating each moment we achieve a meaningful journey which is the real destination.
I am not the ‘doer’!
A look at actions and what they mean to us as humans.
a) Actions per se are neutral.
b) The context and our conditioning makes them appear good or bad or positive or negative.
c) Actions in a purist sense are not ‘in our gift’. We should focus on our intentions or aim which are ‘in our gift’.
For us , who seem to be in the thick of action, it is difficult to appreciate that we are not the doer.
Let me use an example to illustrate this point.
A man is in the jungle. He lights up a fire and cooks a meal of himself. Once done he puts off the fire
Can we answer the following question:
Who cooked the meal?
We are like the fire and our creator is like the man in the example.
It is not easy for the fire to understand who or what is starting it and putting it off.
The fire may pride itself in cooking the best meal or be devastated that it burnt a meal but the job of the fire is just to be a fire and burn. Whether the meal is very well cooked or uncooked or half cooked or over cooked or burnt is beyond the fire.
We get too entangled in the outcomes of our actions.
In a cosmic sense the outcomes are beyond us.
Once we appreciate this, the fog lifts, the heaviness in our heart and on your shoulders goes away, our heart expands with joy and we can taste bliss. Things start making sense…