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In message <[log in to unmask]> "Toby Lipman 7, Collingwood Terrace, Jesmond, Newcastle upon Tyne. Tel 0191-2811060 (home), 0191-2869178 (surgery)" writes: >> >Does Roy Lilley actually exist? I ask this because of the recent >discovery that several provocative columnists in the national press (eg >Bel Littlejohn of the Grauniad) are entirely fictional. > Yes, he exists, or did two years ago when I attended a lecture he gave on improving NHS trust management practice. The speech was clearly designed as a 'troll'. At one point he said that it was vital for trusts to create an open, critical management environment in which people wouldn't be afraid to admit the mistakes of the past, so that they could improve on them. A few minutes later he said that it was about time that trust managers became fully accountable and they they should expect to be fired if they made serious errors. There is no doubt some truth in both statements but they struck me as sitting uneasily together. -- Pete Mitchell, Editor, e-Med News - an international newsletter on electronic data in medical applications %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%