Healthcare Manager — 2024 Election Special

The election special edition of Healthcare Manager is out now.

Election coverage is difficult. There’s a lot of noise to cut through but very little light shed on the big issues. We’ve tried to look at this election from our readers’ perspective, as people trying to manage health and care services in the most difficult environment since World War II. We’ve set out what we see as the business the next government – red or blue – needs to get done in the NHS. We’ve looked at what the experts say about six big issues – waiting lists, workforce, social care, reform, buildings and technology – and what Labour and the Tories are offering. And we’ve examined four (there are many more) looming trouble spots that you won’t hear much about in the campaign.

We also have an interview with GP, comedian and health campaigner Dr Phil Hammond, some tips on how to restart your career after redundancy and some frank advice on what to do if you’re being discriminated against at work.

I hope you enjoy it. The digital edition is free for everyone to download and read. 

If you would like to know more about Healthcare Manager magazine or work with us on a story, please drop me a line.

Healthcare Manager magazine

I’ve been editor of Healthcare Manager since 2016, and worked on the title as a consultant editor since it was launched in 2009. The magazine is published by Managers in Partnership (MiP), the union set up by Unison and the FDA to represent senior managers in the NHS and social care. We publish four issues a year, offering a mix of news reports, analysis, in-depth features and advice on professional, employment and trade union issues.

As editor, I plan and commission content for each issue (as well as the MiP website), research stuff that might interest our readers and sub-edit all copy, as well as contributing news reports and features myself. I work with MiP staff to make sure the union’s priorities are covered and help staff to produce content themselves. I also manage the work of our freelance contributors and photographers, and control expenditure on the magazine within the overall budget set by my bosses at MiP.

Design, layout and production is handled by my colleague James Sparling through our company, Lexographic. I work closely with James to finalise the covers and inside pages of the magazine, including writing headlines and captions, selecting images and signing-off of the pages for print. We also liaise with the printers and distributors to ensure everything runs smoothly and the magazine gets published on time and on budget.

If you would like to know more about Healthcare Manager magazine or work with us on a story, please drop me a line.

Download sample copies of Healthcare Manager

You can always download the latest issue free from the MiP website.

From ground zero to net zero

Published in Healthcare Manager 56, Summer 2023

Decarbonising healthcare will take everything we’ve got and affect everyone working in the NHS. But well-meaning national strategies are struggling to have much impact on the ground. I spoke to pioneering surgeon Aneel Bhangu about the barriers to change and ask why NHS staff and unions aren’t more involved in meeting our greatest long-term challenge.

The last report?

Published in Healthcare Manager 53, Autumn 2022

The annual deliberations of the NHS Pay Review body have been a fixture of industrial relations in the NHS for nearly 40 years. But declining trust among staff, high inflation and a marked failure to tackle spiralling staff shortages have put the NHS pay system under severe strain, writes Craig Ryan. Has the review body run out of road? And what could take its place?

A few words for my dad…

My dad, Don Ryan, was a World War II veteran, London fireman, electrician, DIY superhero and the best dad anyone could wish for. He would have been 100 today. To mark his centenary, here’s the eulogy I wrote and read at his funeral in 2009.

I would like to thank you all for being here today. At times like this, words are cheap. But they’re all we have. Words are my trade, and Dad loved words too. He was a big crossword man, scrabble too, and he had a particular fondness for puns – the cheesier the better. And he loved to regale us with obscure London slang – though I think he made some of it up.

A few words, then, for my Dad.

He had a long and happy life but it wasn’t always an easy life. Poverty, the great depression, and then war, made for a difficult start. 

A few weeks ago, I went to look for the house in West Norwood where Dad was born. It’s gone, of course, the site is now the Lambeth Council municipal dump. Dad laughed when I told him. ‘I’m not surprised,’ he said. ‘It was already falling down when I lived there.’

When Dad was born there was no TV to watch, no radio to listen to. Money was still made of silver and, as Dad would no doubt say, tea was still made of tea. No one had ever heard an electric guitar, put milk in a fridge or seen the West Indies play test cricket. 

In his lifetime, Dad saw four monarchs and 17 prime ministers. And I don’t think he was greatly impressed with any of them.

Dad wasn’t famous, but his was a big life, an important life. He was a modest man; he didn’t ask for any special recognition. ‘I was a bit of a coward, to be honest,’ he would say about some incident in the war. He never even bothered to collect his war medals and he wasn’t interested in ceremonies or reunions. He was quite happy to talk about the war, but his life was more than just that war. 

He knew war is a ridiculous situation in which to place human beings, and if you couldn’t laugh at war, see it for what it was, it would take over the rest of your life.

But let’s not forget Dad saw things that none of us can even imagine. 

Near the end of the war, Dad was with the Royal Armoured Corps advancing into Germany, when the Nazis sent batallions of old men and kids – some as young as 12 – to fight them. 

The old men, no fools, surrendered en masse. The kids, pathetically brave, did not. The British troops refused to fire on them. They had to use heavy artillery from behind the lines, so the gunners couldn’t see whom they were shelling. 

Dad thought he’d seen everything.

And then came the horror of the Belsen concentration camp – which he could hardly bear to talk about even sixty years later – where the survivors were so traumatized and hysterical that they had to be locked up again by the British troops who had liberated them.

Nothing in our lives can compare to those experiences. 

Dad also played a small part in the Cold War. In fact, I sometimes think Dad might have started the Cold War himself. 

In late 1945, he was stationed in Helmstedt, running a railway station right on the border between the British and Soviet zones of occupied Germany. The Russians were blocking an important convoy from Berlin, so Dad went across the frontier to see the Soviet Commissar at Marienborn, to try to persuade him to let the train through. 

‘Nyet, Comrade,’ said the Commissar. 

Dad went off and came back with his interpreter, a six-foot-six guardsman nicknamed ‘Lemon’. He waited on the platform while Lemon went into the office to speak to the Commissar. After few minutes of shouting, the Commissar crashed through the plate glass window and landed on the platform on his backside, pursued by Lemon, who stood over him, abusing his paternity in Russian. 

The Soviets let the train through – grudgingly – but it’s probably a good thing for all of us that Dad’s methods of diplomacy weren’t used more widely in the decades that followed.

In the 1970s, Dad crossed the Iron Curtain again to work in Eastern Europe. He would spend weeks on end in such mysterious places as Moscow, Prague and Sofia. Some Russian engineers even visited our house in Frimley, accompanied by their KGB minder. 

In the paranoid atmosphere of the 1970s, this led some of my schoolfriends to think that Dad was a Soviet spy. We were Labour anyway, so it wasn’t hard to make that leap in some people’s minds. When the Bulgarian dissident Georgi Markov was murdered with a poisoned umbrella on Waterloo Bridge in 1978, one of my friends asked me – quite earnestly – if Dad had anything to do with it. 

The funny thing was, and this says something about the tragicomedy of the Cold War, no one seemed that bothered. I never told anyone Dad was a spy. But I didn’t deny it either.

Dad was many things in his life. But being a husband, father, and a good friend, was what he excelled at and enjoyed most. 

It’s been a difficult couple of weeks, but I can never think about Dad for long without smiling.

The ridiculous sideburns he sported during the 1970s. The Denis Healey eyebrows he always refused to trim. The glint in the Eric Morcambe glasses askew on his face. His Shirley Temple fancy dress outfit that made him look like Miss Piggy.

However you picture him, I’m sure what you’ll remember most is his good humour, his optimism, his warmth and his sheer humanity. 

The way he always saw the good side of things and the best side in people. 

How he took things as they came, and people as they were.

And how his remarkable life was so rumbustious and full of fun.

But let’s not be sad for more than a few moments when we think of Dad.

When he died, I felt that everything associated with Dad was already falling indelibly into the past.

He meant, quite literally, the world to me.

But the past never leaves us, and neither do the memories of those we love. The past is always part of the present, and our lost loved ones become part of who we are, now and for the rest of our lives. 

We began with words and I’ll end with one word.

This is something I was reading the night before Dad died. It’s from the novel Underworld, by the great American writer – Dad’s namesake – Don DeLillo. And it’s somehow become associated in my mind with Dad’s life and with my own. So I’d like to share it with you.

You glance out the window for a moment…and you try to imagine the word on the screen becoming a thing in the world, taking all its meaning, its sense of serenities and contentments out into the streets somehow, its whisper of reconciliation, a word extending itself forever outwards, the tone of repose, the tone of hail and farewell…a word that spreads a longing through the raw sprawl of the city and out across the dreaming bourns and orchards to the solitary hills.


Don DeLillo, Underworld (1997), p827

Thank you for listening and may peace be with you.

Timebanking UK website

Through my company Lexographic, I’m working with Timebanking UK to design and develop a brand new website, which we hope will go live in August 2020.

Timebanking UK (TBUK) is the national charity that supports time banks across the UK and promotes the concept of time banking itself. The new website will provide a wealth of resources on timebanking for general readers, time banks, sponsors and funding organisations. Available resources will include videos, infographics and case studies of people whose lives have been transformed by timebanking.

My job is to advise Timebanking UK staff on content, develop and maintain the content plan, edit all copy and to generally keep the project on track. Design and technical stuff is mainly handled by my business partner, James, working with TBUK staff.

We are planning to begin a second phase of development in Autumn 2020, once the new site has gone live. This will involve a dedicated area for member time banks, a discussion forum and online booking for training and events.

While working with Timebanking UK, I became interested in the potential of timebanking to build stronger communities and tackle social isolation, loneliness, poverty and mental ill-health. In 2019, I accepted an invitation from Timebanking UK to become a trustee of the charity.

To find out more about timebanking and TBUK, visit the charity’s old website (and you may get some idea why we’re replacing it).

Managers in Partnership website

I act as editor for the Managers in Partnership (MiP) website, working with MiP staff, the elected national committee and MiP members to plan, write and publish all the content on the site.

As part of the development team, I helped to plan the site content and structure, contributed to the technical and visual development of the site, and wrote or edited many of the content pages. Since the site was launched in October 2018, I’ve worked with MiP to maintain and develop the website, and to keep the content fresh, up-to-date and relevant to the union’s 7,000 members.

I plan and edit most of the site content, contribute many articles myself, write news updates and advice pages, and work with head office on social media promotion of the website content.

At the moment we are working to integrate our content production, with a single content pipeline for the union’s website and magazine, Healthcare Manager (of which I am also editor). I’m also now reviewing the site structure and ‘static’ pages, to make sure we are providing the information, advice and guidance that members need.

Public Service magazine

Public Service Magazine (PSM) is a quarterly news and features title published by the FDA, the union for the UK’s top civil servants. I launched PSM in 1998, when I was head of communications at the FDA, and was editor for several years before going freelance . I’ve continued to work with the FDA on PSM and other projects ever since. In 2017-18, the union invited me back to the editor’s chair while the current editor took maternity leave.

Back in the nineties, we wanted PSM to be a radically different trade union magazine. We felt conventional union journals, like the FDA’s existing newsletter, were aimed too much at activists rather than ordinary members, and tended to treat readers solely as trade unionists rather than professionals. Our guiding principle at the time, much chewed over in the pubs around Whitehall, was that we were ‘moving from Pravda to The Times’.

We produced content that focused on careers, professional and policy debates, advice and guidance as well as bread and butter employment issues. We sometimes published articles that challenged the union’s official line or which tried to stir up debate. We introduced colour photographs and graphics for the first time, and far higher standards of editorial and design. And we published a lot – eleven issues a year in those pre-digital days! Although the look and feel of PSM has changed much over the last two decades, the magazine remains true to the same ethos today.

Over the years, I’ve contributed hundreds of articles to PSM, including features, news reports, interviews, book reviews and analysis pieces. You can read some of them in my cuttings section, or see some of the issues I edited recently below. Through my company Lexographic, I’ve continued to work with the FDA on projects large and small, most notably on the union’s centenary project, Our Story, in 2019.

Download sample copies of Public Service Magazine

You name it, I’ll write it

I’ve been a professional writer for more than 25 years and there aren’t many things I haven’t worked on (actually there are loads but you know what I mean). Using a professional journalist or copywriter can be a much more effective way of getting the content you need than taking on an expensive PR agency (and we’re usually a lot quicker too!).

The writing and writing-related services I can offer include:


  • Features
  • Interviews
  • News
  • Reviews (especially books)
  • Analysis
  • Blogs
  • Conference reports
  • Tips and “how to” pieces
  • Diary columns
  • News in briefs (“nibs”)
  • Opinion pieces
  • Long-form articles
  • Ghostwritten articles


  • Policy development
  • Historical research
  • Interviews & round table discussions
  • Archive work
  • Statistical research & analysis


  • Website content
  • Social media
  • Annual Reports
  • Promo copy
  • Discussion papers
  • Leaflets & flyers
  • Slogans and taglines
  • Presentations
  • Brochures
  • Conference reports
  • Book editing
  • Speeches & presentations
  • Forewords and introductions

So if you need get something written, re-written, edited or just knocked into shape, drop me a line and I’ll see what I can do. And, as I work with a graphic designer and web developer, we can offer a full design and production service too through our company, Lexographic .