Over the next few weeks 44 Strategic Transformation Plans (STPs) will be pored over and 'marked' by NHS England and NHS Improvement.

So what needs to be different this time? What will give us any more confidence that we have this time solved the mystery of implementation - making the linkages between 'Why', 'What' and 'How'. I suggest both STPs and their assessors will need to discard some well entrenched orthodoxies.

If we accept that, as individuals, we are the culture then our mental model shifts to see organisational culture as an accumulation of individual habits that become aligned and ingrained over time. In this mental model the first and biggest shift for any effort to change culture is the acceptance by each individual within the organisation that 'I am the culture'...

Lets be clear - your data is not about me. Its about the things you do to parts of me. It is the stuff that matters to you because it is your everyday business - I give you that, but it is not  about the real me. It might be a ‘patient record’ but it sure as hell is not a ‘me’ record.