SoWhoCaresAnyway

SoWhoCaresAnyway E16 Talking Today, Preparing for Tomorrow

In this episode, I have the pleasure of speaking with Harry Bannister, a Specialist Nurse in Organ Donation, Who works for NHS Blood and Transplant. Amongst other things Harry talks about how he guides families through some of the hardest moments of their lives, reflecting on the weight of these conversations, where families are asked to make life-changing decisions while navigating overwhelming grief. 
Harry highlights the importance of fully understanding organ donation and having conversations with loved ones. Preparing for what we hope will never happen, but knowing decisions are best made in advance
Harry explains the emotional labour of his work, describing how specialist nurses must balance clinical precision with deep human empathy. He shares how reading letters from recipients, families whose children or loved ones have regained their lives thanks to a transplant, can be both heart warming and heart breaking. Knowing that organ donation offers hope in tragedy helps sustain him through the difficult moments, but the reality of these discussions never becomes easy. 
The conversation also highlights the psychological weight of working in intensive care, particularly during the Covid pandemic, and the complex feelings of burnout and guilt that many healthcare professionals experience.
This episode explores resilience, grief, and the profound emotional labour of healthcare, offering a raw and honest look at the complexities of working intensive care and organ donation. 

SoWhoCaresAnyway E15 Breaking the Status Quo Through Place-Based Learning

What if healthcare wasn’t just about clinical expertise and procedures, but about learning within communities and building networks to truly understand people's needs? 
In this solo episode, I take you on a swift tour of my personal journey—one that started with a childhood dream of nursing and evolved into a mission to reshape how learning happens to meet the needs of people in ways that work for them. From frontline nursing in the 1980s to leading place-based learning initiatives, I explore how embedding learning cultures within systems can drive people-centred, integrated care. 
In this episode I talk about 
My journey from frontline nursing to system leadership
What place-based learning really means—moving beyond workplace learning to learning in the place
The three core values that emerged from my Darzi Project:
People-centred learning
education that supports how we meet the needs of people in our communities in ways that work for them
creating education and learning environments that work for people providing care
Cultures of learning in teams—creating environments that encourage questioning, reflection, and growth
Networks for learning together—expanding education beyond organisations into communities and wider systems
How training hubs, community education facilitators, and cross-sector partnerships are shaping a new approach to learning in healthcare
Why stepping beyond traditional structures led me to found Reflective Ruth Consultancy and this podcast
Call to Action:
I challenge you to rethink learning, embrace collaboration, and take action—whether in healthcare or beyond. Support the #DoWith movement, build learning networks, and stay curious. 
Resources;
https://www.kingsfund.org.uk/insight-and-analysis/projects/do-with
https://arc-kss.nihr.ac.uk/news/blog-achieving-people-centered-integrated-care-through-place-based-learning
https://arc-kss.nihr.ac.uk/news/blog-achieving-people-centered-integrated-care-through-place-based-learning

SoWhoCaresAnyway E14 Igniting Curiosity

Are you ready to be curious, listen to naïve questions and explore the answers?
For too long, research has been seen as something reserved for “clever people,” locked behind academic walls and inaccessible to frontline healthcare workers. But what if research was really just about asking the right questions—even the seemingly naïve ones?
In this episode, Claire Pegg, joins me on #SoWhoCaresAnyway breaking down the mystique of research, redefining it as an act of curiosity rather than expertise and taking a wider systems thinking #DoWith perspective. Together we explore how research transforms healthcare, why nurses, midwives, and AHPs deserve a bigger seat at the table, and how simply questioning what we accept as truth can lead to real-world innovation.
Claire shares her own journey from intensive care nurse to her influential roles as a research leader. Claires roles include RRDN Health and Care Director for Nursing, Midwifery and Allied Health Professionals with the National Institute of Health Research  Workforce and People Senior Manager NHS England South East and  Programme Lead - Nursing and Midwifery Research Leadership South East Regional Research Delivery Network  
If you’ve ever thought research was not for you, or is irrelevant, this conversation might just change your mind.
Show resources; 
SORT - https://www.england.nhs.uk/long-read/self-assessment-of-organisational-readiness-tool-sort-guide/
* Multi-professional research capability framework https://advanced-practice.hee.nhs.uk/our-work/research/multi-professional-practice-based-research-capabilities-framework/
* Poster for sign up for the Advancing practice COP
* NIHR website for development opportunities https://www.nihr.ac.uk/about-us/who-we-are
Related research
Research led by nurses and the contributions they make as members of multidisciplinary research teams can drive change (Shepherd et al., 2022) https://www.england.nhs.uk/nursingmidwifery/research-and-evidence/
Evidence from research influences and shapes the nursing profession and informs and under pins policy, professional decision making and nursing actions (Shepherd et al., 2022)
There is a positive association between engagement in research by healthcare organisations and improvements in healthcare performance (Boaz et al., 2015)
There is significant association between clinical research activity, academic output and reduced patient mortality (Bennett et al., 2012; Ozdemir et al., 2015)
The relationship between nursing education and research with quality patient outcomes is clearly recognised (Henderson and Winch, 2008)
Academic-clinical collaborations promote a culture that challenges the status quo (Albert et al., 2019)
 

SoWhoCaresAnyway E13 Making Mischief, Mobilising Change

Are you ready to make mischief? 
What if growing older wasn’t about limitations, but about possibilities? What if care focused not on what you can’t do, but on everything you still can? 
In this episode of SoWhoCaresAnyway, I welcome Angela Catley, a passionate disruptor in social care, who has spent her career challenging the status quo and sparking bold conversations. Angela, with Sian Lockwood, is now leading conversations on When I Get Old  to push for more choice, dignity, and purpose as we age. 
In this episode we uncover the massive gap between what people hope for in their future care and what they actually experience today. Angela shares insights from her work, including World Café discussions, revealing a real appetite for innovative care models, from co-housing and intergenerational support to creative local services, cruise ship living, and the dream of a Marigold Hotel-style retirement. 
But at the heart of it all, Angela focuses upon one thing: we all need to feel included, supported to be ourselves and useful, no matter our age. She argues that care models must empower people to contribute, to stay connected, and continue doing what makes them feel alive. 
Join us for a thought-provoking, inspiring, and slightly mischievous conversation that might just change the way you think about aging. 

SoWhoCaresAnyway E12 The Story Behind The Story

Are you ready to listen to a story and uncover the untold?
In this episode of #SoWhoCaresAnyway, I explore with Paul Stepczak how co-production and asset-based community development can transform the way communities and services work together. At its core, this approach is about listening—not just hearing words, but truly understanding the stories behind the stories, gaining real insight into people, their lives, concerns, and what matters to them.
Recognising people as assets rather than problems to solve, Paul embraces a real #DoWith approach—where collaboration isn’t imposed but built with communities.
Paul shares his journey, starting with his work at The Prince’s Trust, supporting young entrepreneurs, before returning to his own community. Seeing deep inequalities, he dedicated himself to ensuring people are heard as equals. His experience led him to specialise in co-production and asset-based community development, and today, he works for CWMPAS, contributing to the Start Something Good  Start Something Good project—an initiative delivering social hackathons to bring communities and services together for meaningful change.
In this episode, Paul, TEDx speaker, shares his five-point plan to ensure that co-production isn’t imposed but brings people together, giving everyone a voice to shape solutions through ongoing dialogue, ensuring long-term sustainability beyond the project itself.
Paul’s passion lies in listening to people and amplifying their voices, so come and listen—because understanding the stories behind the stories might just change everything.
Resources;
“Radical Help: How we can remake the relationships between us and revolutionise the welfare state” (2018) by Hillary Cottam https://www.hilarycottam.com/radical-help/
“The Tipping Point: How Little Things Can Make a Big Difference” By Malcolm Gladwell (2002)  https://www.gladwellbooks.com/
https://www.kingsfund.org.uk/insight-and-analysis/projects/do-with 
The ladder of co-production

SoWhoCaresAnyway E11 The Natural Health Service

Are you ready to take a walk and listen to the birds?
In this week’s episode of SoWhoCaresAnyway, I’m joined by James Metcalfe, CEO of the North York Moors Trust, to explore the transformative power of nature. With James we are taken on a journey to discover why reconnecting with the outdoors isn’t just a luxury but a crucial necessity for improving the health and wellbeing of individuals and communities.
James’s passion really shines through as he shares his journey from Westminster as an Advisor to a leader at the North York Moors Trust. Supporting people to overcome barriers to accessing outside spaces, working with Andys Man Club schools, and pupil referral units James demonstrate the profound difference these initiatives have made, inspiring hope and improving health and well-being in unexpected ways. 
By embracing the outdoors and supporting others to do the same, we not just enriching lives—we transform health outcomes and building stronger, more connected communities. 
James’s drive for meaningful change shines through, so join us for a journey of discovery and become a champion of the Natural Health Service 

SoWhoCaresAnyway E10 Leading with the Heart

Are you ready to discover the true power of systems leadership?
In this episode, I’m delighted to be joined by Heidi Edmunds, Clinical and Operations Manager at Whitstable Urgent Treatment Centre. Having known Heidi since 2016, I’ve had the privilege of witnessing her incredible journey and the transformative impact her leadership has had—not just on her team and organisation, but across the wider healthcare system.
Heidi’s story is one of growth, dedication, and innovation. With over two decades of experience in urgent and emergency care, she has evolved from a newly qualified nurse to a Nurse Consultant, driven by her passion for fostering supportive, development-focused environments. Her leadership embodies compassion and collaboration, creating networks that enable shared learning and effective system-wide collaboration.
In our conversation, Heidi shares insights on navigating the challenges of healthcare, from addressing burnout and clinical uncertainty to introducing clinical supervision as a safe space for staff support. As an advocate for workforce well-being, Heidi believes that supporting the team is key to delivering the best patient care.
We also explore her experiences with imposter syndrome, the importance of stepping into leadership roles, and how her distributed leadership approach supports the development of urgent treatment centres across Kent and Medway.
Join me for an inspiring discussion about how compassionate leadership, supported by strong networks, can transform individuals, teams, and systems. Heidi’s story is a powerful reminder of the impact of leading with heart and vision.
Show resources
Multiprofessional framework for advanced practice
Consultant Practice

SoWhoCaresAnyway E9; The Five Giants

Emma Snow - Episode 9
The Five Giants
In this fascinating episode of #SoWhoCaresAnyway, meet Emma Snow  CEO of The Five Giants Foundation. Emma shares her remarkable journey—from working in prominent roles within a variety of charities to navigating her own challenges as an end-of-life care patient with Huntington’s disease. These experiences fuelled her passion to embed #SystemsThinking, an approach that focuses on understanding and addressing interconnected challenges, into health and social care. 
Emma takes us on a captivating journey, driven by passion and discovery, as she uncovers #TheFiveGiants, originally introduced in the Beveridge Report. Emma reveals their deep connection to her own great-grandfather, John Tomley, a pivotal figure in the creation of the NHS alongside Nye Bevan. 
Emma then explains how The Five Giants—housing, sanitation and environment; unemployment; poverty; health and social care services; and education—are key determinants of health, emphasising their interdependence and that tackling them together is essential to preventing cycles of inequality and promoting positive health outcomes. 
Come away inspired by Emma's vision and with a deeper understanding of the five giants and systems thinking to move from vicious to virtuous circles of continuous improvement. A must-listen. 
Episode resources
Emma's book The First NHS,  gives the history of the Five Giants, her great grandfather John Tomley's role in setting up the NHS and her own story as a patient:
The First NHS
To find out more about me please visit Reflective Ruth at LinkTree 
I am passionate about developing integrated health and social care and creating wider systems that support the health and wellbeing of our communities. If you enjoy this podcast and find it useful, please consider supporting me to continue these podcasts by buying me a coffee Your support is much appreciated.

SoWhoCaresAnyway E8 Connecting People, Creating Hope

 
Are you ready to be awed and inspired?
In this next episode of #SoWhoCaresAnyway, Dr Mark Spencer takes us on a transformational journey that starts with listening and litter picking and ends with creating hope and having fun.
Mark has been a GP in Fleetwood, a small ex-fishing town on the northwest coast of England, for over 30 years and is now the clinical director for Fleetwood Primary Care Network. Witnessing the decline in his community’s health and wellbeing after the fishing fleet's decommissioning in the 1970s, Mark set out to ignite change by bringing people together and asking the simple question: #WhatMatters.
Fleetwood is now flourishing. Through small actions and community empowerment, Fleetwood's greatest asset, its people, have embraced a new approach, moving beyond #DoWith to taking ownership of their community’s future.
Beyond Fleetwood, Mark plays a vital role nationally as co-chair of the NHS Confederation national PCN Network  
 
To find out more about me please visit Reflective Ruth at LinkTree 
I am passionate about developing integrated health and social care and creating wider systems that support the health and wellbeing of our communities. If you enjoy this podcast and find it useful, please consider supporting me by buying me a coffee Your support is much appreciated.

SoWhoCaresAnyway E7 When the drugs don’t work

In this episode of "So Who Cares Anyway?" I am excited to introduce an insightful conversation with Sarah Trust, a clinical pharmacist who works across five general practices within one Primary Care Network.
Sarah shares her evolving perspective on prescribing and how her experience has shaped her approach to patient care. "The more experienced I get, the less I prescribe," she states, emphasising the importance of supporting people to understand their condition and the medications they take, and in turn, understanding each patient's unique context, finding the most effective ways to support their health and well-being.
Amongst other areas, Sarah talks about pain and pain management, explaining that sometimes the best way to support people isn't through medication, as it is not always in our gift to pharmacologically change pain. Highlighting the limitations of medication in pain management, Sarah focuses on holistic, person-centred approaches. Through these approaches, Sarah has dramatically improved medication management within the Primary Care Network she works in and enhanced people’s quality of life. Sarah also supports her team, sharing her learning, knowledge, and skills through both informal and formal education.
Tune in to hear more about how Sarah personalises care by understanding both the population she serves and the individuals she cares for, supporting them beyond prescriptions. Sarah's commitment to holistic and person-centred care is truly inspiring.
Episode resources
Live well with pain 
To find out more about Ruth Germaine visit Reflective Ruth at LinkTree 
I am passionate about developing integrated health and social care and creating wider systems that support the health and wellbeing of our communities. If you enjoy this podcast and find it useful please consider supporting me by buying me a coffee  Your support is much appreciated