I seem to have become involved in a jigsaw recently which I would rather not have participated in.

It started when I read an article about the importance of management in the success of a company. If management don’t appreciate their staff, and make them aware of how much they are valued, it has disastrous consequences. This shows in a high rate of ‘sickies’ among staff and high staff turnover rates. With the former it means carrying extra staff where their presence is necessary, such as in hospitals and nursing homes. For all businesses having to regularly replace staff who resign is expensive, thus raising operating costs.

The second part of the jigsaw was learning that our local public hospital has the highest sickie rate of any of the comparable facilities in the area. The person in charge blamed the nurses, apparently unaware that research shows that the blame in such situations lies with management. Worse still I have since been told that their figures have deteriorated further this year.

The third and final puzzle piece was when the safety officer of a major hospital in the U.S. was quoted as saying that the greatest threat to the safety of the patients was the relationship between the staff. Put these pieces together and I hope that neither I, my family or my friends have to be admitted to this local hospital.

The situation was brought home to me recently when a family member went into hospital, fortunately to another one, a private one. What struck me was the wonderful relationship between the staff, from the nurse in charge of the ward to the trainee nurse doing a university placement there. Both said how much they enjoyed their work. The older one said she had worked there for 17 years. What impressed me even more was that this was 21st century care as it wasn’t just the medical care that was done as a team but they also included patients and visitors who were given the impression that they were also part of the team. This is commendable as of course they all have a role to play in patient recovery.

This recognition of team work, rather than the hierarchical model which characterised the last century, is valuable knowledge to enable all organisations to reach the highest standards in all aspects of their work, leading to higher productivity. It is absolutely necessary in all businesses, but particularly where people’s lives and well-being are at risk.