Many of our limitations are self-inflicted. They can be overcome, but require a change in attitude. But what are these limitations and how do we overcome them?

The system:

System /ˈsɪstəm/ noun

• a set of things working together as parts of a mechanism or an interconnecting network; a complex whole.
• a set of principles or procedures according to which something is done; an organised scheme or method.
• the prevailing political or social order, especially when regarded as oppressive and intransigent. “don’t try bucking the system”

So what do we understand about the system? It is a complex network, built on a set of principles and procedures that may represent the prevailing political social order. But as an individual we accept that we are the architects of the system and this grants us the power to change it. But the caveat is that we must want to change it.

The drivers for change are the identification of a problem and the will to overcome it. However, the small problems can often be dealt with without too much effort. The larger problems can feel overwhelming, and by larger I mean the really big ones - World peace, end to slavery, end to poverty etc. (this list is not exhaustive, but meant as a guide).

So where is the sweet-spot?

This is difficult to answer, because big issues can seem unsurmountable until they are overcome.

And once overcome, hindsight makes us believe that the outcome was somehow inevitable.

So what are our limitations?

1. A belief that problems requiring our attention are unsurmountable because of various factors:
   • our position or role
   • financial
   • ‘the system’
   • confidence
   • time
   • understanding of the problem
2. A belief that the really big problems will be dealt with those in power, “who make the rules”
3. A belief in an inevitability that things that need to change, will somehow change
4. The idea that these problems are not our responsibility.

If you are reading my blog, I would hope that number 4 does not apply. And I can assure you that whilst people have tried to change the NHS and introduce digital technologies over the years, the outcomes and effects have been mixed.

It certainly seems that those with the power to commission digital change need all the help they can get - this is not meant as an insult - if these individuals feel they don’t need help, I would view this as a significant red flag.

Things are not going to change without definitive action. My aim is to be part of the solution and create a definitive action. By developing my skills and understanding of the problem, I hope to be able to band together with other Digital Health Pioneers.

Our community of Pioneers can collectively, change where we work, how we work and how we feel about work.