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Tag: Learning

Learning from previous events and other industries

RBKC Leader addresses Council after Grenfell Testimony Week.

Elizabeth Campbell, Leader of RBKC, addresses council following Grenfell Testimony Week. Below are a you tube video and PDF transcript of Elizabeth Campbell addressing council after Grenfell Testimony Week. You tube video Transcript

I don’t have words for The.Silence.

I attended Grenfell Testimony Week in a personal capacity and to support a friend who was giving testimony.  As a former resident of Grenfell (2011 – 2014) and a resident in North Kensington I live on the edges of the ripples of the grief and pain of Grenfell. These reflections are entirely personal. I wrote this to help me make sense of my experience and two dear friends wanted me to publish it, so I am.

The Post Office Scandal & Grenfell: Knowledge, Power & Consequences

This blog explores the systemic issues seen in the Post Office Horizon Scandal and the Grenfell Tower fire, focusing on the silencing of voices through power and knowledge, and the unfair consequences of these events. Both tragedies exemplify the dismissal of non-expert knowledge and misplaced trust, leading to devastating outcomes for ordinary individuals.

The Grenfell Inquiry: The hearing I can’t stop thinking about…

The 21st July 2022 was the final day of evidentiary hearings at the Grenfell Inquiry. Attending that hearing changed me. I’ve struggled over the last months to articulate this and am only beginning to understand and confront the implications of what I heard.

Grenfell Tower – the Role of the Civil Servants before the fire. A Blog and Paper by Martin Stanley

The role of civil servants before the Grenfell Tower fire is important because it highlights deficiencies within the highest levels of the civil service. MHCLG civil servants seem to have responded to ministerial pressures by degrading their working practices until they became unrecognisable to those who worked in government 20 or 30 years ago. 

The LFB Review of Culture: A quick blog…

Someone I spoke with today spent nearly 5 years in a Fire Service but took 15 years to get over it. She told me that the actions of her colleagues… Read more The LFB Review of Culture: A quick blog…

In memory… The Lakanal House Fire

On 3 July 2009, 3 week old Michelle Udooka died with her mother, Helen, in the Lakanal House Fire. Lessons were not leaarned and on 14 June 2017, the youngest victim t Grenfell was Logan Isaac Gomes, still-born at seven months.

Grenfell and the tacit knowledge of those at the sharp end – Ed Daffarn speaks to LBC’s James O’Brien.

LBC’s James O’Brien speaks to Ed Daffarn the author of the blog that predicted a catastrophic event at Grenfell.

An Analysis of the Design, Installation & Materials of the Rainscreen Cladding System at Grenfell Tower:

A technical analysis of what happened at the Grenfell Tower Fire.

This report looks objectively at the design of the cladding system and the way in which it was installed, whilst explaining some of the evidence heard at the Inquiry.

The danger of the narratives we use to silence: Grenfell and the Rebel Residents

Evidence by main contractor #Rydon at the #Grenfell Tower Inquiry reveals the narratives used to silence the voices of residents.

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Power and Accountability: The psychological contract & responding to catastrophic event

Power and Accountability. The failure of politicians to be accountable for the psychological contract in the face of catastrophic events such as Grenfell, COVID19 and Hillsborough.

Cummings & our unwritten Psychological Contract: Are we asking the right questions?

This blog explores the Cummings’ crisis through the lens of a failure to attend to and restore an unwritten psychological contract in the aftermath of catastrophic events.

Rather than asking ‘how can we ‘move on’ from the Cummings’ crisis?’ those in power might instead seek to understand what a country in grief needs from them, to understand what it would take to restore the psychological contract and build trust.

COVID-19 Unheeded Warnings #2: Centre for Health and Public Interest 2013 Report

Adaptive capacity is a cornerstone of resiliance. Those that failed to ensure this capacity whilst listing a pandemic as a top civil risk need to be held to account.

A 2013 Report by the CHPI warns that the new NHS structure would impact the ability to fight a pandemic.

From interruption to disruption: Leadership and Covid-19

Rather than viewing #Covid-19 as an interuption and wait for things to return to normal. It offers a unique #leadership opportunity to untether ourselves from the past and step into the Fourth Industrial Age.

Grenfell, Leadership & the Symbolic Dance: Lessons from Mehra; Barwell; Jenrick & others…

Recent decisions about Benita Mehra, Gavin Barwell and Robert Jenrick are perplexing in the symbolic dissonance with the intent for learning and change.

Grenfell narratives displacing our ability to learn

Heroes and Villains – The narratives displacing our ability to learn from Grenfell

This blog looks at the failures of the LFB in preparing for Grenfell and explores the narratives displacing our ability to learn from Grenfell.

The Grenfell Tower Inquiry: Key facts…

In preparation for the publication of the Phase 1 report, I’ve attempted to pull together some key facts about the Inquiry. Please forgive any errors or omissions. I look at:… Read more The Grenfell Tower Inquiry: Key facts…

Grenfell; Space Ships and the Shard – the problem with the London Fire Brigade Commissioner’s statement.

LFB Commissioner Dany Cotton said that preparing for Grenfell would be like a space shuttle landing on the shard. This article explores why this statement is problematic.
It looks at the failures of the LFB to understand and mitigate catastrophic risk and to create a learning culture.

Grenfell: Building reform consultation fails to ensure strong voice from residents.

In another bizarre and ironic twist post-Grenfell, the MHCLG has issued a consultation on the proposed regulatory reform based on the Hackitt review. It calls for a stronger resident voice but fails to ensure this through the consultation process.

Grenfell – Creating a bias toward safety: Practical lessons for change from Piper Alpha

Dr Stan Schofield offers ways the approach taken with Piper could be applied to Grenfell. Stan spent 16 years in HSE’s Offshore Safety division in the wake of Piper Alpha.

Grenfell Tower Inquiry: learn lessons & implement changes (University of Manchester Blog)

Uploading a blog Martin Stanley and I wrote in September 2017. I believe this thinking will be important for Phase 2 of the Grenfell Public Inquiry.

Grenfell Tower Inquiry

Submission to the Grenfell Tower Inquiry re including the thinking and learning from Major Accidents

The first submission I made to the Grenfell Tower Inquiry. Arguing for including the thinking of Major Accidents in understanding what happened at Grenfell.