There is a particular kind of tiredness that comes from completing a demanding day at work. Then there is another kind—the tiredness of building something that does not yet fully exist.

A line manager asked to see her team member's diagnosis. She wasn't prying. She wanted to help, and she assumed the label would tell her how. I said no. That no is the design, not an obstacle.

“Structure creates clarity, and clarity drives performance.” Unknown Many organisations today recognise the need for digital clinical governance. Policies exist. Standards are referenced. Committees are formed.