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Pride and Joy Podcasts

Welcome to our podcast series where Alex Knight talks further about some of the ideas in Pride and Joy.


Alex addresses the resource implications of improving patient flow.

  • Improving patient flow through the Emergency department.
  • Implications for the whole system.
  • Improving quality of care.
  • Enhancing junior doctor training.

Duration: 11:22

Alex addresses the financial benefits of improving patient flow

  • Improving the finances of the whole system.
  • Improving patient flow improves financial performance
  • Dealing with the unintended outcomes of success.

Duration: 10:30

Stuart Wilkins interviews Alex Knight about the global health situation

  • Three data points demonstrating the pressure
  • Something important has become urgent
  • The need for a rapid and sustainable breakthrough
  • No country is immunised
  • The direction of a solution

Duration: 5:38

Stuart Wilkin interviews Alex Knight about improving performance in the A&E department

  • Often the first step in the process
  • Improving performance
  • How to do an analysis
  • Where to start
  • How the rest of the system can help
  • Gaining commitment of others

Duration: 10:06

Stuart Wilkins interviews Alex Knight about community-based health and social care

  • The two critical roles
  • Finding the leverage point(s)
  • The logistical differences
  • Clinical and management roles
  • The trick of integrated care
  • A vision for community-based care

Duration: 11:07

Stuart Wilkin interviews Alex Knight about the core healthcare dilemma, page 75 of Pride and Joy

  • Why good people working so hard find it so difficult to improve the performance of the whole hospital.
  • Each side of the dilemma.
  • The criteria upon which any solution must meet.
  • The discharge solution example.

Duration: 17:07


Latest reviews

Displaying 3 of 31 Read all »

Wow - what a great job you did! I know Eli would be proud. One of the best - if not the best book I have read on TOC. Excellent job! 

John Covington

President, Chesapeake Consulting, USA

In choosing to fictionalise his experience of working with many healthcare systems, Alex Knight challenges his readers to think about the realities of hospital management in new ways. 'Pride and Joy' is an essential read for those 
who wish to implement change and improve the quality of care within the hospital sector. 

Ailsa Granne

Oxford, England

Patients should only stay in hospital as long as they need to. This is central to the quality of care. Read this book - it will change your view of how to manage patient flow in a hospital. It can transform the way we deliver care and steer us away from the downward spiral of poor quality, poor performance and inefficiency.

Jeffrey Worrall

Portfolio Director

NHS Trust Development Authority
Derby office