About the book

Dr D J Brownʼs innovative guide to patient and staff centred transformation in the healthcare sector –The Meaning of Careful – addresses the pressing need to improve both patient safety and cost efficiencies while, at the same time, nurturing staff morale and improving the patient experience.

Drawing on over fifteen years of experience as both a doctor and a results-focused implementation consultant Dr Brown describes a straightforward, step-by-step programme which will transform any hospital or clinic into a great place to work and a great place to be treated.


The Meaning of Careful offers a unique perspective on the possibilities for change within the healthcare system, informed both by Dr Brownʼs hands-on experience on the front line of the NHS and his involvement in managing change in large corporate organisations.

Dr D J Brown demonstrates, through stories and examples that a positive model of leadership model will meet the challenge of creating more efficient health services, while continuing to focus on improving patient care. By putting people before process and taking a long-term view, he shows how it is possible to improve patient care radically and to raise the reputation and financial performance of every healthcare institution.

Dr Brown is driven by a passion to improve patient care. He acknowledges that most healthare organisations and health economies are large, complex, often controversially funded and over-managed. Yet if run in a more positive, people-focused fasion, they can not only be more efficient and cost effective but - crucially - they can be better at treating patients.

The Meaning of Careful is published by HCV Publishing - ISBN: 978-0956383303