Insights

In-depth articles on board governance, leadership, and organisational design.

Two unfinished bridge sections face each other across a gap, a desk and chair on each side, connected only by a single slack cable.
Healthcare 7 min read

Hospital Cooperation Doesn't Fail for Lack of Goodwill. It Fails for Lack of a Decision Point.

Inside one organisation, disagreements eventually move upward until someone has the authority to decide. In a network, that person often doesn't exist.

Dutch hospitals keep announcing cooperation plans that stall in execution. The usual explanations — emotions, interests, urgency — are al...

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Two organisational structures built of many layers, connected across an empty gap by only a few fragile, sagging lines.
Healthcare 7 min read

Network Care Doesn't Reduce Governance Risk. It Moves It.

When hospitals cooperate instead of merge, accountability does not disappear — it shifts to the interfaces between organisations.

Dutch hospitals are increasingly cooperating rather than merging. That shift is reshaping where governance risk lives — not inside a sing...

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