Speaking as someone who has spent the last 6 weeks as a senior manager at the thick end of COVID. Here's what I've learned:

1. It been bloody hard. All usual certainties are gone, and having to make unprecedented decisions as large groups of disembodied voices on a conf call.
2. Any decision would hold for no more than a few days at most (sometimes hours). A combination of rapidly changing circumstances and new govt advice meant we had to review constantly and ask staff to make changes at sometimes ridiculous pace.
3. The staff have been incredible.

4. Change management can actually be done in these circumstances

5. We got stuff wrong. My only expectation was that any decision made was a reasonable one based on the info at the time.
6. Partnership working across Health & Social Care at the local level has been brilliant.

7. Emptying the hospitals was the right decision at the time it was made, given what we thought was coming.

8. There wasn't enough concurrent thinking about care homes.
9. The operational virus response has all happened in the last 6 weeks. This has roughly divided into two week blocks in terms of national advice. What was achieved operationally in each two week block is staggering, and testament again to the staff.
10. I'm tired.
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